Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies

BMC Medicine - Tập 18 - Trang 1-24 - 2020
Dan J. Stein1, Peter Szatmari2, Wolfgang Gaebel3, Michael Berk4,5,6,7, Eduard Vieta8, Mario Maj9, Ymkje Anna de Vries10, Annelieke M. Roest10, Peter de Jonge10, Andreas Maercker11, Chris R. Brewin12, Kathleen M. Pike13, Carlos M. Grilo14, Naomi A. Fineberg15, Peer Briken16, Peggy T. Cohen-Kettenis17, Geoffrey M. Reed13,18
1SA Medical Research Council Unit on Risk & Resilience in Mental Disorders, Dept of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa
2Centre for Addiction and Mental Health, Hospital for Sick Children, University of Toronto, Toronto, Canada
3Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich-Heine University, Düsseldorf, Germany
4Deakin University, IMPACT – the Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Barwon Health, Geelong, Australia
5Orygen, The National Centre of Excellence in Youth Mental Health and the Centre for Youth Mental Health, Parkville, Australia
6Florey Institute for Neuroscience and Mental Health, Parkville, Australia
7Department of Psychiatry, University of Melbourne, Parkville, Australia
8Bipolar Disorders Unit, Hospital Clinic, Institute of Neurosciences, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Spain
9Department of Psychiatry, University of Campania, “L. Vanvitelli”, Naples, Italy
10Department of Developmental Psychology, Interdisciplinary Center Psychopathology and Emotion Regulation, University of Groningen, Groningen, The Netherlands
11Department of Psychology, Psychopathology and Clinical Intervention, University of Zurich, Zurich, Switzerland
12Research Deparment of Clinical, Educational and Health Psychology, University College London, London, UK
13Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, USA
14Department of Psychiatry, Yale University School of Medicine, New Haven, USA
15Hertfordshire Partnership University NHS Foundation Trust and University of Hertfordshire, Welwyn Garden City, UK
16Institute for Sex Research, Sexual Medicine & Forensic Psychiatry, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany
17Department of Medical Psychology, Amsterdam UMC, Amsterdam, The Netherlands
18Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland

Tóm tắt

An update of the chapter on Mental, Behavioral and Neurodevelopmental Disorders in the International Classification of Diseases and Related Health Problems (ICD) is of great interest around the world. The recent approval of the 11th Revision of the ICD (ICD-11) by the World Health Organization (WHO) raises broad questions about the status of nosology of mental disorders as a whole as well as more focused questions regarding changes to the diagnostic guidelines for specific conditions and the implications of these changes for practice and research. This Forum brings together a broad range of experts to reflect on key changes and controversies in the ICD-11 classification of mental disorders. Taken together, there is consensus that the WHO’s focus on global applicability and clinical utility in developing the diagnostic guidelines for this chapter will maximize the likelihood that it will be adopted by mental health professionals and administrators. This focus is also expected to enhance the application of the guidelines in non-specialist settings and their usefulness for scaling up evidence-based interventions. The new mental disorders classification in ICD-11 and its accompanying diagnostic guidelines therefore represent an important, albeit iterative, advance for the field.

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BMC Medicine

Tập 18

1-24

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