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Accuracy of diagnostic judgments using ICD-11 vs. ICD-10 diagnostic guidelines for obsessive-compulsive and related disorders

dc.creatorKogan, Cary S.es_ES
dc.creatorStein, Dan J.es_ES
dc.creatorRebello, Tahilia J.es_ES
dc.creatorKeeley, Jared W.es_ES
dc.creatorChan, K. Jackyes_ES
dc.creatorFineberg, Naomi A.es_ES
dc.creatorFontenelle, Leonardo F.es_ES
dc.creatorGrant, Jon E.es_ES
dc.creatorMatsunaga, Hisatoes_ES
dc.creatorSimpson, H. Blaires_ES
dc.creatorThomsen, Per Hovees_ES
dc.creatorHeuvel, Odile A van denes_ES
dc.creatorVeale, Davides_ES
dc.creatorGrenier, Jeanes_ES
dc.creatorKulygina, Mayyaes_ES
dc.creatorMatsumoto, Chihiroes_ES
dc.creatorDomínguez-Martínez, Tecellies_ES
dc.creatorStona, Anne-Clairees_ES
dc.creatorWang, Zhenes_ES
dc.creatorReed, Geoffrey M.es_ES
dc.date2020
dc.date.accessioned2023-08-24T17:13:41Z
dc.date.available2023-08-24T17:13:41Z
dc.date.issued2020
dc.identifierJC12DIEP20es_ES
dc.identifier.issn0165-0327
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7737
dc.identifier.urihttps://doi.org/10.1016/j.jad.2020.03.103
dc.descriptionBackground: We report results of an internet-based field study evaluating the diagnostic guidelines for the newly introduced ICD-11 grouping of obsessive-compulsive and related disorders (OCRD). We examined accuracy of clinicians' diagnostic judgments applying draft ICD-11 as compared to the ICD-10 diagnostic guidelines to standardized case vignettes. Methods: 1,717 mental health professionals who are members of the World Health Organization's Global Clinical Practice Network completed the study in Chinese, English, French, Japanese, Russian or Spanish. Participants were randomly assigned to apply ICD-11 or ICD-10 guidelines to one of nine pairs of case vignettes. Results: Participants using ICD-11 outperformed those using ICD-10 in correctly identifying newly introduced OCRD, although results were mixed for differentiating OCRD from disorders in other groupings largely due to clinicians having difficulty differentiating challenging presentations of OCD. Clinicians had difficulty applying a three-level insight qualifier, although the 'poor to absent' level assisted with differentiating OCRD from psychotic disorders. Brief training on the rationale for an OCRD grouping did not improve diagnostic accuracy suggesting sufficient detail of the proposed guidelines. Limitations: Standardized case vignettes were manipulated to include specific characteristics; the degree of accuracy of clinicians' diagnostic judgments about these vignettes may not generalize to application in routine clinical practice. Conclusions: Overall, use of the ICD-11 guidelines resulted in more accurate diagnosis of case vignettes compared to the ICD-10 guidelines, particularly in differentiating OCRD presentations from one another. Specific areas in which the ICD-11 guidelines did not perform as intended provided the basis for further revisions to the guidelines.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherElsevieres_ES
dc.relation273:328-340
dc.rightsAcceso Cerradoes_ES
dc.titleAccuracy of diagnostic judgments using ICD-11 vs. ICD-10 diagnostic guidelines for obsessive-compulsive and related disorderses_ES
dc.typeArtículoes_ES
dc.contributor.affiliationSchool of Psychology, Faculty of Social Sciences, 136 Jean-Jacques Lussier, Vanier Hall, Ottawa, ON K1N 6N5, Canada
dc.contributor.emailckogan@uottawa.ca (C.S. Kogan), dan.stein@uct.ac.za (D.J. Stein), Tahilia.Rebello@nyspi.columbia.edu (T.J. Rebello), jwkeeley@vcu.edu (J.W. Keeley), jacky.chan@uottawa.ca (K.J. Chan), naomi.fineberg@btinternet.com (N.A. Fineberg), lfontenelle@gmail.com (L.F. Fontenelle), jgrant4@bsd.uchicago.edu (J.E. Grant), hisa1311@hyo-med.ac.jp (H. Matsunaga), hbs1@columbia.edu (H.B. Simpson), per.hove.thomsen@ps.rm.dk (P.H. Thomsen), oa.vandenheuvel@amsterdamumc.nl (O.A. van den Heuvel), david.veale@kcl.ac.uk (D. Veale), jeangrenier@montfort.on.ca (J. Grenier), mkulygina@yandex.ru (M. Kulygina), c.matsumoto@outlook.jp (C. Matsumoto), tecelli.dominguez@gmail.com (T. Domínguez-Martínez), anne.claire.s@gmail.com (A.-C. Stona), wangzhen@smhc.org.cn (Z. Wang), gmr2142@cumc.columbia.edu (G.M. Reed)
dc.relation.jnabreviadoJ AFFECT DISORD
dc.relation.journalJournal of Affective Disorders
dc.identifier.placePaíses Bajos
dc.date.published2020
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1573-2517
dc.identifier.doi10.1016/j.jad.2020.03.103
dc.subject.kwObsessive-compulsive and related disorders
dc.subject.kwDiagnosis
dc.subject.kwClassification
dc.subject.kwInternational classification of diseases and related health problems
dc.subject.kwField study
dc.subject.kwICD-11


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