The development of the ICD-11 Clinical Descriptions and Diagnostic Guidelines for
Mental and Behavioural Disorders |
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| Authors: | Michael B First Geoffrey M Reed Steven E Hyman Shekhar Saxena |
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| Affiliation: | 1Department of Psychiatry, Columbia University andDepartment of Clinical Phenomenology, New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032, USA;2Department of Mental Health and Substance Abuse, WorldHealth Organization, Geneva, Switzerland;3Stanley Center for Psychiatric Research, Broad Instituteof Harvard and Massachusetts Institute of Technology, Cambridge, MA, USA |
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| Abstract: | The World Health Organization is in the process of preparing the eleventh revision of theInternational Classification of Diseases (ICD-11), scheduled for presentation to the World HealthAssembly for approval in 2017. The International Advisory Group for the Revision of the ICD-10Mental and Behavioural Disorders made improvement in clinical utility an organizing priority for therevision. The uneven nature of the diagnostic information included in the ICD-10 ClinicalDescriptions and Diagnostic Guidelines (CDDG), especially with respect to differential diagnosis, isa major shortcoming in terms of its usefulness to clinicians. Consequently, ICD-11 Working Groupswere asked to collate diagnostic information about the disorders under their purview using astandardized template (referred to as a “Content Form”). Using the informationprovided in the Content Forms as source material, the ICD-11 CDDG are being developed with a uniformstructure. The effectiveness of this format in producing more consistent clinical judgments inICD-11 as compared to ICD-10 is currently being tested in a series of Internet-based field studiesusing standardized case material, and will also be tested in clinical settings. |
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| Keywords: | ICD-11 Clinical and Diagnostic Guidelines clinical utility Internet-based field studies |
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