Developing a science of clinical utility in diagnostic classification systems

Field study strategies for ICD-11 mental and behavioral disorders

Bibliographic Data

ID8720207
AuthorsJared W Keeley (0000-0002-1437-5810, corresponding author), Geoffrey M Reed (0000-0002-6572-4785), M Catherine Roberts (0000-0003-1955-8672), Spencer C Evans (0000-0001-8644-817X), Maria Elena Medina-Mora (0000-0001-9300-0752), Rebeca Robles-García (0000-0001-5958-7393), Rebeca Robles, Tahilia J Rebello, Tahilia Rebello, Pratap Sharan (0000-0003-2437-6099), Oye Gureje (0000-0003-0094-5947), Michael B First (0000-0002-8032-3947), Howard F Andrews (0000-0002-7726-0551), José Luis Ayuso-Mateos (0000-0002-7544-826X), Wolfgang Gäebel (0009-0004-5751-9062), Jürgen Zielasek (0000-0003-4908-6389), Juergen Zielasek, Shekhar Saxena (0000-0001-9385-0212)
Year2016
Volume71
Issue1
Pages3-16
Publication date2016-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Psychologist (JOURNAL)
Journal identifiersISSN: 0003-066X • E-ISSN: 1935-990X
PublisherAmerican Psychological Association (PUBLISHER • US)
DOI10.1037/a0039972
PMID26766762
OpenAlexW2235213646
LanguageEN
Citations received15
References cited1

The World Health Organization (WHO) Department of Mental Health and Substance Abuse has developed a systematic program of field studies to evaluate and improve the clinical utility of the proposed diagnostic guidelines for mental and behavioral disorders in the Eleventh Revision of the International Classification of Diseases and Related Health Problems (ICD-11). The clinical utility of a diagnostic classification is critical to its function as the interface between health encounters and health information, and to making the ICD-11 be a more effective tool for helping the WHO's 194 member countries, including the United States, reduce the global disease burden of mental disorders. This article describes the WHO's efforts to develop a science of clinical utility in regard to one of the two major classification systems for mental disorders. We present the rationale and methodologies for an integrated and complementary set of field study strategies, including large international surveys, formative field studies of the structure of clinicians' conceptualization of mental disorders, case-controlled field studies using experimental methodologies to evaluate the impact of proposed changes to the diagnostic guidelines on clinicians' diagnostic decision making, and ecological implementation field studies of clinical utility in the global settings in which the guidelines will ultimately be implemented. The results of these studies have already been used in making decisions about the structure and content of ICD-11. If clinical utility is indeed among the highest aims of diagnostic systems for mental disorders, as their developers routinely claim, future revision efforts should continue to build on these efforts. (PsycINFO Database Record

Conceptualization · Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood · Formative assessment · Mental health · Prevalence of mental disorders · Psychiatry · Computer Science · Medicine · Mental Health and Psychiatry · Mental Health Treatment and Access · Psychology · Schizophrenia research and treatment · Artificial Intelligence

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