Mental Health Professionals' Natural Taxonomies of Mental Disorders: Implications for the Clinical Utility of the ICD-11 and the DSM-5

Objective To examine the conceptualizations held by psychiatrists and psychologists around the world of the relationships among mental disorders in order to inform decisions about the structure of the classification of mental and behavioral disorders in World Health Organization's International...

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Bibliographic Details
Published in:Journal of clinical psychology 2013-12, Vol.69 (12), p.1191-1212
Main Authors: Reed, Geoffrey M., Roberts, Michael C., Keeley, Jared, Hooppell, Catherine, Matsumoto, Chihiro, Sharan, Pratap, Robles, Rebeca, Carvalho, Hudson, Wu, Chunyan, Gureje, Oye, Leal-Leturia, Itzear, Flanagan, Elizabeth H., Correia, João Mendonça, Maruta, Toshimasa, Ayuso-Mateos, José Luís, de Jesus Mari, Jair, Xiao, Zeping, Evans, Spencer C., Saxena, Shekhar, Medina-Mora, María Elena
Format: Article
Language:English
Subjects:
Adult
Behavior disorders
Biological and medical sciences
Classification
classification, International Classification of Diseases (ICD)
clinical utility
cross-cultural applicability
Cross-Cultural Comparison
Diagnostic and Statistical Manual of Mental Disorders
Diagnostic and Statistical Manual of Mental Disorders (DSM)
Female
General aspects
Health Personnel
Humans
International Classification of Diseases
International Classification of Diseases (ICD)
low- and middle-income (LAMI) countries
Male
Medical sciences
Mental disorders
Mental Disorders - classification
Middle Aged
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Vocabularies & taxonomies
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Summary:Objective To examine the conceptualizations held by psychiatrists and psychologists around the world of the relationships among mental disorders in order to inform decisions about the structure of the classification of mental and behavioral disorders in World Health Organization's International Classification of Diseases and Related Health Problems 11th Revision (ICD‐11). Method 517 mental health professionals in 8 countries sorted 60 cards containing the names of mental disorders into groups of similar disorders, and then formed a hierarchical structure by aggregating and disaggregating these groupings. Distance matrices were created from the sorting data and used in cluster and correlation analyses. Results Clinicians’ taxonomies were rational, interpretable, and extremely stable across countries, diagnostic system used, and profession. Clinicians’ consensus classification structure was different from ICD‐10 and the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders 4th Edition (DSM‐IV), but in many respects consistent with ICD‐11 proposals. Conclusions The clinical utility of the ICD‐11 may be improved by making its structure more compatible with the common conceptual organization of mental disorders observed across diverse global clinicians.
ISSN:0021-9762
1097-4679
DOI:10.1002/jclp.22031