Keeley, JW;
Reed, GM;
Roberts, MC;
Evans, SC;
Robles, R;
Matsumoto, C;
Brewin, CR;
... Maercker, A; + view all
(2016)
Disorders specifically associated with stress: A case-controlled field study for ICD-11 mental and behavioural disorders.
International Journal of Clinical and Health Psychology
, 16
(2)
pp. 109-127.
10.1016/j.ijchp.2015.09.002.
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Abstract
As part of the development of the Eleventh Revision of International Classification of Diseases and Related Health Problems (ICD-11), the World Health Organization Department of Mental Health and Substance Abuse is conducting a series of case-controlled field studies using a new and powerful method to test the application by clinicians of the proposed ICD-11 diagnostic guidelines for mental and behavioural disorders. This article describes the case-controlled field study for Disorders Specifically Associated with Stress. Using a vignette-based experimental methodology, 1,738 international mental health professionals diagnosed standardized cases designed to test key differences between the proposed diagnostic guidelines for ICD-11 and corresponding guidelines for ICD-10. Across eight comparisons, several proposed changes for ICD-11, including the addition of Complex PTSD and Prolonged Grief Disorder, produced significantly improved diagnostic decisions and clearer application of diagnostic guidelines compared to ICD-10. However, several key areas were also identified, such as the description of the diagnostic requirement of re-experiencing in PTSD, in which the guidelines were not consistently applied as intended. These results informed specific revisions to improve the clarity of the proposed ICD-11 diagnostic guidelines. The next step will be to further test these guidelines in clinic-based studies using real patients in relevant settings.
| Type: | Article |
|---|---|
| Title: | Disorders specifically associated with stress: A case-controlled field study for ICD-11 mental and behavioural disorders |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.ijchp.2015.09.002 |
| Publisher version: | http://doi.org/10.1016/j.ijchp.2015.09.002 |
| Language: | English |
| Additional information: | Copyright © 2015 AAsociación Española de Psicología Conductual. Published by Elsevier España S.L. This is an open access article under the CC BY-NC-ND license (CC BY-NC-ND 4.0) (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
| Keywords: | ICD-11; PTSD; Vignette; Field study; Experiment |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1508278 |
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