A DIAGNOSTIC SYSTEM USING BROAD CATEGORIES WITH CLINICALLY RELEVANT SPECIFIERS: LESSONS FOR ICD-11.

Autor: Kingdon, D., Afghan, S., Arnold, R., Faruqui, R., Friedman, T., Jones, I., Jones, P., Lloyd, K., Nicholls, D., O'neill, T., Qurashi, I., Ramzan, A., Series, H., Staufenberg, E., Brugha, T.
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Zdroj: International Journal of Social Psychiatry; Jul2010, Vol. 56 Issue 4, p326-335, 10p
Abstrakt: A diagnostic system for ICD-11 is proposed which commences with broad reorganization and simplifi cation of the current categories and the use of clinically relevant specifi ers. Such changes have implications for the positioning of diagnostic groups and lead to a range of possibilities for improving terminology and the juxtaposition of individual conditions. The development of ICD-11 provides the fi rst opportunity in almost two decades to improve the validity and reliability of the international classifi cation system. Widespread change in broad categories and criteria cannot be justifi ed by research that has emerged since the last revision. It would also be disruptive to clinical practice and might devalue past research work. However, the case for reorganization of the categories is stronger and has recently been made by an eminent international group of researchers (Andrews et al., 2009). A simpler, interlinked diagnostic system is proposed here which is likely to have fewer categories than its predecessor. There are major advantages of such a system for clinical practice and research and it could also produce much needed simplifi cation for primary care (Gask et al., 2008) and the developing world (Wig, 1990; Kohn et al., 2004). [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index