The forthcoming ICD-11 chapter on mental disorders

The ICD-11 chapter on mental disorders is going to be approved by the World Health Assembly in 2018. An effort has been made to harmonize the two main diagnostic systems existing in psychiatry (the ICD and the DSM), and indeed the metastructure of the two systems will be the same. There will be, however, several differences between the two systems. There will be some diagnostic categories in the ICD-11, which do not appear in the DSM-5, such as complex post-traumatic stress disorder and prolonged grief disorder, and there will be some diagnostic cate-gories that appear in the DSM-5 but will not be included in the ICD-11, such as disruptive mood dysregulation disor-der. Conditions related to sexual health and sleep-wake disorders will appear in chapters of the ICD-11 diagnostic system different from that on mental disorders. The new diagnostic system has been tested through four sets of field studies: international surveys of views of psychiatrists and psychologists on the classification of mental disor-ders; formative field studies (aimed to guide decisions on the basic structure of the classification), Internet-based field studies (using vignette methodology to examine decision making in relation to ICD-11 categories), and clinic-based field studies (assessing the reliability and clinical utility of the diagnostic guidelines with real patients).

ICD-11 Mental Bozukluklar Bölümü çıkıyor

ICD-11 Mental Bozukluklar Bölümü 2018’de Dünya Sağlık Meclisi tarafından onaylanmış olacaktır. Psikiyatride var olan iki temel sınıflandırma (tanı) sistemini uyumlu duruma getirmek, hatta iki sistemin aynı olacağı bir çerçeve oluş-turmak için çaba gösterildi. Bu amaç gerçekleşecek olmakla birlikte, iki sistem arasında bazı farklılıklar vardır. ICD-11’de, DSM-5’te yer almayan kompleks travma sonrası stres bozukluğu ve uzamış yas bozukluğu gibi bazı tanı kategorileri olacaktır; ICD-11’de yer almayan yıkıcı duygudurum düzenleyememe bozukluğu DSM-5’te yer almıştır. Cinsel sağlık ve uyku-uyanma bozukluklarıyla ilgili durumlar ICD-11 tanı sisteminin mental bozukluklar dışındaki bölümlerinde yer alacaktır. Yeni tanı sistemi dört alan çalışması grubu aracılığıyla sınanmıştır: Mental bozuklukların sınıflandırılmasında uluslararası psikiyatristler ve psikologların görüşlerinin taranması; biçimlendirici alan çalışma-ları (sınıflandırmanın temel yapısındaki kararlara kılavuzluğu amaçlayan); internet temelli alan çalışmaları (ICD-11 kategorilerine göre karar verme çalışması için kısa öykü yöntemini kullanma); klinik temelli alan çalışmaları (tanı kılavuzunun güvenilirliğinin ve klinik yararının gerçek hastalarla değerlendirilmesi).

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18. Bach B, Sellborn M, Kogerslev M, Simonsen E, Krueger RF, Mulder R. Deriving ICD-11 persona-lity disorder domains from DSM-5 traits: initial attempt to harmonize two diagnostic systems. Acta Psychiatr Scand 2017; 136:108-117.

17. Stein DJ, Kogan CS, Atmaca M, Fineberg NA, Fontenelle LF, Grant JE, et al. The classification of obsessive-compulsive disorders in the ICD-11. J Affect Disord 2016; 190:663-674.

16. Silove D, Manicavasagar V, Pini S. Can separa-tion anxiety disorder escape its attachment to childhood? World Psychiatry 2016; 15:113-115.

15. Kogan CS, Stein DJ, Maj M, First MB, Emmel-kamp PM, Reed GM. The classification of anxiety and fear-related disorders in the ICD-11. Depress Anxiety 2016; 33:1141-1154.

14. Gureje O, Reed GM. Bodily distress disorder in ICD-11: problems and prospects. World Psychi-atry 2016; 15:291-292.

13. Fusar-Poli P, Borgwardt S, Bechdolf A, Addington J, Riecher-Rössler A, Schultze-Lutter F, et al. The psychosis high-risk state: a comprehensive state-of-the-art review. JAMA Psychiatry 2016; 70:107-120.

12. van Os J, Reininghaus U. Psychosis as a trans-diagnostic and extended phenotype in the general population. World Psychiatry 2016; 15:118-124.

11. Jablensky A. Psychiatric classifications: validity and utility. World Psychiatry 2016; 15:26-31.

10. Keeley JW, Reed GM, Roberts MC, et al. Disor-ders specifically associated with stress: a case-controlled field study for ICD-11 Mental and Be-havioural Disorders. Int J Clin Health Psychol 2016; 16:109-127.

9. Evans SC, Roberts MC, Keeley JW, et al. Vignette methodologies for studying clinicians’s decision-making: validity, utility, and application in ICD-11 field studies. Int J Clin Health Psychol 2015; 15:160-170.

8. Steardo L Jr. The ICD-11 clinic-based field studies are about to be concluded. World Psychiatry 2017; 16:331-332.

7. Reed GM, First MB, Medina-Mora ME, Gureje O, Pike KM, Saxena S. Draft diagnostic guidelines for ICD-11 mental and behavioural disorders avail-able for review and comment. World Psychiatry 2016; 15:112-113.

6. Reed GM, Drescher J, Krueger RB, Atalla E, Cochran SD, First MB, et al. Disorders related to sexuality and gender identity in the ICD-11: revising the ICD-10 classification based on current scientific evidence, best clinical practices, and human rights considerations. World Psychiatry 2016; 15:205-221.

5. Leibenluft E. Irritability in children: what we know and what we need to learn. World Psychiatry 2017; 16:100-101.

4. Bucci P. ICD-11 draft diagnostic guidelines open to input by mental health professionals. World Psychiatry 2017; 16:115-116.

3. Maciejewski PK, Maercker A, Boelen PA, Priger-son HG. “Prolonged grief disorder” and “persistent complex bereavement disorder”, but not “compli-cated grief”, are one and the same diagnostic entity: an analysis of data from the Yale Bereave-ment Study. World Psychiatry 2016; 15:266-275.

2. Maercker A, Brewin CR, Bryant RA, Cloitre M, Reed GM, van Ommeren M, et al. Proposals for mental disorders specifically associated with stress in the International Classification of Dis-eases-11. Lancet 2013; 381:1683-1685.

1. International Advisory Group for the Revision of ICD-10 Mental and Behavioural Disorders. A conceptual framework for the revision of the ICD-10 classification of mental and behavioural disorders. World Psychiatry 2011; 10:86-93.