Taxonomy and utility in the diagnostic classification of mental disorders.

International Classification of Diseases 11th Revision classification systems clinical utility diagnosis taxonomy

Journal

Journal of clinical psychology
ISSN: 1097-4679
Titre abrégé: J Clin Psychol
Pays: United States
ID NLM: 0217132

Informations de publication

Date de publication:
09 2021
Historique:
revised: 24 12 2020
received: 05 05 2020
accepted: 21 01 2021
pubmed: 28 2 2021
medline: 26 11 2021
entrez: 27 2 2021
Statut: ppublish

Résumé

One strategy for improving the clinical utility of mental health diagnostic systems is to better align them with how clinicians conceptualize psychopathology in practice. This approach was used in International Classification of Diseases 11th Revision (ICD-11) development, but its underlying assumption-a link between taxonomic "fit" and clinical utility-remains untested. Using data from global mental health clinician samples (combined N = 5404), we investigated the association between taxonomic fit and clinical utility in mental disorder categories. The overall association between fit and utility was positive (r = 0.19) but statistically not different from zero (95% confidence interval [CI]: -0.06, 0.43) in this small sample (N = 39 ICD/DSM categories). However, a positive association became clear after correcting for outliers (r = 0.34 [0.05, 0.58] or higher). Further insights were apparent for specific diagnoses given their locations in the scatterplot. Results suggest a positive link between taxonomic fit and clinical utility in mental disorder diagnoses, highlighting future research directions.

Identifiants

pubmed: 33638149
doi: 10.1002/jclp.23125
pmc: PMC8387502
mid: NIHMS1676633
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1921-1936

Subventions

Organisme : World Health Organization
ID : 001
Pays : International
Organisme : NIMH NIH HHS
ID : L30 MH120708
Pays : United States
Organisme : NIMH NIH HHS
ID : Loan Repayment Program
Pays : United States

Informations de copyright

© 2021 Wiley Periodicals LLC.

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Auteurs

Spencer C Evans (SC)

Department of Psychology, University of Miami, Coral Gables, Florida, USA.

Michael C Roberts (MC)

Clinical Child Psychology Program, University of Kansas, Lawrence, Kansas, USA.

Jessy Guler (J)

Clinical Child Psychology Program, University of Kansas, Lawrence, Kansas, USA.

Jared W Keeley (JW)

Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA.

Geoffrey M Reed (GM)

Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.
Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland.

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Classifications MeSH