Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders

Geoffrey M. Reed, Michael B. First, Cary S. Kogan, Steven E. Hyman, Oye Gureje, Wolfgang Gaebel, Mario Maj, Dan J. Stein, Andreas Maercker, Peter Tyrer, Angelica Claudino, Elena Garralda, Luis Salvador-Carulla, Rajat Ray, John B. Saunders, Tarun Dua, Vladimir Poznyak, Maria Elena Medina-Mora, Kathleen M. Pike, Jose L. Ayuso-Mateos & 21 others Shigenobu Kanba, Jared W. Keeley, Brigitte Khoury, Valery N. Krasnov, Maya Kulygina, Anne M. Lovell, Jair De Jesus Mari, Toshimasa Maruta, Chihiro Matsumoto, Tahilia J. Rebello, Michael C. Roberts, Rebeca Robles, Pratap Sharan, Min Zhao, Assen Jablensky, Pichet Udomratn, Afarin Rahimi-Movaghar, Per-Anders Rydelius, Sabine Bahrer-Kohler, Ann D. Watts, Shekhar Saxena

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Following approval of the ICD-11 by the World Health Assembly in May 2019, World Health Organization (WHO) member states will transition from the ICD-10 to the ICD-11, with reporting of health statistics based on the new system to begin on January 1, 2022. The WHO Department of Mental Health and Substance Abuse will publish Clinical Descriptions and Diagnostic Guidelines (CDDG) for ICD-11 Mental, Behavioural and Neurodevelopmental Disorders following ICD-11's approval. The development of the ICD-11 CDDG over the past decade, based on the principles of clinical utility and global applicability, has been the most broadly international, multilingual, multidisciplinary and participative revision process ever implemented for a classification of mental disorders. Innovations in the ICD-11 include the provision of consistent and systematically characterized information, the adoption of a lifespan approach, and culture-related guidance for each disorder. Dimensional approaches have been incorporated into the classification, particularly for personality disorders and primary psychotic disorders, in ways that are consistent with current evidence, are more compatible with recovery-based approaches, eliminate artificial comorbidity, and more effectively capture changes over time. Here we describe major changes to the structure of the ICD-11 classification of mental disorders as compared to the ICD-10, and the development of two new ICD-11 chapters relevant to mental health practice. We illustrate a set of new categories that have been added to the ICD-11 and present the rationale for their inclusion. Finally, we provide a description of the important changes that have been made in each ICD-11 disorder grouping. This information is intended to be useful for both clinicians and researchers in orienting themselves to the ICD-11 and in preparing for implementation in their own professional contexts.

Original languageEnglish
Pages (from-to)3-19
Number of pages17
JournalWorld Psychiatry
Volume18
Issue number1
DOIs
Publication statusPublished - Feb 2019

Cite this

Reed, G. M., First, M. B., Kogan, C. S., Hyman, S. E., Gureje, O., Gaebel, W., ... Saxena, S. (2019). Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders. World Psychiatry, 18(1), 3-19. https://doi.org/10.1002/wps.20611
Reed, Geoffrey M. ; First, Michael B. ; Kogan, Cary S. ; Hyman, Steven E. ; Gureje, Oye ; Gaebel, Wolfgang ; Maj, Mario ; Stein, Dan J. ; Maercker, Andreas ; Tyrer, Peter ; Claudino, Angelica ; Garralda, Elena ; Salvador-Carulla, Luis ; Ray, Rajat ; Saunders, John B. ; Dua, Tarun ; Poznyak, Vladimir ; Medina-Mora, Maria Elena ; Pike, Kathleen M. ; Ayuso-Mateos, Jose L. ; Kanba, Shigenobu ; Keeley, Jared W. ; Khoury, Brigitte ; Krasnov, Valery N. ; Kulygina, Maya ; Lovell, Anne M. ; Mari, Jair De Jesus ; Maruta, Toshimasa ; Matsumoto, Chihiro ; Rebello, Tahilia J. ; Roberts, Michael C. ; Robles, Rebeca ; Sharan, Pratap ; Zhao, Min ; Jablensky, Assen ; Udomratn, Pichet ; Rahimi-Movaghar, Afarin ; Rydelius, Per-Anders ; Bahrer-Kohler, Sabine ; Watts, Ann D. ; Saxena, Shekhar. / Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders. In: World Psychiatry. 2019 ; Vol. 18, No. 1. pp. 3-19.
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author = "Reed, {Geoffrey M.} and First, {Michael B.} and Kogan, {Cary S.} and Hyman, {Steven E.} and Oye Gureje and Wolfgang Gaebel and Mario Maj and Stein, {Dan J.} and Andreas Maercker and Peter Tyrer and Angelica Claudino and Elena Garralda and Luis Salvador-Carulla and Rajat Ray and Saunders, {John B.} and Tarun Dua and Vladimir Poznyak and Medina-Mora, {Maria Elena} and Pike, {Kathleen M.} and Ayuso-Mateos, {Jose L.} and Shigenobu Kanba and Keeley, {Jared W.} and Brigitte Khoury and Krasnov, {Valery N.} and Maya Kulygina and Lovell, {Anne M.} and Mari, {Jair De Jesus} and Toshimasa Maruta and Chihiro Matsumoto and Rebello, {Tahilia J.} and Roberts, {Michael C.} and Rebeca Robles and Pratap Sharan and Min Zhao and Assen Jablensky and Pichet Udomratn and Afarin Rahimi-Movaghar and Per-Anders Rydelius and Sabine Bahrer-Kohler and Watts, {Ann D.} and Shekhar Saxena",
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Reed, GM, First, MB, Kogan, CS, Hyman, SE, Gureje, O, Gaebel, W, Maj, M, Stein, DJ, Maercker, A, Tyrer, P, Claudino, A, Garralda, E, Salvador-Carulla, L, Ray, R, Saunders, JB, Dua, T, Poznyak, V, Medina-Mora, ME, Pike, KM, Ayuso-Mateos, JL, Kanba, S, Keeley, JW, Khoury, B, Krasnov, VN, Kulygina, M, Lovell, AM, Mari, JDJ, Maruta, T, Matsumoto, C, Rebello, TJ, Roberts, MC, Robles, R, Sharan, P, Zhao, M, Jablensky, A, Udomratn, P, Rahimi-Movaghar, A, Rydelius, P-A, Bahrer-Kohler, S, Watts, AD & Saxena, S 2019, 'Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders' World Psychiatry, vol. 18, no. 1, pp. 3-19. https://doi.org/10.1002/wps.20611

Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders. / Reed, Geoffrey M.; First, Michael B.; Kogan, Cary S.; Hyman, Steven E.; Gureje, Oye; Gaebel, Wolfgang; Maj, Mario; Stein, Dan J.; Maercker, Andreas; Tyrer, Peter; Claudino, Angelica; Garralda, Elena; Salvador-Carulla, Luis; Ray, Rajat; Saunders, John B.; Dua, Tarun; Poznyak, Vladimir; Medina-Mora, Maria Elena; Pike, Kathleen M.; Ayuso-Mateos, Jose L.; Kanba, Shigenobu; Keeley, Jared W.; Khoury, Brigitte; Krasnov, Valery N.; Kulygina, Maya; Lovell, Anne M.; Mari, Jair De Jesus; Maruta, Toshimasa; Matsumoto, Chihiro; Rebello, Tahilia J.; Roberts, Michael C.; Robles, Rebeca; Sharan, Pratap; Zhao, Min; Jablensky, Assen; Udomratn, Pichet; Rahimi-Movaghar, Afarin; Rydelius, Per-Anders; Bahrer-Kohler, Sabine; Watts, Ann D.; Saxena, Shekhar.

In: World Psychiatry, Vol. 18, No. 1, 02.2019, p. 3-19.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders

AU - Reed, Geoffrey M.

AU - First, Michael B.

AU - Kogan, Cary S.

AU - Hyman, Steven E.

AU - Gureje, Oye

AU - Gaebel, Wolfgang

AU - Maj, Mario

AU - Stein, Dan J.

AU - Maercker, Andreas

AU - Tyrer, Peter

AU - Claudino, Angelica

AU - Garralda, Elena

AU - Salvador-Carulla, Luis

AU - Ray, Rajat

AU - Saunders, John B.

AU - Dua, Tarun

AU - Poznyak, Vladimir

AU - Medina-Mora, Maria Elena

AU - Pike, Kathleen M.

AU - Ayuso-Mateos, Jose L.

AU - Kanba, Shigenobu

AU - Keeley, Jared W.

AU - Khoury, Brigitte

AU - Krasnov, Valery N.

AU - Kulygina, Maya

AU - Lovell, Anne M.

AU - Mari, Jair De Jesus

AU - Maruta, Toshimasa

AU - Matsumoto, Chihiro

AU - Rebello, Tahilia J.

AU - Roberts, Michael C.

AU - Robles, Rebeca

AU - Sharan, Pratap

AU - Zhao, Min

AU - Jablensky, Assen

AU - Udomratn, Pichet

AU - Rahimi-Movaghar, Afarin

AU - Rydelius, Per-Anders

AU - Bahrer-Kohler, Sabine

AU - Watts, Ann D.

AU - Saxena, Shekhar

PY - 2019/2

Y1 - 2019/2

N2 - Following approval of the ICD-11 by the World Health Assembly in May 2019, World Health Organization (WHO) member states will transition from the ICD-10 to the ICD-11, with reporting of health statistics based on the new system to begin on January 1, 2022. The WHO Department of Mental Health and Substance Abuse will publish Clinical Descriptions and Diagnostic Guidelines (CDDG) for ICD-11 Mental, Behavioural and Neurodevelopmental Disorders following ICD-11's approval. The development of the ICD-11 CDDG over the past decade, based on the principles of clinical utility and global applicability, has been the most broadly international, multilingual, multidisciplinary and participative revision process ever implemented for a classification of mental disorders. Innovations in the ICD-11 include the provision of consistent and systematically characterized information, the adoption of a lifespan approach, and culture-related guidance for each disorder. Dimensional approaches have been incorporated into the classification, particularly for personality disorders and primary psychotic disorders, in ways that are consistent with current evidence, are more compatible with recovery-based approaches, eliminate artificial comorbidity, and more effectively capture changes over time. Here we describe major changes to the structure of the ICD-11 classification of mental disorders as compared to the ICD-10, and the development of two new ICD-11 chapters relevant to mental health practice. We illustrate a set of new categories that have been added to the ICD-11 and present the rationale for their inclusion. Finally, we provide a description of the important changes that have been made in each ICD-11 disorder grouping. This information is intended to be useful for both clinicians and researchers in orienting themselves to the ICD-11 and in preparing for implementation in their own professional contexts.

AB - Following approval of the ICD-11 by the World Health Assembly in May 2019, World Health Organization (WHO) member states will transition from the ICD-10 to the ICD-11, with reporting of health statistics based on the new system to begin on January 1, 2022. The WHO Department of Mental Health and Substance Abuse will publish Clinical Descriptions and Diagnostic Guidelines (CDDG) for ICD-11 Mental, Behavioural and Neurodevelopmental Disorders following ICD-11's approval. The development of the ICD-11 CDDG over the past decade, based on the principles of clinical utility and global applicability, has been the most broadly international, multilingual, multidisciplinary and participative revision process ever implemented for a classification of mental disorders. Innovations in the ICD-11 include the provision of consistent and systematically characterized information, the adoption of a lifespan approach, and culture-related guidance for each disorder. Dimensional approaches have been incorporated into the classification, particularly for personality disorders and primary psychotic disorders, in ways that are consistent with current evidence, are more compatible with recovery-based approaches, eliminate artificial comorbidity, and more effectively capture changes over time. Here we describe major changes to the structure of the ICD-11 classification of mental disorders as compared to the ICD-10, and the development of two new ICD-11 chapters relevant to mental health practice. We illustrate a set of new categories that have been added to the ICD-11 and present the rationale for their inclusion. Finally, we provide a description of the important changes that have been made in each ICD-11 disorder grouping. This information is intended to be useful for both clinicians and researchers in orienting themselves to the ICD-11 and in preparing for implementation in their own professional contexts.

KW - International Classification of Diseases

KW - ICD-11

KW - diagnosis

KW - mental disorders

KW - clinical utility

KW - dimensional approaches

KW - culture-related guidance

KW - BIPOLAR-II DISORDER

KW - CLINICAL UTILITY

KW - INTERNATIONAL CLASSIFICATION

KW - DIAGNOSTIC CLASSIFICATION

KW - PSYCHOTIC DISORDERS

KW - HOARDING DISORDER

KW - HEALTH SETTINGS

KW - PROPOSALS

KW - ANXIETY

KW - IRRITABILITY

U2 - 10.1002/wps.20611

DO - 10.1002/wps.20611

M3 - Article

VL - 18

SP - 3

EP - 19

JO - World Psychiatry

JF - World Psychiatry

SN - 1723-8617

IS - 1

ER -