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A Comparison of DSM-IV and DSM-5 Panel Members' Financial Associations with Industry: A Pernicious Problem Persists

  • Lisa Cosgrove mail,

    Affiliations: Edmond J. Safra Center for Ethics, Harvard University, Cambridge, Massachusetts, United States of America, Department of Counseling Psychology, University of Massachusetts, Boston, Massachusetts, United States of America

  • Sheldon Krimsky

    Affiliation: Department of Urban and Environmental Policy and Planning, and Department of Public Health and Community Medicine, Tufts University, Medford, Massachusetts, United States of America

  • Published: March 13, 2012
  • DOI: 10.1371/journal.pmed.1001190

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Article erroneously suggests that Financial Ties worse in DSM-5

Posted by MichaelbfirstMD on 14 Mar 2012 at 05:35 GMT

While this article correctly reports that the percentage of DSM-5 panelists with reported ties to industry is greater than for those who developed DSM-IV, it erroneously implies that the situation with regard to possible influence of industry on the DSM developmental process has gotten worse since DSM-IV. Although it mentions the fact that DSM-5 implemented for each DSM-5 participant a new requirement for a $10,000 per year limit from all industry sources, it does so only in passing in the section on continuing "gaps" in the DSM-5 COI policy. This is a huge change from DSM-IV; not only did DSM-IV not require reporting of financial ties, but there were also no limits imposed; as has been reported in the past, some DSM-IV experts and advisors received sums exceeding $100,000 per year from industry. Common sense suggests that the risk of industry influence is proportional to the amount of money involved. While DSM-5 has not completely elminiated industry ties, its imposition of a $10,000 per year limit greatly reduces the potential for financial considerations to have any influence on decision making, since the incentives to do so are greatly reduced.

Competing interests declared: I was the editor of text and criteria for DSM-IV and editor for the DSM-IV-TR, the current edition of the diagnostic manual. I currently have no role whatsoever in the development of DSM-5. I am also a consultant to the World Health Organization for the development of the 11th edition of the International Classification of Diseases.