• Geoffrey M Reed, Michael C Roberts, Jared Keeley, Catherine Hooppell, Chihiro Matsumoto, Pratap Sharan, Rebeca Robles, Hudson Carvalho, Chunyan Wu, Oye Gureje, Itzear Leal-Leturia, Elizabeth H Flanagan, João Mendonça Correia, Toshimasa Maruta, José Luís Ayuso-Mateos, Jair de Jesus Mari, Zeping Xiao, Spencer C Evans, Shekhar Saxena, and María Elena Medina-Mora.
• World Health Organization.
• J Clin Psychol. 2013 Dec 1; 69 (12): 1191-212.

ObjectiveTo examine the conceptualizations held by psychiatrists and psychologists around the world of the relationships among mental disorders in order to inform decisions about the structure of the classification of mental and behavioral disorders in World Health Organization's International Classification of Diseases and Related Health Problems 11th Revision (ICD-11).Method517 mental health professionals in 8 countries sorted 60 cards containing the names of mental disorders into groups of similar disorders, and then formed a hierarchical structure by aggregating and disaggregating these groupings. Distance matrices were created from the sorting data and used in cluster and correlation analyses.ResultsClinicians' taxonomies were rational, interpretable, and extremely stable across countries, diagnostic system used, and profession. Clinicians' consensus classification structure was different from ICD-10 and the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders 4th Edition (DSM-IV), but in many respects consistent with ICD-11 proposals.ConclusionsThe clinical utility of the ICD-11 may be improved by making its structure more compatible with the common conceptual organization of mental disorders observed across diverse global clinicians.© 2013 Wiley Periodicals, Inc.

12 keywords...

hide…