作者: Gaia Sampogna
DOI: 10.1002/WPS.20198
关键词: Psychiatry 、 Social work 、 Medicine 、 Set (psychology) 、 Occupational therapy 、 Working group 、 Anxiety 、 Mental health 、 Vignette 、 Formative assessment
摘要: Within the 16th World Congress of Psychiatry, held in Madrid from 14 to 18 September 2014, a series symposia took place, providing information on ongoing development chapter mental disorders ICD-11. The summarized proposals for various sections chapter, which are being produced by fourteen working groups appointed Health Organization (WHO) consultation with relevant stakeholders, including WHO's member countries, several professional groups, and users health services their families. A list scientific papers presenting discussing these proposals, other publications, is provided at end this article (1–99). The also presented field studies ICD-11 disorders, can be subdivided into three groups: formative studies, Internet-based clinic-based studies. Formative aimed guide decisions about basic structure content classification, exploring clinicians' conceptualizations interrelationships among categories disorders. In first study (100), 1,371 psychiatrists psychologists 64 countries rated similarity between as paired comparisons. The results indicated that participants' mapping was remarkably consistent across professions, languages WHO regions. degree views structures DSM-IV ICD-10 moderate (kappa + .42). proposed found more closely align understanding relationships (kappa + .51). In second (101), 517 professionals recruited centres eight were asked sort set 60 cards containing names based own clinical experience, then form hierarchical aggregating disaggregating groupings. organizations clinicians diagnostic systems currently used professions. Clinicians' consensus classification different respects ICD-11. Internet-based implemented through Global Clinical Practice Network, includes 12,000 practitioners all regions world. Physicians, primarily psychiatrists, represent 59% 30%. All disciplines (e.g., nursing, social work occupational therapy) represented. One third members Asia, one Europe, 20% Americas, equally divided Latin North America. About 41% come low- or middle-income countries. Members have registered nine (Arabic, Chinese, English, French, German, Japanese, Portuguese, Spanish Russian). These using vignette methodologies examine decision-making relationship guidelines. Data collection has been completed study, dealing specifically associated stress, conducted Japanese participation 1,738 Network registrants. Clinic-based will assess utility guidelines real-life settings, special focus More specifically, assess: ability aid person's condition; how well fit presentation actual cases; feasibility regular interactions; adequacy assessing individuals' conditions. A major multi-country concerning reliability key changes recommended primary care version disorders. This focused most common seen settings (in particular, depression, anxiety somatic symptoms).