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Assessing the opinions and experiences of German-speaking psychiatrists regarding necessary changes for the 11th revision of the mental disorders chapter of the international classification of disorders (ICD-11)

Published online by Cambridge University Press:  16 April 2020

J. Zielasek ,
H.J. Freyberger ,
M. Jänner ,
H.P. Kapfhammer ,
N. Sartorius ,
R.D. Stieglitz  and
W. Gaebel
J. Zielasek*
Affiliation:
Department of Psychiatry and Psychotherapy, Heinrich-Heine University, LVR-Klinikum Düsseldorf, Bergische Landstr. 2, 40629Düsseldorf, Germany
H.J. Freyberger
Affiliation:
Department of Psychiatry and Psychotherapy, Ernst-Moritz-Arndt Universität Greifswald, Hanse-Klinkum Stralsund, Rostocker Chaussee, 70, 18437Stralsund, Germany
M. Jänner
Affiliation:
Department of Psychiatry and Psychotherapy, Heinrich-Heine University, LVR-Klinikum Düsseldorf, Bergische Landstr. 2, 40629Düsseldorf, Germany
H.P. Kapfhammer
Affiliation:
Department of Psychiatry, Medical University of Graz, Auenbruggerplatz, 31, 8036Graz, Austria
N. Sartorius
Affiliation:
14, chemin Colladon, 1209Geneva, Switzerland
R.D. Stieglitz
Affiliation:
Psychiatric Outpatient Department, Hospital Basel, Petersgraben, 4, 4031Basel, Switzerland
W. Gaebel
Affiliation:
Department of Psychiatry and Psychotherapy, Heinrich-Heine University, LVR-Klinikum Düsseldorf, Bergische Landstr. 2, 40629Düsseldorf, Germany
*
*Corresponding author. Tel.: +49 211 922 2019; fax: +49 211 922 2022. E-mail address: [email protected] (J. Zielasek).
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Abstract

We performed an Internet-based questionnaire survey of the opinions of German-speaking psychiatrists regarding the experiences with the 10th revision of the international classification of mental disorders (chapter F of ICD-10). We received 304 completed questionnaires including more than 500 free-text comments. The responding group was characterized by professionally experienced middle-aged psychiatrists. German-speaking psychiatrists were comparatively content with ICD-10. Most diagnostic categories received a “satisfied” or “very satisfied” rating by the majority of respondents. Negative “goodness of fit” ratings – a possible indicator of the need for revision – were not higher than 50% for any category. Based on free-text entries, neurasthenia was the single diagnostic category most often suggested for deletion in ICD-11. Changes were considered necessary mainly for dementias and personality disorders. Adult attention deficit disorder and narcissistic personality disorder were the two diagnostic categories most frequently suggested to be added as new categories. This study provides valuable information related to perceived clinical utility of the classification, though with a narrow sample. Information about clinicians’ experiences should be combined with scientific evidence for the revision process of ICD-11.

Keywords

MiscellaneousICD and/or DSMCriteria
Type
Development of the New International Classification of Disorders (ICD 11)
Information
European Psychiatry , Volume 25 , Issue 8 , December 2010 , pp. 437 - 442
Copyright
Copyright © Elsevier Masson SAS 2010

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