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A global clinicians' map of mental disorders to improve ICD-11: Analysing meta-structure to enhance clinical utility.

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Title: A global clinicians' map of mental disorders to improve ICD-11: Analysing meta-structure to enhance clinical utility.
Authors: Roberts, Michael C. (AUTHOR), Reed, Geoffrey M. (AUTHOR), Medina-Mora, María Elena (AUTHOR), Keeley, Jared W. (AUTHOR), Sharan, Pratap (AUTHOR), Johnson, David K. (AUTHOR), Mari, Jair de Jesus (AUTHOR), Ayuso-Mateos, José Luis (AUTHOR), Gureje, Oye (AUTHOR), Xiao, Zeping (AUTHOR), Maruta, Toshimasa (AUTHOR), Khoury, Brigitte (AUTHOR), Robles, Rebeca (AUTHOR), Saxena, Shekhar (AUTHOR)
Source: International Review of Psychiatry. Dec2012, Vol. 24 Issue 6, p578-590. 13p.
Subjects: Classification of mental disorders, Statistical correlation, Goodness-of-fit tests, Psychiatrists, Nosology, Psychology of psychologists, Questionnaires, Scale analysis (Psychology), Statistics, World Health Organization, Data analysis, Inter-observer reliability, Data analysis software, Descriptive statistics, Psychology
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of International Review of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A global clinicians' map of mental disorders to improve ICD-11: Analysing meta-structure to enhance clinical utility.
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Review of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.3109/09540261.2012.736368
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      – Code: eng
        Text: English
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        PageCount: 13
        StartPage: 578
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      – SubjectFull: Classification of mental disorders
        Type: general
      – SubjectFull: Statistical correlation
        Type: general
      – SubjectFull: Goodness-of-fit tests
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      – SubjectFull: Psychiatrists
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      – SubjectFull: Nosology
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      – SubjectFull: Psychology of psychologists
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      – SubjectFull: Questionnaires
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      – SubjectFull: Scale analysis (Psychology)
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      – SubjectFull: Statistics
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      – SubjectFull: World Health Organization
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      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Inter-observer reliability
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      – SubjectFull: Data analysis software
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Psychology
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      – TitleFull: A global clinicians' map of mental disorders to improve ICD-11: Analysing meta-structure to enhance clinical utility.
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