Diagnostic Changes for Dissociative Identity Disorder Across DSM and ICD Versions
Critical Limitation of Available Evidence
The provided evidence does not contain specific information about the diagnostic criteria changes for Dissociative Identity Disorder across DSM-III, DSM-III-R, DSM-IV, DSM-5, DSM-5-TR, ICD-10, or ICD-11. The evidence primarily addresses intellectual disability, specific phobias, personality disorders, and premenstrual dysphoric disorder, with only tangential mentions of dissociative disorders in general terms.
What Can Be Determined From Available Evidence
Current Diagnostic Framework
DID is characterized by the presence of at least two distinct personality identities, each with its own memories, characteristics, and attributes, representing a chronic post-traumatic disorder where developmentally stressful childhood events including abuse, emotional neglect, and disturbed attachment are central etiological factors 1, 2.
The disorder is classified under F44.8 in ICD-10 as dissociative identity disorder, though the specific diagnostic criteria evolution across ICD versions is not detailed in the provided evidence 1.
DID is not classified among the ten personality disorders listed in DSM-5-TR, despite being formerly known as Multiple Personality Disorder (MPD), indicating a categorical distinction maintained across recent DSM versions 3.
Diagnostic Challenges Across Classification Systems
The average time from first healthcare contact to correct diagnosis exceeds 6.7 to 8 years, with an average of 2.8 misdiagnoses per patient, suggesting that diagnostic criteria across classification systems may lack sufficient clarity or specificity 4.
The disorder remains understudied despite being empirically robust, with neurobiological, cognitive, and interpersonal non-integration as responses to unbearable stress forming the core pathophysiology 2.
Clinical Pitfall
- The form of dissociated entities varies with how they are defined, in ways that are intrinsically motivated and clinically manipulable, meaning diagnostic criteria that are too flexible or interpretive may lead to inconsistent application across different classification systems 5.
Recommendation for Obtaining Specific Information
To answer your question comprehensively, you need to consult primary source documents: the actual DSM-III, DSM-III-R, DSM-IV, DSM-5, DSM-5-TR manuals from the American Psychiatric Association, and the ICD-10 and ICD-11 classification manuals from the World Health Organization, as these specific diagnostic criteria changes are not addressed in the provided clinical evidence.