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Can clinicians use dimensional information to make a categorical diagnosis of paraphilic disorders? An ICD-11 field study

dc.creatorKeeley, Jared W.es_ES
dc.creatorBriken, Peeres_ES
dc.creatorEvans, Spencer C.es_ES
dc.creatorFirst, Michael B.es_ES
dc.creatorKlein, Verenaes_ES
dc.creatorKrueger, Richard B.es_ES
dc.creatorMatsumoto, Chihiroes_ES
dc.creatorFresán, Anaes_ES
dc.creatorRebello, Tahilia J.es_ES
dc.creatorRobles, Rebecaes_ES
dc.creatorSharan, Pratapes_ES
dc.creatorReed, Geoffrey M.es_ES
dc.date2021
dc.date.accessioned2024-01-30T16:52:38Z
dc.date.available2024-01-30T16:52:38Z
dc.date.issued2021
dc.identifierJC31DIEP21es_ES
dc.identifier.issn1743-6095
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7899
dc.identifier.urihttps://doi.org/10.1016/j.jsxm.2021.06.016
dc.descriptionBackground: The diagnosis of paraphilic disorder is a complicated clinical judgment based on the integration of information from multiple dimensions to arrive at a categorical (present/absent) conclusion. The recent update of the guidelines for paraphilic disorders in ICD-11 presents an opportunity to investigate how mental health professionals use the diagnostic guidelines to arrive at a diagnosis which thereby can optimize the guidelines for clinical use. Aim: This study examined clinicians' ability to use the ICD-11 diagnostic guidelines for paraphilic disorders which contain multiple dimensions that must be simultaneously assessed to arrive at a diagnosis. Methods: The study investigated the ability of 1,263 international clinicians to identify the dimensions of paraphilic disorder in the context of written case vignettes that varied on a single dimension only. Outcomes: Participants provided diagnoses for the case vignettes along with dimensional ratings of the degree of presence of five dimensions of paraphilic disorder (arousal, consent, action, distress, and risk). Results: Across a series of analyses, clinicians demonstrated a clear ability to recognize and appropriately integrate the dimensions of paraphilic disorders; however, there was some evidence that clinicians may over-diagnose non-pathological cases. Clinical translation: Clinicians would likely benefit from targeted training on the ICD-11 definition of paraphilic disorder and should be cautious of over-diagnosing. Strengths and limitations: This study represents a large international sample of health professionals and is the first to examine clinicians' ability to apply the ICD-11 diagnostic guidelines for paraphilic disorders. Important limitations include not generalizing to all clinicians and acknowledging that results may be different in direct clinical interactions vs written case vignettes. Conclusion: These results indicate that clinicians appear capable of interpreting and implementing the diagnostic guidelines for paraphilic disorders in ICD-11. Keeley JW, Briken P, Evans SC, et al. Can Clinicians Use Dimensional Information to Make a Categorical Diagnosis of Paraphilic Disorders? An ICD-11 Field Study. J Sex Med 2021;18:1592-1606.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherOxford University Presses_ES
dc.relation18(9):1592-1606
dc.rightsAcceso Cerradoes_ES
dc.titleCan clinicians use dimensional information to make a categorical diagnosis of paraphilic disorders? An ICD-11 field studyes_ES
dc.typeArtículoes_ES
dc.contributor.affiliationVirginia Commonwealth University, Department of Psychology, Richmond, VA, USA
dc.contributor.emailjwkeeley@vcu.edu
dc.relation.jnabreviadoJ SEX MED
dc.relation.journalJournal of Sexual Medicine
dc.identifier.placePaíses Bajos
dc.date.published2021
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1743-6109
dc.identifier.doi10.1016/j.jsxm.2021.06.016
dc.subject.kwParaphilic Disorder
dc.subject.kwICD-11
dc.subject.kwDiagnosis
dc.subject.kwSensitivity & Specificity
dc.subject.kwDimensions
dc.subject.kwCategories


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