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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A global clinicians' map of mental disorders to improve ICD-11: Analysing meta-structure to enhance clinical utility
International Review of Psychiatry, Volume 24, No. 6, Year 2012
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Description
Enhancing clinical utility is an emphasis of the World Health Organization's development of the mental and behavioural disorders chapter of the next International Classification of Diseases (ICD-11). Understanding how clinicians conceptualize the structure of mental disorders can enable a more clinically intuitive classification architecture that will help professionals find the categories they need more efficiently. This study examined clinicians' conceptualizations of the relationships among mental disorders and the dimensions they use in making these judgements. Psychiatrists and psychologists from 64 countries (n = 1,371), participating in English or Spanish, rated the similarity of mental and behavioural disorders presented as paired comparisons. Data were analysed by multidimensional scaling procedures (INDSCAL) and by analyses of consistency. Participants used three distinctive dimensions to evaluate the similarity among disorders: internalizing versus externalizing, developmental versus adult onset, and functional versus organic. Clinicians' conceptual map of mental disorders was rational and highly stable across profession, language, and country income level. The proposed ICD-11 structure is a moderately better fit with clinicians' conceptual model than either ICD-10 or DSM-IV. Clinician judgements can be used to improve clinical utility of the ICD-11 without sacrificing validity based on a scientific approach to enhancing a logically organized classification meta-structure. © 2012 Institute of Psychiatry.
Authors & Co-Authors
Roberts, Michael C.
United States, Lawrence
University of Kansas
Reed, Geoffrey M.
Switzerland, Geneva
Organisation Mondiale de la Santé
Medina-Mora, M. E.
Mexico, Mexico
Instituto Nacional de Psiquiatría Ramon de la Fuente
Keeley, Jared Wayne
United States, Mississippi State
Mississippi State University
Sharan, Pratap
India, New Delhi
All India Institute of Medical Sciences, new Delhi
Johnson, David K.
United States, Lawrence
University of Kansas
Mari, Jair Jesus
Brazil, Sao Paulo
Universidade Federal de São Paulo
Ayuso-Mateos, J. L.
Spain, Madrid
Universidad Autónoma de Madrid
Gureje, Oye
Nigeria, Ibadan
University of Ibadan
Xiao, Zeping
China, Shanghai
Shanghai Jiao Tong University School of Medicine
Maruta, Toshimasa
Japan, Tokyo
Tokyo Medical University
Khoury, Brigitte A.
Lebanon, Beirut
American University of Beirut
Robles-García, Rebeca
Mexico, Mexico
Instituto Nacional de Psiquiatría Ramon de la Fuente
Saxena, Shekhar
Switzerland, Geneva
Organisation Mondiale de la Santé
Statistics
Citations: 61
Authors: 14
Affiliations: 11
Identifiers
Doi:
10.3109/09540261.2012.736368
ISSN:
09540261
e-ISSN:
13691627