Psychotic Disorders in ICD-11

2013 ◽  
Vol 10 (01) ◽  
pp. 11-17 ◽  
Author(s):  
J. Zielasek ◽  
H.-R. Cleveland ◽  
W. Gaebel
Keyword(s):  
Psychotic Disorders ◽  
Reliability And Validity ◽  
Field Trials ◽  
World Health ◽  
Icd 10 ◽  
Health Organization ◽  
The Impact ◽  
Research Domain ◽  
Specific Working

SummaryWithin the efforts to revise ICD-10, the World Health Organization (WHO) has appointed a disorder-specific Working Group on the Classification of Psychotic Disorders (WGPD). The WGPD has proposed several changes to the classification criteria of schizophrenia and other primary psychotic disorders in order to increase the clinical utility, reliability and validity of the diagnostic classification. The main proposals include changes to the chapter title, the replacement of existing schizophrenia subtypes with symptom specifiers, stricter diagnostic criteria for schizoaffective disorder, a reorganization of the delusional disorders and the acute and transient psychotic disorders, as well as the revision of course specifiers. These proposed revisions are subject to field trials with the aim of studying whether they will lead to an improvement of the classification system in comparison to its previous version. The proposals are compared with revisions of the according DSM-5 chapter. The impact of novel results from neuroscience and genetics on the current proposals is discussed, also with respect to future classification strategies such as the Research Domain Criteria (RDoC) project.

ICD-11: Example of Psychotic Disorders

2017 ◽  
Vol 41 (S1) ◽  
pp. S31-S31
Author(s):  
W. Gaebel
Keyword(s):  
Mental Disorders ◽  
Psychotic Disorders ◽  
Field Trials ◽  
Classification Criteria ◽  
World Health ◽  
Cross Sectional ◽  
Diagnostic Reliability ◽  
Deutschland Gmbh ◽  
Health Organization

The revision of the current classification criteria for disorders issued by the World Health Organization (WHO) (International Classification of Disorders, ICD-10) is underway and will also include a revision of the classification criteria of the mental and behavioural disorders. Working groups for specific groups of mental disorders had produced suggestions for revised diagnostic criteria and included a working group on schizophrenia and other primary psychotic disorders. This presentation will focus on this group of mental disorders. Major changes suggested were an introduction of symptom and course specifiers, the inclusion of cognitive symptoms and a de-emphasising of the so-called first rank symptoms of schizophrenia, a cross-sectional approach towards the classification of schizoaffective disorder and a reorganization of the acute psychotic disorders. Initial internet-based field trials showed some incremental improvements of diagnostic reliability, but more crucial for an adjustment of the revised classification criteria will be the expected results of the upcoming clinic-based field trials.Disclosure of interestUnterstützung bei Symposien/Symposia Support.– Janssen-Cilag GmbH, Neuss– Aristo Pharma GmbH, Berlin– Lilly Deutschland GmbH, Bad Homburg– Servier Deutschland GmbH, München– Fakultätsmitglied/Faculty Member– Lundbeck International Neuroscience Foundation (LINF), Dänemark

Psychotic Disorders in ICD-11

2015 ◽  
Vol 12 (02) ◽  
pp. 71-76 ◽  
Author(s):  
J. Zielasek ◽  
P. Falkai ◽  
W. Gaebel
Keyword(s):  
Schizoaffective Disorder ◽  
Working Group ◽  
Psychotic Disorders ◽  
Field Trials ◽  
World Health ◽  
Final Version ◽  
Dsm 5 ◽  
The World ◽  
Health Organization

SummaryFor the development of ICD-11, the World Health Organization (WHO) has inaugurated a Working Group on the Classification of Psychotic Disorders (WGPD). A range of changes of the classification of primary psychotic disorders was developed by this group. While DSM-5 was published in 2013, the ICD-11 proposals are currently undergoing internet-based and clinical field trials and the final version is due in 2017. Among the major changes suggested by the WGPD for ICD-11 are the chapter titles, the replacement of the current schizophrenia subtypes by a number of symptom specifiers, a new set of course specifiers harmonized with DSM-5, transsectional diagnostic criteria for schizoaffective disorder, and a reorganization of the acute and transient psychotic disorders and delusional disorders.

Psychotic disorders in DSM-5 and ICD-11

CNS Spectrums ◽  
2016 ◽  
Vol 21 (4) ◽  
pp. 349-354 ◽  
Author(s):  
Falko Biedermann ◽  
W. Wolfgang Fleischhacker
Keyword(s):  
Psychotic Disorders ◽  
Work Group ◽  
Theoretical Background ◽  
Classification Systems ◽  
World Health ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Health Organization ◽  
Diagnostic Criterion

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) was published by the American Psychiatric Association (APA) in 2013, and the Work Group on the Classification of Psychotic disorders (WGPD), installed by the World Health Organization (WHO), is expected to publish the new chapter about schizophrenia and other primary psychotic disorders in 2017. We reviewed the available literature to summarize the major changes, innovations, and developments of both manuals. If available and possible, we outline the theoretical background behind these changes. Due to the fact that the development of ICD-11 has not yet been completed, the details about ICD-11 are still proposals under ongoing revision. In this ongoing process, they may be revised and therefore have to be seen as proposals. DSM-5 has eliminated schizophrenia subtypes and replaced them with a dimensional approach based on symptom assessments. ICD-11 will most likely go in a similar direction, as both manuals are planned to be more harmonized, although some differences will remain in details and the conceptual orientation. Next to these modifications, ICD-11 will provide a transsectional diagnostic criterion for schizoaffective disorders and a reorganization of acute and transient psychotic and delusional disorders. In this manuscript, we will compare the 2 classification systems.

scholarly journals Beliefs about the cause of schizophrenia among caregivers in Midwestern Nigeria

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Osayi Igberase ◽  
Esther Okogbenin
Keyword(s):  
Formal Education ◽  
Primary Caregivers ◽  
World Health ◽  
Treatment Seeking ◽  
Benin City ◽  
International Classification Of Disease ◽  
Seeking Behavior ◽  
Icd 10 ◽  
Health Organization

Schizophrenia is a devastating illness with a chronic and relapsing course. While Western countries may endorse, biological and psychosocial causes more commonly than supernatural causes, non-western cultures like Nigeria in contrast, tend to endorse supernatural causes. Belief in supernatural causes has been reported to have consequences for treatment seeking behavior. This study aimed to examine the causes of schizophrenia reported by family members of outpatients with schizophrenia in a neuropsychiatric hospital in Midwestern Nigeria. In this study, we recruited a convenient sample of 200 consecutive caregivers of patients visiting the outpatient department of the Psychiatric Hospital, Benin City, Nigeria. These primary caregivers were unpaid relatives who provided support to patients. The patients were service users who fulfilled the diagnostic criteria of the International Classification of Disease [ICD-10; World Health Organization 1993] for schizophrenia and had been on treatment for at least two years. Majority (72.0%) of caregivers endorsed supernatural causes as most important in the etiology of schizophrenia, while 28.0% endorsed natural causes. Every participant without formal education endorsed supernatural attribution. In our study, it was evident that participants embraced multiple causal attributions for schizophrenia.

scholarly journals Cognitive–behavioural therapy for body dysmorphic disorder

2001 ◽  
Vol 7 (2) ◽  
pp. 125-132 ◽  
Author(s):  
David Veale
Keyword(s):  
World Health Organization ◽  
American Psychiatric Association ◽  
Body Dysmorphic Disorder ◽  
Behavioural Therapy ◽  
World Health ◽  
Cognitive Behavioural ◽  
Icd 10 ◽  
Dsm Iv ◽  
Health Organization

The DSM–IV classification of body dysmorphic disorder (BDD) refers to an individual's preoccupation with an ‘imagined’ defect in his or her appearance or markedly excessive concern with a slight physical anomaly (American Psychiatric Association, 1994). An Italian psychiatrist, Morselli, first used the term ‘dysmorphophobia’ in 1886, although it is now falling into disuse, probably because ICD–10 (World Health Organization, 1992) has discarded it, subsuming the condition under hypochondriacal disorder.

An Overview of the Prospective ICD-10 Classification of Mental Disorders

1989 ◽  
Vol 154 (S4) ◽  
pp. 21-23 ◽  
Author(s):  
J. E. Cooper
Keyword(s):  
Mental Health ◽  
International Classification Of Diseases ◽  
Point Of View ◽  
World Health ◽  
Official Statement ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
The Many ◽  
Health Organization

This paper gives a brief outline of the present state of development of the psychiatric chapter of the tenth revision of the International Classification of Diseases (ICD-10). It is written from the point of view of one of the many consultants to the Division of Mental Health, World Health Organization (WHO), Geneva, and thus is not an authoritative or official statement on behalf of WHO. The responsibility for decisions about ICD-10 Chapter V (F) rests with Dr Norman Sartorius, Director of the Division of Mental Health, though many psychiatrists in many countries have contributed to ICD-10 Chapter V (F), and will continue to do so, since much work is still to be done before the final form is officially agreed and published in about 1990. Before he left WHO, Geneva in September, 1986, Dr Assen Jablensky also carried a great deal of responsibility for the arrangements necessary for the production of the drafts of ICD-10 Chapter V (F) that are now being developed.

The Classification of the Depressions

1989 ◽  
Vol 155 (4) ◽  
pp. 437-443 ◽  
Author(s):  
Anne Farmer ◽  
Peter McGuffin
Keyword(s):  
World Health Organization ◽  
Affective Disorder ◽  
American Psychiatric Association ◽  
Social Research ◽  
World Health ◽  
Icd 10 ◽  
Health Organization

It is 13 years since Kendell (1976) reviewed the ‘contemporary confusion’ surrounding the classification of depression. Reconsideration of this issue is now timely, especially in light of the development of the new classifications of affective disorder included in DSM–III (American Psychiatric Association, 1980), the revised version, DSM–III–R (American Psychiatric Association, 1987), and the forthcoming ICD–10 (World Health Organization, 1988). Recent activities in neurobiological, genetic and social research also bear importantly on our concepts of the aetiology of depression.

Incidence of schizophrenia in Nottingham

1997 ◽  
Vol 171 (2) ◽  
pp. 140-144 ◽  
Author(s):  
J. Brewin ◽  
R. Cantwell ◽  
T. Dalkin ◽  
R. Fox ◽  
I. Medley ◽  
...  
Keyword(s):  
Psychotic Disorders ◽  
Diagnostic Category ◽  
Incidence Rates ◽  
World Health ◽  
First Episode ◽  
Episode Psychosis ◽  
Real Change ◽  
Icd 10 ◽  
Health Organization ◽  
Methodological Considerations

BackgroundSeveral studies have reported a decline of up to 50% in the incidence of schizophrenia over recent decades. We aimed to measure changes in the incidence and diagnostic patterns of first-episode psychosis by comparing two Nottingham cohorts, identified in two equal periods separated by 14 years.MethodTwo prospectively ascertained cohorts of first-episode psychotic disorder were identified over the time periods 1978–80 and 1992–94. The earlier cohort was of the World Health Organization Determinants of Outcome of Severe Mental Disorder (DOSMD) ten-country study. The later cohort was obtained using similar methodology. Both groups were diagnosed using ICD-10 diagnostic criteria and age-standardised incidence rates were compared.ResultsThe standardised incidence rate for all psychotic disorders rose slightly from 2.49 to 2.87 per 10 000 population per year, but the F20 classification fell significantly by over a third (1.41 to 0.87 per 10 000 per year). The second study group (1992–1994) included a greater diversity of psychotic diagnoses compared with the first, in particular an increased proportion of acute and drug-related psychoses.ConclusionsMethodological considerations call for caution in interpreting such data, but we conclude that the significant fall in the narrowly defined diagnostic category of schizophrenia reflects a real change in the syndromal presentation of psychotic disorders.

scholarly journals Implications of Historical Evidence for the Classification of Eating Disorders

1994 ◽  
Vol 165 (3) ◽  
pp. 287-292 ◽  
Author(s):  
William Li. Parry-Jones ◽  
Brenda Parry-Jones
Keyword(s):  
Eating Disorders ◽  
Temporal Distribution ◽  
Classification Systems ◽  
World Health ◽  
Major Influence ◽  
Historical Evidence ◽  
Icd 10 ◽  
Clinical Detail ◽  
Health Organization

Successive editions of the ICD and DSM classification systems have exercised a major influence over contemporary diagnostic practice and perceptions of the form and structure of disorders. Periodic revision has been based on clinical and epidemiological research, and minimal attention has been given to any possible contribution from historical evidence. To test the potential value of such evidence, the historical manifestations of four eating disorders (anorexia, bulimia, rumination and pica) were considered in relation to the clinical descriptions and diagnostic criteria of DSM–III–R (American Psychiatric Association, 1987) and ICD–10 (World Health Organization, 1992). For each disorder, evidence is presented of continuities and discontinuities with the phenomena recognised currently. Instances of symptom overlap between disorders and the implications of the historical findings for some current classificatory issues are discussed. When spread over several centuries, case numbers remain relatively small, the amount of clinical detail is highly variable, and temporal distribution is uneven. The conclusions that can be drawn, therefore, are necessarily somewhat tentative and subjective.

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