Mental Health Professionals' Natural Taxonomies of Mental Disorders: Implications for the Clinical Utility of the ICD-11 and the DSM-5

Mental Health Professionals' Natural Taxonomies of Mental Disorders: Implications for the Clinical Utility of the ICD-11 and the DSM-5

Author Reed, Geoffrey M. Google Scholar
Roberts, Michael C. Google Scholar
Keeley, Jared Google Scholar
Hooppell, Catherine Google Scholar
Matsumoto, Chihiro Google Scholar
Sharan, Pratap Google Scholar
Robles, Rebeca Google Scholar
Carvalho, Hudson Autor UNIFESP Google Scholar
Wu, Chunyan Google Scholar
Gureje, Oye Google Scholar
Leal-Leturia, Itzear Google Scholar
Flanagan, Elizabeth H. Google Scholar
Correia, Joao Mendonca Google Scholar
Maruta, Toshimasa Google Scholar
Luis Ayuso-Mateos, Jose Google Scholar
Mari, Jair de Jesus Autor UNIFESP Google Scholar
Xiao, Zeping Google Scholar
Evans, Spencer C. Google Scholar
Saxena, Shekhar Google Scholar
Medina-Mora, Maria Elena Google Scholar
Institution WHO
Univ Kansas
Mississippi State Univ
Tokyo Med Univ
All India Inst Med Sci
Natl Inst Psychiat Ramon de la Fuente Muniz
Universidade Federal de São Paulo (UNIFESP)
Shanghai Mental Hlth Ctr
Univ Ibadan
Univ Autonoma Madrid
Yale Univ
Shanghai Jiao Tong Univ
Abstract ObjectiveTo examine the conceptualizations held by psychiatrists and psychologists around the world of the relationships among mental disorders in order to inform decisions about the structure of the classification of mental and behavioral disorders in World Health Organization's International Classification of Diseases and Related Health Problems 11th Revision (ICD-11).Method517 mental health professionals in 8 countries sorted 60 cards containing the names of mental disorders into groups of similar disorders, and then formed a hierarchical structure by aggregating and disaggregating these groupings. Distance matrices were created from the sorting data and used in cluster and correlation analyses.ResultsClinicians' taxonomies were rational, interpretable, and extremely stable across countries, diagnostic system used, and profession. Clinicians' consensus classification structure was different from ICD-10 and the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders 4th Edition (DSM-IV), but in many respects consistent with ICD-11 proposals.ConclusionsThe clinical utility of the ICD-11 may be improved by making its structure more compatible with the common conceptual organization of mental disorders observed across diverse global clinicians. (C) 2013 Wiley Periodicals, Inc. J. Clin. Psychol. 69:1191-1212, 2013.
Keywords mental disorders
International Classification of Diseases (ICD)
Diagnostic and Statistical Manual of Mental Disorders (DSM)
clinical utility
cross-cultural applicability
low- and middle-income (LAMI) countries
Language English
Date 2013-12-01
Published in Journal of Clinical Psychology. Hoboken: Wiley-Blackwell, v. 69, n. 12, p. 1191-1212, 2013.
ISSN 0021-9762 (Sherpa/Romeo, impact factor)
Publisher Wiley-Blackwell
Extent 1191-1212
Access rights Closed access
Type Article
Web of Science ID WOS:000325996100001

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