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Diagnostic classification of irritability and oppositionality in youth: a global field study comparing ICD‐11 with ICD‐10 and DSM‐5

dc.creatorEvans, Spencer C.es_ES
dc.creatorRoberts, Michael C.es_ES
dc.creatorKeeley, Jared W.es_ES
dc.creatorRebello, Tahilia J.es_ES
dc.creatorde la Peña, Franciscoes_ES
dc.creatorLochman, John E.es_ES
dc.creatorBurke, Jeffrey D.es_ES
dc.creatorFite, Paula J.es_ES
dc.creatorEzpeleta, Lourdeses_ES
dc.creatorMatthys, Walteres_ES
dc.creatorYoungstrom, Eric A.es_ES
dc.creatorMatsumoto, Chihiroes_ES
dc.creatorAndrews, Howard F.es_ES
dc.creatorMedina-Mora, María Elenaes_ES
dc.creatorAyuso-Mateos, José L.es_ES
dc.creatorKhoury, Brigittees_ES
dc.creatorKulygina, Mayyaes_ES
dc.creatorRobles, Rebecaes_ES
dc.creatorSharan, Pratapes_ES
dc.creatorZhao, Mines_ES
dc.creatorReed, Geoffrey M.es_ES
dc.date2021
dc.date.accessioned2023-09-21T18:41:05Z
dc.date.available2023-09-21T18:41:05Z
dc.date.issued2021
dc.identifierOE01DSC20es_ES
dc.identifier.issn0021-9630
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7767
dc.identifier.urihttps://doi.org/10.1111/jcpp.13244
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7657976/
dc.descriptionBackground: Severe irritability has become an important topic in child and adolescent mental health. Based on the available evidence and on public health considerations, WHO classified chronic irritability within oppositional defiant disorder (ODD) in ICD-11, a solution markedly different from DSM-5’s (i.e. the new childhood mood diagnosis, disruptive mood dysregulation disorder [DMDD]) and from ICD-10’s (i.e. ODD as one of several conduct disorders without attention to irritability). In this study, we tested the accuracy with which a global, multilingual, multidisciplinary sample of clinicians were able to use the ICD-11 classification of chronic irritability and oppositionality as compared to the ICD-10 and DSM-5 pproaches. Methods: Clinicians (N = 196) from 48 countries participated in an Internet-based field study in English, Spanish, or Japanese and were randomized to review and use one of the three diagnostic systems. Through experimental manipulation of validated clinical vignettes, we evaluated how well clinicians in each condition could identify chronic irritability versus nonirritable oppositionality, episodic bipolar disorder, dysthymic depression, and normative irritability. Results: Compared to ICD-10 and DSM5, ICD-11 led to more accurate identification of severe irritability and better differentiation from boundary presentations. Participants using DSM-5 largely failed to apply the DMDD diagnosis when it was appropriate, and they more often applied psychopathological diagnoses to developmentally normative irritability. Conclusions: The formulation of irritability and oppositionality put forth in ICD-11 shows evidence of clinical utility, supporting accurate diagnosis. Global mental health clinicians can readily identify ODD both with and without chronic irritabilityes_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherBlackwelles_ES
dc.relation62(3):303-312
dc.rightsAcceso Cerradoes_ES
dc.titleDiagnostic classification of irritability and oppositionality in youth: a global field study comparing ICD‐11 with ICD‐10 and DSM‐5es_ES
dc.typeArticuloes_ES
dc.contributor.affiliationDepartment of Psychology, Harvard University, Cambridge, MA, USA.
dc.contributor.emailscevans@fas.harvard.edu Spencer C. Evans
dc.relation.jnabreviadoJ CHILD PSYCHOL PSYCHIATRY
dc.relation.journalJournal of Child Psychology and Psychiatry
dc.identifier.placeInglaterra
dc.date.published2021
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1469-7610
dc.identifier.doi10.1111/jcpp.13244
dc.subject.kwInternational Classification of Diseases (ICD-11)
dc.subject.kwOppositional Defiant Disorder
dc.subject.kwMood Dysregulation
dc.subject.kwIrritability
dc.subject.kwChild and Adolescent Mental Health


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