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Disorders specifically associated with stress: A case-controlled field study for ICD-11 mental and behavioural disorders

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.
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https://hal-cnrs.archives-ouvertes.fr/hal-03479139
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Submitted on : Thursday, January 20, 2022 - 2:23:26 PM
Last modification on : Tuesday, February 1, 2022 - 2:13:58 PM
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Jw Keeley, Gm Reed, Mc Roberts, Sc Evans, R Robles, et al.. Disorders specifically associated with stress: A case-controlled field study for ICD-11 mental and behavioural disorders. International Journal of Clinical and Health Psychology, Asociación Española de Psicología Conductual (AEPC), 2016, 16 (2), pp.109-127. ⟨10.1016/j.ijchp.2015.09.002⟩. ⟨hal-03479139⟩

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