Primary care physicians' use of the proposed classification of common mental disorders for ICD-11

David P. Goldberg, Tai-Pong Lam, Fareed Minhas, Bushra Razzaque, Rebeca Robles, Julio Bobes, Celso Iglesias, Sandra Fortes, Jair de Jesus Mari, Linda Gask, Jose Angel Garcia, Anthony C. Dowell, Marianne Rosendal, Geoffrey M. Reed

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Background. The World Health Organization is revising the classification of common mental disorders in primary care for ICD-11. Major changes from the ICD-10 primary care version have been proposed for: (i) mood and anxiety disorders; and (ii) presentations of multiple somatic symptoms (bodily stress syndrome). This three-part field study explored the implementation of the revised classification by primary care physicians (PCPs) in five countries. Methods. Participating PCPs in Brazil, China, Mexico, Pakistan and Spain were asked to use the revised classification, first in patients that they suspected might be psychologically distressed (Part 1), and second in patients with multiple somatic symptoms causing distress or disability not wholly attributable to a known physical pathology, or with high levels of health anxiety (Part 2). Patients referred to Part 1 or Part 2 underwent a structured diagnostic interview. Part 3 consisted of feedback from PCPs regarding the classification. Results. In Part 1, anxious depression was the most common disorder among referred patients. PCPs assigned the highest severity ratings to anxious depression, and the next highest to current depression; current anxiety was rated as least severe. Considerable overlap was found between bodily stress syndrome (BSS) and health anxiety (HA). The psychiatric interview recorded higher rates of mood and anxiety disorders diagnoses among patients with BSS than did PCPs. PCPs' satisfaction with the revised classification was high. Conclusions. Results generally supported the inclusion of the new categories of anxious depression, BSS and HA for ICD-11 PHC and suggested that PCPs could implement these categories satisfactorily.
OriginalsprogEngelsk
TidsskriftFamily Practice
Vol/bind34
Udgave nummer5
Sider (fra-til)574-580
ISSN0263-2136
DOI
StatusUdgivet - 2017

Fingeraftryk

Primary Care Physicians
Depression
Primary Health Care
Interviews
Pakistan
Health
International Classification of Diseases
Mexico
China
Pathology

Emneord

  • Anxiety
  • classification
  • depression
  • ICD-11
  • primary care
  • somatoform disorders

Citer dette

Goldberg, D. P., Lam, T-P., Minhas, F., Razzaque, B., Robles, R., Bobes, J., ... Reed, G. M. (2017). Primary care physicians' use of the proposed classification of common mental disorders for ICD-11. Family Practice, 34(5), 574-580. https://doi.org/10.1093/fampra/cmx033
Goldberg, David P. ; Lam, Tai-Pong ; Minhas, Fareed ; Razzaque, Bushra ; Robles, Rebeca ; Bobes, Julio ; Iglesias, Celso ; Fortes, Sandra ; Mari, Jair de Jesus ; Gask, Linda ; Garcia, Jose Angel ; Dowell, Anthony C. ; Rosendal, Marianne ; Reed, Geoffrey M. / Primary care physicians' use of the proposed classification of common mental disorders for ICD-11. I: Family Practice. 2017 ; Bind 34, Nr. 5. s. 574-580.
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abstract = "Background. The World Health Organization is revising the classification of common mental disorders in primary care for ICD-11. Major changes from the ICD-10 primary care version have been proposed for: (i) mood and anxiety disorders; and (ii) presentations of multiple somatic symptoms (bodily stress syndrome). This three-part field study explored the implementation of the revised classification by primary care physicians (PCPs) in five countries. Methods. Participating PCPs in Brazil, China, Mexico, Pakistan and Spain were asked to use the revised classification, first in patients that they suspected might be psychologically distressed (Part 1), and second in patients with multiple somatic symptoms causing distress or disability not wholly attributable to a known physical pathology, or with high levels of health anxiety (Part 2). Patients referred to Part 1 or Part 2 underwent a structured diagnostic interview. Part 3 consisted of feedback from PCPs regarding the classification. Results. In Part 1, anxious depression was the most common disorder among referred patients. PCPs assigned the highest severity ratings to anxious depression, and the next highest to current depression; current anxiety was rated as least severe. Considerable overlap was found between bodily stress syndrome (BSS) and health anxiety (HA). The psychiatric interview recorded higher rates of mood and anxiety disorders diagnoses among patients with BSS than did PCPs. PCPs' satisfaction with the revised classification was high. Conclusions. Results generally supported the inclusion of the new categories of anxious depression, BSS and HA for ICD-11 PHC and suggested that PCPs could implement these categories satisfactorily.",
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Goldberg, DP, Lam, T-P, Minhas, F, Razzaque, B, Robles, R, Bobes, J, Iglesias, C, Fortes, S, Mari, JDJ, Gask, L, Garcia, JA, Dowell, AC, Rosendal, M & Reed, GM 2017, 'Primary care physicians' use of the proposed classification of common mental disorders for ICD-11', Family Practice, bind 34, nr. 5, s. 574-580. https://doi.org/10.1093/fampra/cmx033

Primary care physicians' use of the proposed classification of common mental disorders for ICD-11. / Goldberg, David P.; Lam, Tai-Pong; Minhas, Fareed; Razzaque, Bushra; Robles, Rebeca; Bobes, Julio; Iglesias, Celso; Fortes, Sandra; Mari, Jair de Jesus; Gask, Linda; Garcia, Jose Angel; Dowell, Anthony C.; Rosendal, Marianne; Reed, Geoffrey M.

I: Family Practice, Bind 34, Nr. 5, 2017, s. 574-580.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Primary care physicians' use of the proposed classification of common mental disorders for ICD-11

AU - Goldberg, David P.

AU - Lam, Tai-Pong

AU - Minhas, Fareed

AU - Razzaque, Bushra

AU - Robles, Rebeca

AU - Bobes, Julio

AU - Iglesias, Celso

AU - Fortes, Sandra

AU - Mari, Jair de Jesus

AU - Gask, Linda

AU - Garcia, Jose Angel

AU - Dowell, Anthony C.

AU - Rosendal, Marianne

AU - Reed, Geoffrey M.

PY - 2017

Y1 - 2017

N2 - Background. The World Health Organization is revising the classification of common mental disorders in primary care for ICD-11. Major changes from the ICD-10 primary care version have been proposed for: (i) mood and anxiety disorders; and (ii) presentations of multiple somatic symptoms (bodily stress syndrome). This three-part field study explored the implementation of the revised classification by primary care physicians (PCPs) in five countries. Methods. Participating PCPs in Brazil, China, Mexico, Pakistan and Spain were asked to use the revised classification, first in patients that they suspected might be psychologically distressed (Part 1), and second in patients with multiple somatic symptoms causing distress or disability not wholly attributable to a known physical pathology, or with high levels of health anxiety (Part 2). Patients referred to Part 1 or Part 2 underwent a structured diagnostic interview. Part 3 consisted of feedback from PCPs regarding the classification. Results. In Part 1, anxious depression was the most common disorder among referred patients. PCPs assigned the highest severity ratings to anxious depression, and the next highest to current depression; current anxiety was rated as least severe. Considerable overlap was found between bodily stress syndrome (BSS) and health anxiety (HA). The psychiatric interview recorded higher rates of mood and anxiety disorders diagnoses among patients with BSS than did PCPs. PCPs' satisfaction with the revised classification was high. Conclusions. Results generally supported the inclusion of the new categories of anxious depression, BSS and HA for ICD-11 PHC and suggested that PCPs could implement these categories satisfactorily.

AB - Background. The World Health Organization is revising the classification of common mental disorders in primary care for ICD-11. Major changes from the ICD-10 primary care version have been proposed for: (i) mood and anxiety disorders; and (ii) presentations of multiple somatic symptoms (bodily stress syndrome). This three-part field study explored the implementation of the revised classification by primary care physicians (PCPs) in five countries. Methods. Participating PCPs in Brazil, China, Mexico, Pakistan and Spain were asked to use the revised classification, first in patients that they suspected might be psychologically distressed (Part 1), and second in patients with multiple somatic symptoms causing distress or disability not wholly attributable to a known physical pathology, or with high levels of health anxiety (Part 2). Patients referred to Part 1 or Part 2 underwent a structured diagnostic interview. Part 3 consisted of feedback from PCPs regarding the classification. Results. In Part 1, anxious depression was the most common disorder among referred patients. PCPs assigned the highest severity ratings to anxious depression, and the next highest to current depression; current anxiety was rated as least severe. Considerable overlap was found between bodily stress syndrome (BSS) and health anxiety (HA). The psychiatric interview recorded higher rates of mood and anxiety disorders diagnoses among patients with BSS than did PCPs. PCPs' satisfaction with the revised classification was high. Conclusions. Results generally supported the inclusion of the new categories of anxious depression, BSS and HA for ICD-11 PHC and suggested that PCPs could implement these categories satisfactorily.

KW - Anxiety

KW - classification

KW - depression

KW - ICD-11

KW - primary care

KW - somatoform disorders

U2 - 10.1093/fampra/cmx033

DO - 10.1093/fampra/cmx033

M3 - Journal article

VL - 34

SP - 574

EP - 580

JO - Family Practice

JF - Family Practice

SN - 0263-2136

IS - 5

ER -