Clinical utility of ICD‐11 diagnostic guidelines for high‐burden mental disorders: results from mental health settings in 13 countries
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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.
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The ICD-11 guidelines for depression have substantial inter-clinician reliability and very good clinical utility in field trials.
“The ICD-11 guidelines for depression have been found to have substantial inter-clinician reliability and very good clinical utility in field trials [31, 52].”
From Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies (2020) · cites this paper as [52]
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Status und Zukunft psychiatrischer Klassifikationssysteme
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Self-citationChild and Adolescent Psychiatric Disorders
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Anxiety and Fear-Related Disorders and Obsessive–Compulsive and Related Disorders
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Development and Current Status of ICD-11 Mental, Behavioral, or Neurodevelopmental Disorders
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- Authors
- Reed, G. M., Keeley, J. W., Rebello, T. J., First, M. B., Gureje, O., Ayuso‐Mateos, J. L., Kanba, S., Khoury, B., Kogan, C. S., Krasnov, V. N., Maj, M., de Jesus Mari, J., Sharan, P., Stein, D. J., Zhao, M., Akiyama, T., Andrews, H. F., Asevedo, E., Cheour, M., Domínguez‐Martínez, T., El‐Khoury, J., Fiorillo, A., Grenier, J., Gupta, N., Kola, L., Kulygina, M., Leal‐Leturia, I., Luciano, M., Lusu, B., Martínez‐López, J. N. I., Matsumoto, C., Odunleye, M., Onofa, L. U., Paterniti, S., Purnima, S., Robles, R., Sahu, M. K., Sibeko, G., Zhong, N., Gaebel, W., Lovell, A. M., Maruta, T., Pike, K. M., Roberts, M. C., & Medina‐Mora, M. E.
- Affiliations
- Columbia University Irving Medical Center (US)
- Virginia Commonwealth University (US)
- University of Ibadan (NG)
- Department of Psychiatry Universidad Autonoma de Madrid; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM); Instituto de Investigación Sanitaria La Princesa Madrid Spain
- Kyushu University (JP)
- American University of Beirut Medical Center (LB)
- University of Ottawa (CA)
- Federal Medical Research Centre for Psychiatry and Narcology (RU)
- University of Campania "Luigi Vanvitelli" (IT)
- Department of Psychiatry Universidade Federal de São Paulo São Paulo Brazil
- All India Institute of Medical Sciences (IN)
- South African Medical Research Council (ZA)
- Shanghai Jiao Tong University (CN)
- NTT (Japan) (JP)
- Universidade Federal de São Paulo (BR)
- Tunis El Manar University (TN)
- Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (MX)
- Government Medical College and Hospital (IN)
- Instituto de Salud Carlos III (ES)
- The Japanese Society of Psychiatry and Neurology (JP)
- University College Hospital, Ibadan (NG)
- Federal Neuropsychiatric Hospital Aro Abeokuta Nigeria
- Pt. Jawahar Lal Nehru Memorial Medical College (IN)
- Department of Psychiatry and Psychotherapy, Medical Faculty Heinrich‐Heine University Düsseldorf Germany
- Inserm (FR)
- Seitoku University (JP)
- University of Kansas (US)
- ORCID
- Reed, Geoffrey M.
- Keeley, Jared W.
- Rebello, Tahilia J.
- First, Michael B.
- Gureje, Oye
- Khoury, Brigitte
- Kogan, Cary S.
- Krasnov, Valery N.
- Maj, Mario
- Sharan, Pratap
- Stein, Dan J.
- Zhao, Min
- Andrews, Howard F.
- Asevedo, Elson
- Domínguez‐Martínez, Tecelli
- El‐Khoury, Joseph
- Fiorillo, Andrea
- Grenier, Jean
- Gupta, Nitin
- Kola, Lola
- Kulygina, Maya
- Luciano, Mario
- Matsumoto, Chihiro
- Paterniti, Sabrina
- Robles, Rebeca
- Sibeko, Goodman
- Zhong, Na
- Lovell, Anne M.
- Pike, Kathleen M.
- Roberts, Michael C.
- Medina‐Mora, María Elena
- Venue
- World Psychiatry
- Publisher
- Wiley
- Published
- 2018-09-07
- Volume
- 17
- Issue
- 3
- Pages
- 306-315
- ISSN
- 1723-8617 (ISSN-L)
- 2051-5545
- PMC
- PMC6127762
- OpenAlex
- W2891115864
- Cited by
- 91
- References
- 21
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 11 · 2023: 14 · 2022: 10 · 2021: 13 · 2020: 14 · 2019: 22 · 2018: 1 · 2017: 1
- FWCI
- 85.63
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- World Psychiatry (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli" (submittedVersion)
- Funders
- Columbia University
- Japan Agency for Medical Research and Development
- Health Research
- University of Ottawa
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Topics
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Keywords
- ICD-11, diagnostic guidelines, clinical utility, mental illness, schizophrenia, mood disorders, anxiety disorders, stress-related disorders, clinician perceptions, diagnostic classification, mental health services, treatment selection
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