Abstract
In this paper we report the clinical utility of the diagnostic guidelines for ICD-11 mental, behavioural and neurodevelopmental disorders as assessed by 339 clinicians in 1,806 patients in 28 mental health settings in 13 countries. Clinician raters applied the guidelines for schizophrenia and other primary psychotic disorders, mood disorders (depressive and bipolar disorders), anxiety and fear-related disorders, and disorders specifically associated with stress. Clinician ratings of the clinical utility of the proposed ICD-11 diagnostic guidelines were very positive overall. The guidelines were perceived as easy to use, corresponding accurately to patients’ presentations (i.e., goodness of fit), clear and understandable, providing an appropriate level of detail, taking about the same or less time than clinicians’ usual practice, and providing useful guidance about distinguishing disorder from normality and from other disorders. Clinicians evaluated the guidelines as less useful for treatment selection and assessing prognosis than for communicating with other health professionals, though the former ratings were still positive overall. Field studies that assess perceived clinical utility of the proposed ICD-11 diagnostic guidelines among their intended users have very important implications. Classification is the interface between health encounters and health information; if clinicians do not find that a new diagnostic system provides clinically useful information, they are unlikely to apply it consistently and faithfully. This would have a major impact on the validity of aggregated health encounter data used for health policy and decision making. Overall, the results of this study provide considerable reason to be optimistic about the perceived clinical utility of the ICD-11 among global clinicians.
| Original language | English |
|---|---|
| Pages (from-to) | 306-315 |
| Number of pages | 10 |
| Journal | World Psychiatry |
| Volume | 17 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Oct 2018 |
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All Science Journal Classification (ASJC) codes
- Phychiatric Mental Health
- Psychiatry and Mental health
Cite this
Clinical utility of ICD-11 diagnostic guidelines for high-burden mental disorders : results from mental health settings in 13 countries. / Reed, Geoffrey M.; Keeley, Jared W.; Rebello, Tahilia J.; First, Michael B.; Gureje, Oye; Ayuso-Mateos, José Luis; Kanba, Shigenobu; Khoury, Brigitte; Kogan, Cary S.; Krasnov, Valery N.; Maj, Mario; de Jesus Mari, Jair; Sharan, Pratap; Stein, Dan J.; Zhao, Min; Akiyama, Tsuyoshi; Andrews, Howard F.; Asevedo, Elson; Cheour, Majda; Domínguez-Martínez, Tecelli; El-Khoury, Joseph; Fiorillo, Andrea; Grenier, Jean; Gupta, Nitin; Kola, Lola; Kulygina, Maya; Leal-Leturia, Itziar; Luciano, Mario; Lusu, Bulumko; Martínez-López, J. Nicolás I.; Matsumoto, Chihiro; Odunleye, Mayokun; Onofa, Lucky Umukoro; Paterniti, Sabrina; Purnima, Shivani; Robles, Rebeca; Sahu, Manoj K.; Sibeko, Goodman; Zhong, Na; Gaebel, Wolfgang; Lovell, Anne M.; Maruta, Toshimasa; Pike, Kathleen M.; Roberts, Michael C.; Medina-Mora, María Elena.
In: World Psychiatry, Vol. 17, No. 3, 10.2018, p. 306-315.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Clinical utility of ICD-11 diagnostic guidelines for high-burden mental disorders
T2 - results from mental health settings in 13 countries
AU - Reed, Geoffrey M.
AU - Keeley, Jared W.
AU - Rebello, Tahilia J.
AU - First, Michael B.
AU - Gureje, Oye
AU - Ayuso-Mateos, José Luis
AU - Kanba, Shigenobu
AU - Khoury, Brigitte
AU - Kogan, Cary S.
AU - Krasnov, Valery N.
AU - Maj, Mario
AU - de Jesus Mari, Jair
AU - Sharan, Pratap
AU - Stein, Dan J.
AU - Zhao, Min
AU - Akiyama, Tsuyoshi
AU - Andrews, Howard F.
AU - Asevedo, Elson
AU - Cheour, Majda
AU - Domínguez-Martínez, Tecelli
AU - El-Khoury, Joseph
AU - Fiorillo, Andrea
AU - Grenier, Jean
AU - Gupta, Nitin
AU - Kola, Lola
AU - Kulygina, Maya
AU - Leal-Leturia, Itziar
AU - Luciano, Mario
AU - Lusu, Bulumko
AU - Martínez-López, J. Nicolás I.
AU - Matsumoto, Chihiro
AU - Odunleye, Mayokun
AU - Onofa, Lucky Umukoro
AU - Paterniti, Sabrina
AU - Purnima, Shivani
AU - Robles, Rebeca
AU - Sahu, Manoj K.
AU - Sibeko, Goodman
AU - Zhong, Na
AU - Gaebel, Wolfgang
AU - Lovell, Anne M.
AU - Maruta, Toshimasa
AU - Pike, Kathleen M.
AU - Roberts, Michael C.
AU - Medina-Mora, María Elena
PY - 2018/10
Y1 - 2018/10
N2 - In this paper we report the clinical utility of the diagnostic guidelines for ICD-11 mental, behavioural and neurodevelopmental disorders as assessed by 339 clinicians in 1,806 patients in 28 mental health settings in 13 countries. Clinician raters applied the guidelines for schizophrenia and other primary psychotic disorders, mood disorders (depressive and bipolar disorders), anxiety and fear-related disorders, and disorders specifically associated with stress. Clinician ratings of the clinical utility of the proposed ICD-11 diagnostic guidelines were very positive overall. The guidelines were perceived as easy to use, corresponding accurately to patients’ presentations (i.e., goodness of fit), clear and understandable, providing an appropriate level of detail, taking about the same or less time than clinicians’ usual practice, and providing useful guidance about distinguishing disorder from normality and from other disorders. Clinicians evaluated the guidelines as less useful for treatment selection and assessing prognosis than for communicating with other health professionals, though the former ratings were still positive overall. Field studies that assess perceived clinical utility of the proposed ICD-11 diagnostic guidelines among their intended users have very important implications. Classification is the interface between health encounters and health information; if clinicians do not find that a new diagnostic system provides clinically useful information, they are unlikely to apply it consistently and faithfully. This would have a major impact on the validity of aggregated health encounter data used for health policy and decision making. Overall, the results of this study provide considerable reason to be optimistic about the perceived clinical utility of the ICD-11 among global clinicians.
AB - In this paper we report the clinical utility of the diagnostic guidelines for ICD-11 mental, behavioural and neurodevelopmental disorders as assessed by 339 clinicians in 1,806 patients in 28 mental health settings in 13 countries. Clinician raters applied the guidelines for schizophrenia and other primary psychotic disorders, mood disorders (depressive and bipolar disorders), anxiety and fear-related disorders, and disorders specifically associated with stress. Clinician ratings of the clinical utility of the proposed ICD-11 diagnostic guidelines were very positive overall. The guidelines were perceived as easy to use, corresponding accurately to patients’ presentations (i.e., goodness of fit), clear and understandable, providing an appropriate level of detail, taking about the same or less time than clinicians’ usual practice, and providing useful guidance about distinguishing disorder from normality and from other disorders. Clinicians evaluated the guidelines as less useful for treatment selection and assessing prognosis than for communicating with other health professionals, though the former ratings were still positive overall. Field studies that assess perceived clinical utility of the proposed ICD-11 diagnostic guidelines among their intended users have very important implications. Classification is the interface between health encounters and health information; if clinicians do not find that a new diagnostic system provides clinically useful information, they are unlikely to apply it consistently and faithfully. This would have a major impact on the validity of aggregated health encounter data used for health policy and decision making. Overall, the results of this study provide considerable reason to be optimistic about the perceived clinical utility of the ICD-11 among global clinicians.
UR - http://www.scopus.com/inward/record.url?scp=85052952288&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85052952288&partnerID=8YFLogxK
U2 - 10.1002/wps.20581
DO - 10.1002/wps.20581
M3 - Article
AN - SCOPUS:85052952288
VL - 17
SP - 306
EP - 315
JO - World Psychiatry
JF - World Psychiatry
SN - 1723-8617
IS - 3
ER -