Journal article
Disorders specifically associated with stress: A case-controlled field study for ICD-11 mental and behavioural disorders.
- Keeley JW Mississippi State University, USA.
- Reed GM World Health Organization, Switzerland.
- Roberts MC University of Kansas, USA.
- Evans SC University of Kansas, USA.
- Robles R Instituto Nacional de Psiquiatría "Ramón de la Fuente Muñiz", Mexico.
- Matsumoto C Japanese Society of Psychiatry and Neurology, Japan.
- Brewin CR University College London, UK.
- Cloitre M National Center for PTSD, USA.
- Perkonigg A University of Zurich, Switzerland.
- Rousseau C McGill University Health Center, Canada.
- Gureje O University of Ibadan, Nigeria.
- Lovell AM National Institute of Health and Medical Research (INSERM), France.
- Sharan P All India Institute of Medical Sciences, India.
- Maercker A University of Zurich, Switzerland.
- 2018-11-30
Published in:
- International journal of clinical and health psychology : IJCHP. - 2016
English
As part of the development of the Eleventh Revision of International Classification of Diseases and Related Health Problems (ICD-11), the World Health Organization Department of Mental Health and Substance Abuse is conducting a series of case-controlled field studies using a new and powerful method to test the application by clinicians of the proposed ICD-11 diagnostic guidelines for mental and behavioural disorders. This article describes the case-controlled field study for Disorders Specifically Associated with Stress. Using a vignette-based experimental methodology, 1,738 international mental health professionals diagnosed standardized cases designed to test key differences between the proposed diagnostic guidelines for ICD-11 and corresponding guidelines for ICD-10. Across eight comparisons, several proposed changes for ICD-11, including the addition of Complex PTSD and Prolonged Grief Disorder, produced significantly improved diagnostic decisions and clearer application of diagnostic guidelines compared to ICD-10. However, several key areas were also identified, such as the description of the diagnostic requirement of re-experiencing in PTSD, in which the guidelines were not consistently applied as intended. These results informed specific revisions to improve the clarity of the proposed ICD-11 diagnostic guidelines. The next step will be to further test these guidelines in clinic-based studies using real patients in relevant settings.
- Language
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- English
- Open access status
- gold
- Identifiers
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- DOI 10.1016/j.ijchp.2015.09.002
- PMID 30487855
- Persistent URL
- https://folia.unifr.ch/global/documents/168998
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