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Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies.
BMC Medicine ( IF 9.3 ) Pub Date : 2020-01-27 , DOI: 10.1186/s12916-020-1495-2
Dan J Stein 1 , Peter Szatmari 2 , Wolfgang Gaebel 3 , Michael Berk 4, 5, 6, 7 , Eduard Vieta 8 , Mario Maj 9 , Ymkje Anna de Vries 10 , Annelieke M Roest 10 , Peter de Jonge 10 , Andreas Maercker 11 , Chris R Brewin 12 , Kathleen M Pike 13 , Carlos M Grilo 14 , Naomi A Fineberg 15 , Peer Briken 16 , Peggy T Cohen-Kettenis 17 , Geoffrey M Reed 13, 18
Affiliation  

An update of the chapter on Mental, Behavioral and Neurodevelopmental Disorders in the International Classification of Diseases and Related Health Problems (ICD) is of great interest around the world. The recent approval of the 11th Revision of the ICD (ICD-11) by the World Health Organization (WHO) raises broad questions about the status of nosology of mental disorders as a whole as well as more focused questions regarding changes to the diagnostic guidelines for specific conditions and the implications of these changes for practice and research. This Forum brings together a broad range of experts to reflect on key changes and controversies in the ICD-11 classification of mental disorders. Taken together, there is consensus that the WHO's focus on global applicability and clinical utility in developing the diagnostic guidelines for this chapter will maximize the likelihood that it will be adopted by mental health professionals and administrators. This focus is also expected to enhance the application of the guidelines in non-specialist settings and their usefulness for scaling up evidence-based interventions. The new mental disorders classification in ICD-11 and its accompanying diagnostic guidelines therefore represent an important, albeit iterative, advance for the field.

中文翻译:

ICD-11 中的精神、行为和神经发育障碍:关键变化和争议的国际视角。

《国际疾病和相关健康问题分类》(ICD) 中精神、行为和神经发育障碍章节的更新引起了全世界的极大关注。世界卫生组织 (WHO) 最近批准了《ICD》第 11 次修订版 (ICD-11),这引发了有关精神障碍疾病分类学整体状况的广泛问题,以及有关精神障碍诊断指南变更的更集中的问题。具体条件以及这些变化对实践和研究的影响。本次论坛汇集了广泛的专家,以反思 ICD-11 精神障碍分类的关键变化和争议。总而言之,人们一致认为,世界卫生组织在制定本章诊断指南时注重全球适用性和临床实用性,这将最大限度地提高精神卫生专业人员和管理人员采用该指南的可能性。这一重点预计还将加强指南在非专业环境中的应用及其对于扩大循证干预措施的有用性。因此,ICD-11 中新的精神障碍分类及其随附的诊断指南代表了该领域的一项重要进展(尽管是迭代的)。
更新日期:2020-01-27
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