ICD-11 for quality and safety: overview of the who quality and safety topic advisory group
This paper outlines the approach that the WHO's Family of International Classifications (WHO-FIC) network is undertaking to create ICD-11. We also outline the more focused work of the Quality and Safety Topic Advisory Group, whose activities include the following: (i) cataloguing existing ICD-9 and ICD-10 quality and safety indicators; (ii) reviewing ICD morbidity coding rules for main condition, diagnosis timing, numbers of diagnosis fields and diagnosis clustering; (iii) substantial restructuring of the health-care related injury concepts coded in the ICD-10 chapters 19/20, (iv) mapping of ICD-11 quality and safety conce...
Source: International Journal for Quality in Health Care - November 27, 2013 Category: Global & Universal Authors: Ghali, W. A., Pincus, H. A., Southern, D. A., Brien, S. E., Romano, P. S., Burnand, B., Drosler, S. E., Sundararajan, V., Moskal, L., Forster, A. J., Gurevich, Y., Quan, H., Colin, C., Munier, W. B., Harrison, J., Spaeth-Rublee, B., Kostanjsek, N., Ustun, Tags: Papers Source Type: research

Compulsivity, impulsivity, and the DSM-5 process.
We describe compulsivity and impulsivity as general concepts, from the perspectives of the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) Research Planning Agenda, and from the DSM-5 workgroups, literature reviews, and field trials. Finally, we detail alternative modes of classification for compulsivity and impulsivity in line with the Research Domain Criteria (RDoC) and International Classification of Diseases (ICD-11). PMID: 24229702 [PubMed - as supplied by publisher] (Source: CNS Spectrums)
Source: CNS Spectrums - November 7, 2013 Category: Neurology Authors: Berlin GS, Hollander E Tags: CNS Spectr Source Type: research

Anxious forms of depression
Previous research has described distinctive features for anxious and nonanxious forms of major depression. The concept of “mixed anxiety depression disorder” (MADD) refers to a milder degree of the anxious form of depression, since the depressive symptoms fall short of the number required for a diagnosis of major depression. It is argued that this can be thought of as a subclinical form of anxious depression, rather than a separate disorder in its own right. In view of its substantial prevalence in general medical settings, its associated disability and its public health importance, it deserves to be recognized, and se...
Source: Depression and Anxiety - November 1, 2013 Category: Psychiatry Authors: David P. Goldberg Tags: Review Source Type: research

Finalizing PTSD in DSM‐5: Getting Here From There and Where to Go Next
The process that resulted in the diagnostic criteria for posttraumatic stress disorder (PTSD) in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM‐5; American Psychiatric Association; ) was empirically based and rigorous. There was a high threshold for any changes in any DSM‐IV diagnostic criterion. The process is described in this article. The rationale is presented that led to the creation of the new chapter, “Trauma‐ and Stressor‐Related Disorders,” within the DSM‐5 metastructure. Specific issues discussed about the DSM‐5 PTSD criteria themselves include a broad versus narrow PTSD c...
Source: Journal of Traumatic Stress - October 22, 2013 Category: Psychiatry & Psychology Authors: Matthew J. Friedman Tags: Special Article Source Type: research

“I Wouldn't Start From Here”—An Alternative Perspective on PTSD From the ICD‐11: Comment on Friedman (2013)
This commentary briefly summarizes some of the criticism directed at the diagnosis of posttraumatic stress disorder (PTSD) according to the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) including the issues of complexity and comorbidity, and offers a rationale for attempting a simpler approach to diagnosis that can be used in minimally resourced, non‐English‐speaking countries. Rather than describe comprehensively the features of PTSD, the World Health Organization in its upcoming edition of the International Classification of Diseases has opted to define a much smaller number of symptoms that will ef...
Source: Journal of Traumatic Stress - October 22, 2013 Category: Psychiatry & Psychology Authors: Chris R. Brewin Tags: Commentary Source Type: research

Applying an International Perspective in Defining PTSD and Related Disorders: Comment on Friedman (2013)
We address the general perspective of the World Health Organization towards the classification process of the 11th revision of the International Classification of Diseases and Related Health Problems (ICD‐11); give a short description of the ICD‐11 proposals related to “disorders specifically associated with stress” and the differentiation between posttraumatic stress disorder, complex posttraumatic stress disorder, and prolonged grief disorder; and comment on the most important aim of classifying mental disorders—to provide the best treatments available. Traditional and Simplified Chinese Abstracts by AsianSTSS...
Source: Journal of Traumatic Stress - October 22, 2013 Category: Psychiatry & Psychology Authors: Andreas Maercker, Axel Perkonigg Tags: Commentary Source Type: research

The DSM‐5 Got PTSD Right: Comment on Friedman (2013)
Friedman in his article in this issue describes the posttraumatic stress disorder (PTSD) diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM‐5) and provides considerable information about the process that resulted in the revisions, as well as how PTSD in the DSM‐5 differs from proposals for PTSD in the International Classification of Mental Disorders and Related Health Problems (ICD‐11). In this commentary, I argue that (a) the placement of PTSD in the DSM‐5 category of Trauma and Stressor‐Related Disorders is a major advance because it draws attention to the role of “...
Source: Journal of Traumatic Stress - October 22, 2013 Category: Psychiatry & Psychology Authors: Dean G. Kilpatrick Tags: Commentary Source Type: research

PTSD in the DSM‐5: Reply to Brewin (2013), Kilpatrick (2013), and Maercker and Perkonigg (2013)
The greater emphasis on scientific evidence and the high threshold for changing any criterion in the Diagnostic and Statistical Manual for Mental Disorders (4th ed., DSM‐IV) probably account for many key differences between the DSM‐5 and the International Classification of Diseases and Related Health Problems (11th ver.; ICD‐11) with regard to diagnostic criteria for posttraumatic stress disorder (PTSD). Important questions about PTSD remain that can only be settled by future research. Additional research is also needed on subthreshold PTSD, a dissociative subtype described in the DSM‐5; complex PTSD, included in t...
Source: Journal of Traumatic Stress - October 22, 2013 Category: Psychiatry & Psychology Authors: Matthew J. Friedman Tags: Commentary Source Type: research

Prevalence of aggressive challenging behaviours in intellectual disability and its relationship to personality status: Jamaican study
ConclusionsDespite previous difficulties in assessing personality disorder in intellectual difficulties the ICD‐11 classification was easy to administer in practice in this population, and the higher problem behaviour scores in those with greater severity of personality disturbance support its construct validity. (Source: Journal of Intellectual Disability Research)
Source: Journal of Intellectual Disability Research - October 12, 2013 Category: Disability Authors: P. Tyrer, P. Oliver, S. A. Tarabi Tags: Mental Health Source Type: research

Mental Health Professionals’ Natural Taxonomies of Mental Disorders: Implications for the Clinical Utility of the ICD‐11 and the DSM‐5
ConclusionsThe 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. (Source: Journal of Clinical Psychology)
Source: Journal of Clinical Psychology - October 7, 2013 Category: Psychiatry & Psychology Authors: Geoffrey M. Reed, Michael C. Roberts, Jared Keeley, Catherine Hooppell, Chihiro Matsumoto, Pratap Sharan, Rebeca Robles, Hudson Carvalho, Chunyan Wu, Oye Gureje, Itzear Leal‐Leturia, Elizabeth H. Flanagan, João Mendonça Correia, Toshimasa Maruta, Jos Tags: Original Article Source Type: research

Diagnosis and classification of disorders specifically associated with stress: proposals for ICD-11.
Abstract The diagnostic concepts of post-traumatic stress disorder (PTSD) and other disorders specifically associated with stress have been intensively discussed among neuro- and social scientists, clinicians, epidemiologists, public health planners and humanitarian aid workers around the world. PTSD and adjustment disorder are among the most widely used diagnoses in mental health care worldwide. This paper describes proposals that aim to maximize clinical utility for the classification and grouping of disorders specifically associated with stress in the forthcoming 11th revision of the International Class...
Source: World Psychiatry - October 1, 2013 Category: Psychiatry Authors: Maercker A, Brewin CR, Bryant RA, Cloitre M, van Ommeren M, Jones LM, Humayan A, Kagee A, Llosa AE, Rousseau C, Somasundaram DJ, Souza R, Suzuki Y, Weissbecker I, Wessely SC, First MB, Reed GM Tags: World Psychiatry Source Type: research

Harmonizing WHO's International Classification of Diseases (ICD) and International Classification of Functioning, Disability and Health (ICF): importance and methods to link disease and functioning
DiscussionPart of the ICD revision process includes adding information from the ICF by way of "functioning properties" to capture the impact of the disease on functioning. The ICD content model was developed to provide the structure of information required for each ICD-11 disease entity and one component of this content model is functioning properties. The activities and participation domains from ICF are to be included as the value set for functioning properties in the ICD revision process.SummaryThe joint use of ICD and ICF could create an integrated health information system that would benefit the implementation of a st...
Source: BMC Public Health - Latest articles - August 12, 2013 Category: Consumer Health News Authors: Reuben EscorpizoNenad KostanjsekCille KennedyMolly NicolGerold StuckiTevfik Üstün Source Type: research

A case of choking phobia: towards a conceptual approach.
We present a clinical case of choking phobia in a 32-year-old male patient after an episode of choke when eating chicken. An early diagnosis and distinction from other eating disorders is important for proper treatment and fundamental for prognosis. We also make a thorough revision on literature in clinical features, differential diagnosis and treatment approaches, suggesting a conceptual approach for choking phobia as a clinical spectrum settled by different degrees of phobic subtypes, which may depend on a varied number of clinical variables. PMID: 23888402 [PubMed - as supplied by publisher] (Source: Eating and ...
Source: Eating and weight disorders : EWD - July 26, 2013 Category: Eating Disorders and Weight Management Authors: Lopes R, Melo R, Curral R, Coelho R, Roma-Torres A Tags: Eat Weight Disord Source Type: research

Towards the ICD‐11: Initiatives taken by the Japanese Society for Psychiatry and Neurology to address needs of patients and clinicians
(Source: Psychiatry and Clinical Neurosciences)
Source: Psychiatry and Clinical Neurosciences - July 16, 2013 Category: Neuroscience Authors: Toshimasa Maruta, Chihiro Matsumoto, Shigenobu Kanba Tags: Editorial Source Type: research

Highlights from the Biennial International Congress on Schizophrenia Research (ICOSR), April 21-25, 2013.
Authors: Curley AA, Fisher HL Abstract The 2013 International Congress on Schizophrenia Research, held in Orlando Grande Lakes, Florida, attracted over 1,000 attendees to the JW Marriott Hotel from 21-25 April 2013, not to mention the satellite meetings on cognition and the schizophrenia prodrome. With thanks to the Schizophrenia Research Forum (www.schizophreniaforum.org), a project of the Brain and Behavior Research Foundation, we bring you the following report on the Congress' sessions concerning DSM-5/ICD-11 and the psychosis continuum. We also want to thank Congress directors Carol Tamminga and Chuck ...
Source: Clinical Schizophrenia and Related Psychoses - July 12, 2013 Category: Psychiatry Tags: Clin Schizophr Relat Psychoses Source Type: research