TY - JOUR
T1 - The ICD-11 developmental field study of reliability of diagnoses of high-burden mental disorders
T2 - results among adult patients in mental health settings of 13 countries
AU - Reed, Geoffrey M.
AU - Sharan, Pratap
AU - Rebello, Tahilia J.
AU - Keeley, Jared W.
AU - Elena Medina-Mora, María
AU - Gureje, Oye
AU - Luis Ayuso-Mateos, José
AU - Kanba, Shigenobu
AU - Khoury, Brigitte
AU - Kogan, Cary S.
AU - Krasnov, Valery N.
AU - Maj, Mario
AU - de Jesus Mari, Jair
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 - Nicolas, J.
AU - Martínez-López, I.
AU - Matsumoto, Chihiro
AU - Umukoro Onofa, Lucky
AU - Paterniti, Sabrina
AU - Purnima, Shivani
AU - Robles, Rebeca
AU - Sahu, Manoj K.
AU - Sibeko, Goodman
AU - Zhong, Na
AU - First, Michael B.
AU - Gaebel, Wolfgang
AU - Lovell, Anne M.
AU - Maruta, Toshimasa
AU - Roberts, Michael C.
AU - Pike, Kathleen M.
N1 - Funding Information:
The opinions contained in the paper are those of its authors and, except as specifically stated, are not intended to represent the official policies or positions of the World Health Organization. Funding was received for national activities related to this project in the following countries: Brazil - Conselho Nacional de Desenvolvimento Científico e Tecnológico; Canada - University Medical Research Fund, Royal’s University of Ottawa Institute of Mental Health Research; Japan - Japanese Society of Psychiatry and Neurology, and Japan Agency for Medical Research and Development; Mexico - Consejo Nacional de Ciencia y Tecnología. Additional support for data collection in Brazil, Lebanon, Nigeria, South Africa and Tunisia was provided by the Columbia University Global Mental Health Program. Otherwise, this project was funded by in-kind contributions of the participating institutions. The authors express their gratitude to the following individuals who contributed substantially to the conduct of this research: Gustavo M. Barros, Ary Gadelha, Michel Haddad, Nuno H.P. Santos (Brazil); Huajian Ma, Zhen Wang, Jingjing Huang (China); Huma Kamal, Nidhi Malhotra (India); Gaia Sampogna, Lucia Del Gaudio, Giuseppe Piegari, Francesco Perris, Luca Steardo Jr (Italy); Tomofumi Miura, Itta Namamura, Kiyo-kazu Atake, Ayako Endo, Yuki Kako, Shinichi Kishi, Michihiko Koeda, Shinsuke Kondo, Akeo Kurumaji, Shusuke Numata, Naoya Oribe, Futoshi Suzuki, Masa-shi Yagi (Japan); Sariah Daouk, Chadia Haddad, Franc¸ois Kazour, Nicole Khauli (Lebanon); Francisco Juárez, Alejandra González, Omar Hernández, Carolina Muñoz (Mexico); Mayokun Odunleye (Nigeria); Tatiana Kiska, Oleg Limankin, Pavel Ponizovsky (Russian Federation); Roxanne James, Christine Lochner, Adele Pretorius (South Africa); Carolina Ávila, Cora Fernández, Julián Gómez, Ana Izquierdo, Beatriz Vicario, Rubén Vicente (Spain); Rahma Damak (Tunisia).
PY - 2018/6
Y1 - 2018/6
N2 - Reliable, clinically useful, and globally applicable diagnostic classification of mental disorders is an essential foundation for global mental health. The World Health Organization (WHO) is nearing completion of the 11th revision of the International Classification of Diseases and Related Health Problems (ICD-11). The present study assessed inter-diagnostician reliability of mental disorders accounting for the greatest proportion of global disease burden and the highest levels of service utilization – schizophrenia and other primary psychotic disorders, mood disorders, anxiety and fear-related disorders, and disorders specifically associated with stress – among adult patients presenting for treatment at 28 participating centers in 13 countries. A concurrent joint-rater design was used, focusing specifically on whether two clinicians, relying on the same clinical information, agreed on the diagnosis when separately applying the ICD-11 diagnostic guidelines. A total of 1,806 patients were assessed by 339 clinicians in the local language. Intraclass kappa coefficients for diagnoses weighted by site and study prevalence ranged from 0.45 (dysthymic disorder) to 0.88 (social anxiety disorder) and would be considered moderate to almost perfect for all diagnoses. Overall, the reliability of the ICD-11 diagnostic guidelines was superior to that previously reported for equivalent ICD-10 guidelines. These data provide support for the suitability of the ICD-11 diagnostic guidelines for implementation at a global level. The findings will inform further revision of the ICD-11 diagnostic guidelines prior to their publication and the development of programs to support professional training and implementation of the ICD-11 by WHO member states.
AB - Reliable, clinically useful, and globally applicable diagnostic classification of mental disorders is an essential foundation for global mental health. The World Health Organization (WHO) is nearing completion of the 11th revision of the International Classification of Diseases and Related Health Problems (ICD-11). The present study assessed inter-diagnostician reliability of mental disorders accounting for the greatest proportion of global disease burden and the highest levels of service utilization – schizophrenia and other primary psychotic disorders, mood disorders, anxiety and fear-related disorders, and disorders specifically associated with stress – among adult patients presenting for treatment at 28 participating centers in 13 countries. A concurrent joint-rater design was used, focusing specifically on whether two clinicians, relying on the same clinical information, agreed on the diagnosis when separately applying the ICD-11 diagnostic guidelines. A total of 1,806 patients were assessed by 339 clinicians in the local language. Intraclass kappa coefficients for diagnoses weighted by site and study prevalence ranged from 0.45 (dysthymic disorder) to 0.88 (social anxiety disorder) and would be considered moderate to almost perfect for all diagnoses. Overall, the reliability of the ICD-11 diagnostic guidelines was superior to that previously reported for equivalent ICD-10 guidelines. These data provide support for the suitability of the ICD-11 diagnostic guidelines for implementation at a global level. The findings will inform further revision of the ICD-11 diagnostic guidelines prior to their publication and the development of programs to support professional training and implementation of the ICD-11 by WHO member states.
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U2 - 10.1002/wps.20524
DO - 10.1002/wps.20524
M3 - Article
AN - SCOPUS:85047835220
VL - 17
SP - 174
EP - 186
JO - World Psychiatry
JF - World Psychiatry
SN - 1723-8617
IS - 2
ER -