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

Show simple item record Roberts M.C. Reed G.M. Medina-Mora M.E. Keeley J.W. Sharan P. Johnson D.K. Mari J.D.J. Ayuso-Mateos J.L. Gureje O. Xiao Z. Maruta T. Khoury B. Robles R. Saxena S.
dc.contributor.editor Dec-2012 2017-10-05T16:04:43Z 2017-10-05T16:04:43Z 2012
dc.identifier 10.3109/09540261.2012.736368
dc.identifier.issn 09540261
dc.description.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. © 2012 Institute of Psychiatry.
dc.format.extent Pages: (578-590)
dc.language English
dc.publisher LONDON
dc.relation.ispartof Publication Name: International Review of Psychiatry; Publication Year: 2012; Volume: 24; no. 6; Pages: (578-590);
dc.source Scopus
dc.title A global clinicians' map of mental disorders to improve ICD-11: Analysing meta-structure to enhance clinical utility
dc.type Article
dc.contributor.affiliation Roberts, M.C., Clinical Child Psychology Program, University of Kansas, 1000 Sunnyside Avenue, Lawrence, KS 66045, United States
dc.contributor.affiliation Reed, G.M., Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland
dc.contributor.affiliation Medina-Mora, M.E., National Institute of Psychiatry Ramón de la Fuente, Mexico, Mexico
dc.contributor.affiliation Keeley, J.W., Department of Psychology, Mississippi State University, Starkville, MS, United States
dc.contributor.affiliation Sharan, P., Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India
dc.contributor.affiliation Johnson, D.K., Department of Psychology and Gerontology Center, University of Kansas, Lawrence, KS, United States
dc.contributor.affiliation Mari, J.D.J., Department of Psychiatry, Universidade Federal de São Paulo, Brazil
dc.contributor.affiliation Ayuso-Mateos, J.L., Department of Psychiatry, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Princesa, CIBERSAM, Madrid, Spain
dc.contributor.affiliation Gureje, O., Department of Psychiatry, University of Ibadan, Ibadan, Nigeria
dc.contributor.affiliation Xiao, Z., Shanghai Mental Health Centre, Shanghai Jiaotong University, School of Medicine, Shanghai, China
dc.contributor.affiliation Maruta, T., Department of Psychiatry, Tokyo Medical University, Tokyo, Japan
dc.contributor.affiliation Khoury, B., Department of Psychiatry, American University of Beirut, Lebanon
dc.contributor.affiliation Robles, R., National Institute of Psychiatry Ramón de la Fuente, Mexico, Mexico
dc.contributor.affiliation Saxena, S., Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland
dc.contributor.authorAddress Roberts, M.C.; Clinical Child Psychology Program, University of Kansas, 1000 Sunnyside Avenue, Lawrence, KS 66045, United States; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Psychiatry;
dc.contributor.authorDepartment Psychiatry
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Roberts, MC
dc.contributor.authorInitials Reed, GM
dc.contributor.authorInitials Medina-Mora, ME
dc.contributor.authorInitials Keeley, JW
dc.contributor.authorInitials Sharan, P
dc.contributor.authorInitials Johnson, DK
dc.contributor.authorInitials Mari, JD
dc.contributor.authorInitials Ayuso-Mateos, JL
dc.contributor.authorInitials Gureje, O
dc.contributor.authorInitials Xiao, ZP
dc.contributor.authorInitials Maruta, T
dc.contributor.authorInitials Khoury, B
dc.contributor.authorInitials Robles, R
dc.contributor.authorInitials Saxena, S
dc.contributor.authorOrcidID Mari, Jair-0000-0002-5403-0112;
dc.contributor.authorReprintAddress Roberts, MC (reprint author), Univ Kansas, Clin Child Psychol Program, 1000 Sunnyside Ave, Lawrence, KS 66045 USA.
dc.contributor.authorResearcherID Mari, Jair-A-7309-2008; Psiquiatria, Inct-I-1060-2013
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount 9
dc.description.citedTotWOSCount 14
dc.description.citedWOSCount 14
dc.format.extentCount 13
dc.identifier.coden IRPSE
dc.identifier.pubmedID 23244613
dc.identifier.scopusID 84871392371
dc.relation.ispartOfISOAbbr Int. Rev. Psych.
dc.relation.ispartOfIssue 6
dc.relation.ispartofPubTitle International Review of Psychiatry
dc.relation.ispartofPubTitleAbbr Int. Rev. Psychiatry
dc.relation.ispartOfVolume 24
dc.source.ID WOS:000312951200008
dc.type.publication Journal
dc.subject.otherIndex adult
dc.subject.otherIndex aged
dc.subject.otherIndex article
dc.subject.otherIndex behavior disorder
dc.subject.otherIndex clinical decision making
dc.subject.otherIndex clinical feature
dc.subject.otherIndex clinical protocol
dc.subject.otherIndex data analysis
dc.subject.otherIndex disease classification
dc.subject.otherIndex DSM-IV
dc.subject.otherIndex female
dc.subject.otherIndex human
dc.subject.otherIndex ICD-11
dc.subject.otherIndex male
dc.subject.otherIndex mental disease
dc.subject.otherIndex normal human
dc.subject.otherIndex onset age
dc.subject.otherIndex practice guideline
dc.subject.otherIndex priority journal
dc.subject.otherIndex psychiatrist
dc.subject.otherIndex psychologist
dc.subject.otherIndex validity
dc.subject.otherIndex world health organization
dc.subject.otherIndex Data Collection
dc.subject.otherIndex Diagnostic and Statistical Manual of Mental Disorders
dc.subject.otherIndex Female
dc.subject.otherIndex Humans
dc.subject.otherIndex International Classification of Diseases
dc.subject.otherIndex Male
dc.subject.otherIndex Mental Disorders
dc.subject.otherIndex Middle Aged
dc.subject.otherIndex Psychiatry
dc.subject.otherIndex Psychology, Clinical
dc.subject.otherIndex Quality Improvement
dc.subject.otherKeywordPlus DSM-V
dc.subject.otherKeywordPlus PSYCHIATRIC DIAGNOSES
dc.subject.otherKeywordPlus PERSONALITY-DISORDER
dc.subject.otherKeywordPlus CLASSIFICATION
dc.subject.otherKeywordPlus MODEL
dc.subject.otherKeywordPlus ORGANIZATION
dc.subject.otherKeywordPlus REVISION
dc.subject.otherKeywordPlus VALIDITY
dc.subject.otherWOS Psychiatry

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