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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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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
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cited_by cdi_FETCH-LOGICAL-c4911-633e1d50bc89445511c73de5ec336dfcf8dd4613bfa570efc2d08bd0cd0b5753
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container_end_page 1212
container_issue 12
container_start_page 1191
container_title Journal of clinical psychology
container_volume 69
creator 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
description 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.
doi_str_mv 10.1002/jclp.22031
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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.</description><identifier>ISSN: 0021-9762</identifier><identifier>EISSN: 1097-4679</identifier><identifier>DOI: 10.1002/jclp.22031</identifier><identifier>PMID: 24122386</identifier><identifier>CODEN: JCPYAO</identifier><language>eng</language><publisher>Hoboken, NJ: Blackwell Publishing Ltd</publisher><subject>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. 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Clin. Psychol</addtitle><description>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. 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Psychiatry</topic><topic>Vocabularies &amp; taxonomies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reed, Geoffrey M.</creatorcontrib><creatorcontrib>Roberts, Michael C.</creatorcontrib><creatorcontrib>Keeley, Jared</creatorcontrib><creatorcontrib>Hooppell, Catherine</creatorcontrib><creatorcontrib>Matsumoto, Chihiro</creatorcontrib><creatorcontrib>Sharan, Pratap</creatorcontrib><creatorcontrib>Robles, Rebeca</creatorcontrib><creatorcontrib>Carvalho, Hudson</creatorcontrib><creatorcontrib>Wu, Chunyan</creatorcontrib><creatorcontrib>Gureje, Oye</creatorcontrib><creatorcontrib>Leal-Leturia, Itzear</creatorcontrib><creatorcontrib>Flanagan, Elizabeth H.</creatorcontrib><creatorcontrib>Correia, João Mendonça</creatorcontrib><creatorcontrib>Maruta, Toshimasa</creatorcontrib><creatorcontrib>Ayuso-Mateos, José Luís</creatorcontrib><creatorcontrib>de Jesus Mari, Jair</creatorcontrib><creatorcontrib>Xiao, Zeping</creatorcontrib><creatorcontrib>Evans, Spencer C.</creatorcontrib><creatorcontrib>Saxena, Shekhar</creatorcontrib><creatorcontrib>Medina-Mora, María Elena</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reed, Geoffrey M.</au><au>Roberts, Michael C.</au><au>Keeley, Jared</au><au>Hooppell, Catherine</au><au>Matsumoto, Chihiro</au><au>Sharan, Pratap</au><au>Robles, Rebeca</au><au>Carvalho, Hudson</au><au>Wu, Chunyan</au><au>Gureje, Oye</au><au>Leal-Leturia, Itzear</au><au>Flanagan, Elizabeth H.</au><au>Correia, João Mendonça</au><au>Maruta, Toshimasa</au><au>Ayuso-Mateos, José Luís</au><au>de Jesus Mari, Jair</au><au>Xiao, Zeping</au><au>Evans, Spencer C.</au><au>Saxena, Shekhar</au><au>Medina-Mora, María Elena</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mental Health Professionals' Natural Taxonomies of Mental Disorders: Implications for the Clinical Utility of the ICD-11 and the DSM-5</atitle><jtitle>Journal of clinical psychology</jtitle><addtitle>J. Clin. Psychol</addtitle><date>2013-12</date><risdate>2013</risdate><volume>69</volume><issue>12</issue><spage>1191</spage><epage>1212</epage><pages>1191-1212</pages><issn>0021-9762</issn><eissn>1097-4679</eissn><coden>JCPYAO</coden><notes>istex:68CB95BB05CE3BFA4B1E54B22ECC61BC7CC470DF</notes><notes>ArticleID:JCLP22031</notes><notes>ark:/67375/WNG-K5N30DC8-6</notes><notes>João Correia is now at the Department of Cognitive Neuroscience, Maastricht University, Maastricht, The Netherlands.</notes><notes>The authors are grateful to Dr. Roger Blashfield for his very helpful comments regarding the design of the study and the interpretation and presentation of the data. The World Health Organization Department of Mental Health and Substance Abuse has received direct support that contributed to the conduct of this study from several sources: The International Union of Psychological Science, the National Institute of Mental Health (USA), the World Psychiatric Association, the Spanish Foundation of Psychiatry and Mental Health (Spain), and the Santander Bank UAM/UNAM endowed Chair for Psychiatry (Spain/Mexico). P. Sharan received a grant from Eli Lilly (India) unrelated to this project; J. Mari received speaking fees from Astra Zeneca, Eli Lilly, and Janssen unrelated to this project.</notes><notes>Most of the authors of this article are members of the WHO International Advisory Group for the Revision of ICD‐10 Mental and Behavioural Disorders and/or of Working Groups that report to the International Advisory Group. G. Reed and S. Saxena are members of the WHO Secretariat, Department of Mental Health and Substance Abuse, WHO. The views expressed in this article are those of the authors and, except as specifically noted, do not represent the official policies or positions of the International Advisory Group or of WHO. The WHO Research Ethics Review Committee as well as applicable local Institutional Review Boards reviewed and approved all procedures.</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>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.</abstract><cop>Hoboken, NJ</cop><pub>Blackwell Publishing Ltd</pub><pmid>24122386</pmid><doi>10.1002/jclp.22031</doi><tpages>22</tpages></addata></record>
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source Wiley-Blackwell Journals
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
title Mental Health Professionals' Natural Taxonomies of Mental Disorders: Implications for the Clinical Utility of the ICD-11 and the DSM-5
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