Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-17T13:21:02.205Z Has data issue: false hasContentIssue false
  • English
  • Français

Assessing the opinions and experiences of German-speaking psychiatrists regarding necessary changes for the 11th revision of the mental disorders chapter of the international classification of disorders (ICD-11)

Published online by Cambridge University Press:  16 April 2020

J. Zielasek ,
H.J. Freyberger ,
M. Jänner ,
H.P. Kapfhammer ,
N. Sartorius ,
R.D. Stieglitz  and
W. Gaebel
J. Zielasek*
Affiliation:
Department of Psychiatry and Psychotherapy, Heinrich-Heine University, LVR-Klinikum Düsseldorf, Bergische Landstr. 2, 40629Düsseldorf, Germany
H.J. Freyberger
Affiliation:
Department of Psychiatry and Psychotherapy, Ernst-Moritz-Arndt Universität Greifswald, Hanse-Klinkum Stralsund, Rostocker Chaussee, 70, 18437Stralsund, Germany
M. Jänner
Affiliation:
Department of Psychiatry and Psychotherapy, Heinrich-Heine University, LVR-Klinikum Düsseldorf, Bergische Landstr. 2, 40629Düsseldorf, Germany
H.P. Kapfhammer
Affiliation:
Department of Psychiatry, Medical University of Graz, Auenbruggerplatz, 31, 8036Graz, Austria
N. Sartorius
Affiliation:
14, chemin Colladon, 1209Geneva, Switzerland
R.D. Stieglitz
Affiliation:
Psychiatric Outpatient Department, Hospital Basel, Petersgraben, 4, 4031Basel, Switzerland
W. Gaebel
Affiliation:
Department of Psychiatry and Psychotherapy, Heinrich-Heine University, LVR-Klinikum Düsseldorf, Bergische Landstr. 2, 40629Düsseldorf, Germany
*
*Corresponding author. Tel.: +49 211 922 2019; fax: +49 211 922 2022. E-mail address: [email protected] (J. Zielasek).
Get access

Abstract

We performed an Internet-based questionnaire survey of the opinions of German-speaking psychiatrists regarding the experiences with the 10th revision of the international classification of mental disorders (chapter F of ICD-10). We received 304 completed questionnaires including more than 500 free-text comments. The responding group was characterized by professionally experienced middle-aged psychiatrists. German-speaking psychiatrists were comparatively content with ICD-10. Most diagnostic categories received a “satisfied” or “very satisfied” rating by the majority of respondents. Negative “goodness of fit” ratings – a possible indicator of the need for revision – were not higher than 50% for any category. Based on free-text entries, neurasthenia was the single diagnostic category most often suggested for deletion in ICD-11. Changes were considered necessary mainly for dementias and personality disorders. Adult attention deficit disorder and narcissistic personality disorder were the two diagnostic categories most frequently suggested to be added as new categories. This study provides valuable information related to perceived clinical utility of the classification, though with a narrow sample. Information about clinicians’ experiences should be combined with scientific evidence for the revision process of ICD-11.

Keywords

MiscellaneousICD and/or DSMCriteria
Type
Development of the New International Classification of Disorders (ICD 11)
Information
European Psychiatry , Volume 25 , Issue 8 , December 2010 , pp. 437 - 442
Copyright
Copyright © Elsevier Masson SAS 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Andrews, G, Slade, T, Sunderland, M, Anderson, TIssues for DSM-V: simplifying DSM-IV to enhance utility: the case of major depressive disorder. Am J Psychiatry 2007; 164: 1784–1785.CrossRefGoogle ScholarPubMed
Block, JJIssues for DSM-V: Internet addiction. Am J Psychiatry 2008; 165: 306–307.CrossRefGoogle ScholarPubMed
Dilling, H, Freyberger, HJ, Malchow, CPDesign of the ICD-10 field trial in German-speaking countries. Pharmacopsychiatry 23(Suppl.)1990 142–145.CrossRefGoogle ScholarPubMed
Harvey, SB, Wessely, S, Kuh, D, Hotopf, MThe relationship between fatigue and psychiatric disorders: evidence for the concept of neurasthenia. J Psychosom Res 2009; 66: 445–454.CrossRefGoogle ScholarPubMed
Kupfer, DJ, Regier, DA, Kuhl, EAOn the road to DSM-V and ICD-11. Eur Arch Psychiatry Clin Neurosci 2008;258(Suppl. 5)2–6.CrossRefGoogle ScholarPubMed
Mellsop, G, Dutu, G, Robinson, GNew Zealand psychiatrists views on global features of ICD-10 and DSM-V. Aust N Z J Psychiatry 2007; 41: 157–165.CrossRefGoogle Scholar
Mellsop, G, Banzato, C, Shinfuku, N, Nagamine, M, Pereira, M, Dutu, GAn international study of the views of psychiatrists on present and preferred characteristics of classifications of psychiatric disorders. Int J Ment Health 2008; 36: 18–26.Google Scholar
Mattsson, N, Zetterberg, H, Hansson, O, Andreasen, N, Parnetti, L, Jonsson, Met al.CSF biomarkers and incipient Alzheimer disease in patients with mild cognitive impairment. JAMA 2009; 302: 385–393.CrossRefGoogle ScholarPubMed
McIntosh, D, Kutcher, S, Binder, C, Levitt, A, Fallu, A, Rosenbluth, MAdult ADHD and comorbid depression: a consensus-derived diagnostic algorithm for ADHD. Neuropsychiatr Dis Treat 2009; 5: 137–150.Google ScholarPubMed
Müssigbrodt, H, Michels, R, Malchow, CP, Dilling, H, Munk-Jorgensen, P, Bertelsen, AUse of the ICD-10 classification in psychiatry: an international study. Psychopathology 2000; 33: 94–99.CrossRefGoogle Scholar
North, CS, Suris, AM, Davis, M, Smith, RPToward validation of the diagnosis of posttraumatic stress disorder. Am J Psychiatry 2009; 166: 34–41.CrossRefGoogle Scholar
Oquendo, MA, Baca-Garcia, E, Mann, JJ, Giner, JIssues for DSM-V: suicidal behavior as a separate diagnosis on a separate axis. Am J Psychiatry 2009; 165: 1383–1384.CrossRefGoogle Scholar
Regier, DA, Narrow, WE, Kuhl, EA, Kupfer, DJThe conceptual development of DSM-V. Am J Psychiatry 2009; 166: 645–650.CrossRefGoogle ScholarPubMed
Russ, E, Shedler, J, Bradley, R, Westen, DRefining the construct of narcissistic personality disorder: diagnostic criteria and subtypes. Am J Psychiatry 2008; 165: 1473–1481.CrossRefGoogle ScholarPubMed
Saraceno, B, Saxena, SIssues around work on the classification of mental and behavioral disorders in World Health Organization. Die Psychiatrie 2007; 2: 86–91.Google Scholar
Sartorius, N, Üstün, TB, Korten, A, Cooper, JE, Van Drimmelen, JProgress toward achieving a common language in psychiatry. II. Results from the international field trials of the ICD-10 diagnostic criteria for research for mental and behavioral disorders. Am J Psychiatry 1995; 152: 1427–1437.Google ScholarPubMed
Tull, TJ, Tragesser, SL, Solhan, M, Schwartz-Mette, RDimensional models of personality disorder: Diagnostic and Statistical Manual of Mental Disorders Fifth Edition and beyond. Curr Opin Psychiatry 2007; 20: 52–56.Google Scholar
Vemuri, P, Wiste, HJ, Weigand, SD, Shaw, LM, Trojanowski, JQ, Weiner, MWet al.Alzheimer's disease neuroimaging initiative. MRI and CSF biomarkers in normal. MCI, and AD subjects: diagnostic discrimination and cognitive correlations. Neurology 2009; 73: 287–293.CrossRefGoogle Scholar
Vieta, E, Suppes, TBipolar II disorder: arguments for and against a distinct diagnostic entity. Bipolar Disord 2008; 10: 163–178.CrossRefGoogle ScholarPubMed
Widiger, TA, Lowe, JRA dimensional model of personality disorder: proposal for DSM-V. Psychiatr Clin North Am 2008; 31: 363–378.CrossRefGoogle ScholarPubMed
Supplementary material: File

Zielasek et al. supplementary material

Appendix I

Download Zielasek et al. supplementary material(File)
File 54.3 KB
Submit a response

Comments

No Comments have been published for this article.