O que os psiquiatras brasileiros esperam das classificações diagnósticas?
Open accessAbstract
OBJETIVO: Realizou-se um levantamento postal anônimo com psiquiatras brasileiros afiliados à Associação Brasileira de Psiquiatria (ABP) sobre uso, percepção em termos de utilidade clínica dos sistemas diagnósticos multiaxiais CID-10 e DSM-IV e, ainda, expectativas sobre as próximas revisões. MÉTODOS: A carta-convite, o questionário padronizado e um envelope selado foram enviados para 1.050 dos 3.062 psiquiatras associados da ABP, selecionados de forma randomizada. Em virtude da taxa relativamente baixa de retorno: 160 respostas (15,2%), não se pode afirmar que a amostra obtida seja representativa. resultados: Os principais resultados mostraram que, entre os respondentes, a CID-10 é o sistema diagnóstico mais utilizado, sobretudo seu eixo clínico. O DSM-IV também é amplamente empregado, principalmente os eixos I e II. A principal característica esperada de um sistema classificatório foi a confiabilidade para comunicação. As classificações são vistas como instrumentos a ser manejados pelos psiquiatras e, em menor proporção, por outros membros de equipes multidisciplinares de saúde mental. Os atuais sistemas foram considerados confiáveis para o uso transcultural no contexto brasileiro. Em relação às expectativas quanto aos futuros sistemas, os psiquiatras preferem classificações com menos de 100 rubricas diagnósticas e dividem-se entre os que acham que estas devam expressar preferencialmente causa/patogênese dos transtornos mentais e aqueles que esperam que tais categorias, sobretudo, sejam construídas de modo a subsidiar o planejamento terapêutico. CONCLUSÕES: Os sistemas diagnósticos desempenham um importante papel na prática psiquiátrica cotidiana dos psiquiatras respondentes. As opiniões dos psiquiatras brasileiros parecem refletir bem algumas controvérsias existentes acerca de questões nosográficas decisivas.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Distinguishing between the validity and utility of psychiatric diagnoses.
Kendell, R., & Jablensky, A. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.1.4 · Cited by 1,294 · see citing works
Clinical Utility as a Criterion for Revising Psychiatric Diagnoses
First, M. B., Pincus, H. A., Levine, J. B., Williams, J. B. W., Üstün, B., & Peele, R. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.6.946 · Cited by 342 · see citing works
General practice postal surveys: a questionnaire too far?
McAvoy, B., & Kaner, E. (1996) · BMJ · doi:10.1136/bmj.313.7059.732 · Cited by 283 · see citing works
Surveying general practitioners: does a low response rate matter?
Templeton, L., Deehan, A., Taylor, C., Drummond, C., & Strang, J. (1997) · Europe PMC (PubMed Central) · Cited by 229 · see citing works
Kaner, E., Haighton, C., & McAvoy, B. (1998) · PubMed · Cited by 186 · see citing works
International Surveys on the Use of ICD-10 and Related Diagnostic Systems
Mezzich, J. E. (2002) · Psychopathology · doi:10.1159/000065122 · Cited by 91 · see citing works
Maser, J. D., Kaelber, C. T., & Weise, R. E. (1991) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.100.3.271 · Cited by 86 · see citing works
Maser, J. D., Kaelber, C. T., & Weise, R. E. (1991) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.100.3.271 · Cited by 70 · see citing works
Jampala, V. C., Sierles, F. S., & Taylor, M. A. (1986) · American Journal of Psychiatry · doi:10.1176/ajp.143.2.148 · Cited by 47 · see citing works
The Multiaxial System of ICD-10: Evaluation of a Preliminary Draft in a Multicentric Field Trial
Michels, R., Siebel, U., Freyberger, H. J., Stieglitz, R.-D., Schaub, R., & Dilling, H. (2010) · Psychopathology · doi:10.1159/000285017 · Cited by 34 · see citing works
Should Patients and Their Families Contribute to the DSM-V Process?
Sadler, J. Z., & Fulford, B. K. W. M. (2004) · Psychiatric Services · doi:10.1176/appi.ps.55.2.133 · Cited by 31 · see citing works
DSM-III in residency training: results of a national survey
Williams, J. B. W., Spitzer, R. L., & Skodol, A. E. (1985) · American Journal of Psychiatry · doi:10.1176/ajp.142.6.755 · Cited by 26 · see citing works
DSM-III: Use of the Multiaxial Diagnostic System in Clinical Practice*
Bassett, A. S., & Beiser, M. (1991) · The Canadian Journal of Psychiatry · doi:10.1177/070674379103600406 · Cited by 21 · see citing works
Michels, R., Siebel, U., Freyberger, H. J., Schönell, H., & Dilling, H. (2001) · Psychopathology · doi:10.1159/000049283 · Cited by 11 · see citing works
DSM-III in Residency Training: Results of a Canadian Survey
Velamoor, V. R., Waring, E. M., Fisman, S., et al. (1989) · The Canadian Journal of Psychiatry · doi:10.1177/070674378903400206 · Cited by 9 · see citing works
Social Context and Stakeholders’ Values in Building Diagnostic Systems
Sadler, J. Z. (2005) · Psychopathology · doi:10.1159/000086091 · Cited by 4 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- referÊnCiAs Banzato CEM. Multiaxial diagnosis in psychiatry: review of the literature on DSM and ICD multia- xial schemas. J Bras Psiquiatr, 53 (1):27-37, 2004.
Cited by
Sorted by citations
Menegatti-Chequini, M. C., Gonçalves, J. P. B., Leão, F. C., Peres, M. F. P., & Vallada, H. (2016) · BJPsych Open · doi:10.1192/bjpo.bp.116.002816 · Cited by 65 · see citing works
Lucchetti, A. L. G., Lucchetti, G., Leão, F. C., Peres, M. F. P., & Vallada, H. (2016) · Culture, Medicine, and Psychiatry · doi:10.1007/s11013-015-9478-z · Cited by 25 · see citing works
- Authors
- Banzato, C. E. M., Pereira, M. E. C., Santos Júnior, A. D., Silva, L. F. D. A. L. E., Loureiro Junior, J. C., & Barros, B. R.
- Affiliations
- Universidade Estadual de Campinas (UNICAMP) (BR)
- Universidade Estadual de Campinas
- Venue
- Jornal Brasileiro de Psiquiatria
- Publisher
- FapUNIFESP (SciELO)
- Published
- 2007
- Volume
- 56
- Issue
- 2
- Pages
- 88-93
- ISSN
- 0047-2085 (ISSN-L)
- OpenAlex
- W2067396644
- Cited by
- 4
- References
- 16
- Citations by year
- 2016: 1 · 2015: 1 · 2012: 1
- FWCI
- 2.61
- Type
- journal article
- Language
- pt
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Jornal Brasileiro de Psiquiatria (publishedVersion, cc-by-nc)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Health Sciences › Health Professions › Medical Terminology › Medical Research and Practices
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- psychiatric classification, ICD-10, DSM-IV, treatment planning, multidisciplinary mental health teams
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
