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A global clinicians' map of mental disorders to improve ICD-11: Analysing meta-structure to enhance clinical utility

dc.creatorRoberts, Michael C.
dc.creatorReed, Geoffrey M.
dc.creatorMedina-Mora, María Elena
dc.creatorKeeley, Jared W.
dc.creatorSharan, Pratap
dc.creatorJohnson, David K.
dc.creatorMari, Jair de Jesús
dc.creatorAyuso-Mateos, José Luis
dc.creatorGureje, Oye
dc.creatorXiao, Zeping
dc.creatorMaruta, Toshimasa
dc.creatorKhoury, Brigitte
dc.creatorRobles, Rebeca
dc.creatorSaxena, Shekhar
dc.date.accessioned2017-06-30T03:50:39Z
dc.date.available2017-06-30T03:50:39Z
dc.date.issued2012
dc.identifier2318es_ES
dc.identifier.issn0954-0261es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/6963
dc.language.isoenges_ES
dc.publisherInforma Healthcare, Telephone Houde, 69-77 Paul Street, London EC2A 4LQ, Englandes_ES
dc.relation24 (6) 578-590 p.es_ES
dc.relationversión del editores_ES
dc.rightsAcceso Cerradoes_ES
dc.subjectMEDICINA Y CIENCIAS DE LA SALUDes_ES
dc.subject.meshDSM-Ves_ES
dc.subject.meshPsychiatric diagnoseses_ES
dc.subject.meshPersonality-Disorderes_ES
dc.subject.meshClassificationes_ES
dc.subject.meshModeles_ES
dc.subject.meshOrganizationes_ES
dc.subject.meshRevisiones_ES
dc.subject.meshValidityes_ES
dc.titleA global clinicians' map of mental disorders to improve ICD-11: Analysing meta-structure to enhance clinical utilityes_ES
dc.typeArticlees_ES
dc.contributor.affiliationUniv Kansas, Clin Child Psychol Program, 1000 Sunnyside Ave, Lawrence, KS 66045 USA.es_ES
dc.contributor.emailmroberts@ku.edues_ES
dc.relation.jnabreviadoINT REV PSYCHIATRYes_ES
dc.relation.journalInternational Review of Psychiatryes_ES
dc.identifier.placeLondreses_ES
dc.date.published2012es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1369-1627es_ES
dc.identifier.doi10.3109/09540261.2012.736368es_ES
dc.description.monthDices_ES
dc.description.abstractotrodiomaEnhancing clinical utility is an emphasis of the World Health Organization's development of the mental and behavioural disorders chapter of the next International Classification of Diseases (ICD-11). Understanding how clinicians conceptualize the structure of mental disorders can enable a more clinically intuitive classification architecture that will help professionals find the categories they need more efficiently. This study examined clinicians' conceptualizations of the relationships among mental disorders and the dimensions they use in making these judgements. Psychiatrists and psychologists from 64 countries (n = 1,371), participating in English or Spanish, rated the similarity of mental and behavioural disorders presented as paired comparisons. Data were analysed by multidimensional scaling procedures (INDSCAL) and by analyses of consistency. Participants used three distinctive dimensions to evaluate the similarity among disorders: internalizing versus externalizing, developmental versus adult onset, and functional versus organic. Clinicians' conceptual map of mental disorders was rational and highly stable across profession, language, and country income level. The proposed ICD-11 structure is a moderately better fit with clinicians' conceptual model than either ICD-10 or DSM-IV. Clinician judgements can be used to improve clinical utility of the ICD-11 without sacrificing validity based on a scientific approach to enhancing a logically organized classification meta-structure.es_ES
dc.subject.kwDSM-Ves_ES
dc.subject.kwTrastornos mentaleses_ES
dc.subject.kwClasificaciónes_ES
dc.subject.kwClasificación Internacional de Enfermedadeses_ES
dc.subject.koDSM-Ves_ES
dc.subject.koMental disorderses_ES
dc.subject.koClassificationes_ES
dc.subject.koInternational Classifi cation of Diseaseses_ES


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