Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, Punjab, India.
Department of Psychiatry, University of Naples SUN, Naples, Italy.
Indian J Psychiatry. 2014 Oct;56(4):350-8. doi: 10.4103/0019-5545.146522.
World Health Organization (WHO) is in the process of revising the International Classification of Diseases 10 (ICD-10). For increasing the acceptability of the ICD-11, WHO along with World Psychiatric Association (WPA), conducted a survey of psychiatrists around the world, in which 386 psychiatrists from India participated.
To present the findings of "WPA-WHO Global Survey of Psychiatrists' Attitudes toward Mental Disorders Classification" for Indian psychiatrists who participated in the survey as members of Indian Psychiatric Society.
The online survey was sent to qualified psychiatrists who are members of Indian Psychiatric Society and are residing in India.
Of the 1702 members who were urged to participate in the survey, 386 (22.7%) participated. Most(79%) of the psychiatrists opined that they use formal classificatory systems in their day-to-day clinical practice. ICD-10 was the most commonly (71%) followed classificatory system. Nearly half (48%) felt the need for only 10-30 categories for use in clinical settings and another 44% opined that 31-100 categories are required for use. Most of the participants (85%) suggested that a modified/simpler classificatory system should be designed for primary care practitioners. Similarly, the same number of participants (89%) argued that for maximum utility of a nosological system diagnostic criteria should provide flexible guidance that allows cultural variation and clinical judgement. About 75% opined that the diagnostic system they were using was difficult to apply across cultures.
Findings of the survey suggest that classificatory systems are routinely used in day-to-day practice by most of the participating psychiatrists in India and most expect that future classificatory system should provide flexible guidance that allows cultural variation and clinical judgement.
世界卫生组织（WHO）正在修订《国际疾病分类第 10 版》（ICD-10）。为了提高 ICD-11 的可接受性，世界卫生组织与世界精神病学协会（WPA）一起对世界各地的精神病医生进行了调查，其中有 386 名印度精神病医生参与。
介绍参加调查的印度精神病医生对《世界精神病学协会-世界卫生组织全球精神障碍分类态度调查》的调查结果，他们是印度精神病学会的成员。
这项在线调查发给了有资格的、居住在印度的印度精神病学会成员。
在被敦促参加调查的 1702 名成员中，有 386 名（22.7%）参与了调查。大多数（79%）的精神科医生认为他们在日常临床实践中使用正式的分类系统。ICD-10 是最常用的分类系统（71%）。近一半（48%）的人认为在临床环境中只需要使用 10-30 个类别，另有 44%的人认为需要使用 31-100 个类别。大多数参与者（85%）建议为初级保健医生设计一个改良/简化的分类系统。同样，同样数量的参与者（89%）认为，为了最大限度地利用分类系统，诊断标准应提供灵活的指导，允许文化差异和临床判断。约 75%的人认为他们正在使用的诊断系统在跨文化应用方面存在困难。
调查结果表明，分类系统在印度大多数参与调查的精神病医生的日常实践中得到常规应用，他们大多数期望未来的分类系统应提供灵活的指导，允许文化差异和临床判断。
