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Title: Mental Health Professionals' Natural Taxonomies of Mental Disorders: Implications for the Clinical Utility of the ICD-11 and the DSM-5
Authors: Reed, Geoffrey M.
Roberts, Michael C.
Keeley, Jared
Hooppell, Catherine
Matsumoto, Chihiro
Sharan, Pratap
Robles, Rebeca
Carvalho, Hudson [UNIFESP]
Wu, Chunyan
Gureje, Oye
Leal-Leturia, Itzear
Flanagan, Elizabeth H.
Correia, Joao Mendonca
Maruta, Toshimasa
Luis Ayuso-Mateos, Jose
Mari, Jair de Jesus [UNIFESP]
Xiao, Zeping
Evans, Spencer C.
Saxena, Shekhar
Medina-Mora, Maria Elena
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
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
Issue Date: 1-Dec-2013
Publisher: Wiley-Blackwell
Citation: Journal of Clinical Psychology. Hoboken: Wiley-Blackwell, v. 69, n. 12, p. 1191-1212, 2013.
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.
ISSN: 0021-9762
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