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Stein DJ, Szatmari P, Gaebel W, et al. Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies. BMC Med. 2020;18(1):21doi: 10.1186/s12916-020-1495-2.
Stein, D. J., Szatmari, P., Gaebel, W., Berk, M., Vieta, E., Maj, M., de Vries, Y. A., Roest, A. M., de Jonge, P., Maercker, A., Brewin, C. R., Pike, K. M., Grilo, C. M., Fineberg, N. A., Briken, P., Cohen-Kettenis, P. T., & Reed, G. M. (2020). Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies. BMC medicine, 18(1), 21. https://doi.org/10.1186/s12916-020-1495-2
Stein, Dan J, et al. "Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies." BMC medicine vol. 18,1 (2020): 21. doi: https://doi.org/10.1186/s12916-020-1495-2
Stein DJ, Szatmari P, Gaebel W, Berk M, Vieta E, Maj M, de Vries YA, Roest AM, de Jonge P, Maercker A, Brewin CR, Pike KM, Grilo CM, Fineberg NA, Briken P, Cohen-Kettenis PT, Reed GM. Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies. BMC Med. 2020 Jan 27;18(1):21. doi: 10.1186/s12916-020-1495-2. PMID: 31983345; PMCID: PMC6983973.
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BMC Med. 2020 Jan 27;18(1):21. doi: 10.1186/s12916-020-1495-2.

Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies.

BMC medicine

Dan J Stein, Peter Szatmari, Wolfgang Gaebel, Michael Berk, Eduard Vieta, Mario Maj, Ymkje Anna de Vries, Annelieke M Roest, Peter de Jonge, Andreas Maercker, Chris R Brewin, Kathleen M Pike, Carlos M Grilo, Naomi A Fineberg, Peer Briken, Peggy T Cohen-Kettenis, Geoffrey M Reed

Affiliations

  1. SA Medical Research Council Unit on Risk & Resilience in Mental Disorders, Dept of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa. [email protected].
  2. Centre for Addiction and Mental Health, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
  3. Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich-Heine University, Düsseldorf, Germany.
  4. Deakin University, IMPACT, the Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Barwon Health, Geelong, Australia.
  5. Orygen, The National Centre of Excellence in Youth Mental Health and the Centre for Youth Mental Health, Parkville, Australia.
  6. Florey Institute for Neuroscience and Mental Health, Parkville, Australia.
  7. Department of Psychiatry, University of Melbourne, Parkville, Australia.
  8. Bipolar Disorders Unit, Hospital Clinic, Institute of Neurosciences, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain.
  9. Department of Psychiatry, University of Campania 'L. Vanvitelli', Naples, Italy.
  10. Department of Developmental Psychology, Interdisciplinary Center Psychopathology and Emotion Regulation, University of Groningen, Groningen, The Netherlands.
  11. Department of Psychology - Psychopathology and Clinical Intervention, University of Zurich, Zurich, Switzerland.
  12. Research Deparment of Clinical, Educational and Health Psychology, University College London, London, UK.
  13. Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.
  14. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
  15. Hertfordshire Partnership University NHS Foundation Trust and University of Hertfordshire, Welwyn Garden City, UK.
  16. Institute for Sex Research, Sexual Medicine & Forensic Psychiatry, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
  17. Department of Medical Psychology, Amsterdam UMC, Amsterdam, The Netherlands.
  18. Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA. [email protected].
  19. Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland. [email protected].

PMID: 31983345 PMCID: PMC6983973 DOI: 10.1186/s12916-020-1495-2

Abstract

An update of the chapter on Mental, Behavioral and Neurodevelopmental Disorders in the International Classification of Diseases and Related Health Problems (ICD) is of great interest around the world. The recent approval of the 11th Revision of the ICD (ICD-11) by the World Health Organization (WHO) raises broad questions about the status of nosology of mental disorders as a whole as well as more focused questions regarding changes to the diagnostic guidelines for specific conditions and the implications of these changes for practice and research. This Forum brings together a broad range of experts to reflect on key changes and controversies in the ICD-11 classification of mental disorders. Taken together, there is consensus that the WHO's focus on global applicability and clinical utility in developing the diagnostic guidelines for this chapter will maximize the likelihood that it will be adopted by mental health professionals and administrators. This focus is also expected to enhance the application of the guidelines in non-specialist settings and their usefulness for scaling up evidence-based interventions. The new mental disorders classification in ICD-11 and its accompanying diagnostic guidelines therefore represent an important, albeit iterative, advance for the field.

Keywords: Classification; Diagnosis; ICD-11; Mental disorder

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