Mental, behavioral and neurodevelopmental disorders in the ICD-11: An international perspective on key changes and controversies

Dan J. Stein; Peter Szatmari; Wolfgang Gaebel; Michael Berk; Eduard Vieta; Mario Maj; Ymkje Anna De Vries; Annelieke M. Roest; Peter De Jonge; Andreas Maercker; Chris R. Brewin; Kathleen M. Pike; Carlos M. Grilo; Naomi A. Fineberg; Peer Briken; Peggy T. Cohen-Kettenis; Geoffrey M. Reed

doi:10.1186/s12916-020-1495-2

Mental, behavioral and neurodevelopmental disorders in the ICD-11: An international perspective on key changes and controversies

Dan J. Stein, Peter Szatmari, Wolfgang Gaebel, Michael Berk, Eduard Vieta, Mario Maj, Ymkje Anna De Vries, Annelieke M. Roest, Peter De Jonge, Andreas Maercker, Chris R. Brewin, Kathleen M. Pike, Carlos M. Grilo, Naomi A. Fineberg, Peer Briken, Peggy T. Cohen-Kettenis, Geoffrey M. Reed

Research output: Contribution to journal › Review article › peer-review

149 Scopus citations

Abstract

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.

Original language	English
Article number	21
Journal	BMC Medicine
Volume	18
Issue number	1
DOIs	https://doi.org/10.1186/s12916-020-1495-2
State	Published - 27 Jan 2020
Externally published	Yes

Keywords

Classification
Diagnosis
ICD-11
Mental disorder

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10.1186/s12916-020-1495-2

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Stein, D. J., Szatmari, P., Gaebel, W., Berk, M., Vieta, E., Maj, M., De Vries, Y. A., Roest, A. M., De Jonge, P., Maercker, A., Brewin, C. R., Pike, K. M., Grilo, C. M., Fineberg, N. A., Briken, P., Cohen-Kettenis, P. T., & Reed, G. M. (2020). Mental, behavioral and neurodevelopmental disorders in the ICD-11: An international perspective on key changes and controversies. BMC Medicine, 18(1), Article 21. https://doi.org/10.1186/s12916-020-1495-2

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abstract = "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.",

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Stein, DJ, Szatmari, P, Gaebel, W, Berk, M, Vieta, E, Maj, M, De Vries, YA, Roest, AM, De Jonge, P, Maercker, A, Brewin, CR, Pike, KM, Grilo, CM, Fineberg, NA, Briken, P, Cohen-Kettenis, PT & Reed, GM 2020, 'Mental, behavioral and neurodevelopmental disorders in the ICD-11: An international perspective on key changes and controversies', BMC Medicine, vol. 18, no. 1, 21. https://doi.org/10.1186/s12916-020-1495-2

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AU - Stein, Dan J.

AU - Szatmari, Peter

AU - Gaebel, Wolfgang

AU - Berk, Michael

AU - Vieta, Eduard

AU - Maj, Mario

AU - De Vries, Ymkje Anna

AU - Roest, Annelieke M.

AU - De Jonge, Peter

AU - Maercker, Andreas

AU - Brewin, Chris R.

AU - Pike, Kathleen M.

AU - Grilo, Carlos M.

AU - Fineberg, Naomi A.

AU - Briken, Peer

AU - Cohen-Kettenis, Peggy T.

AU - Reed, Geoffrey M.

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N2 - 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.

AB - 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.

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JO - BMC Medicine

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ER -

Mental, behavioral and neurodevelopmental disorders in the ICD-11: An international perspective on key changes and controversies

Abstract

Keywords

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