SA Medical Research Council Unit on Risk & Resilience in Mental Disorders, Dept of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa.
Centre for Addiction and Mental Health, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
BMC Med. 2020 Jan 27;18(1):21. doi: 10.1186/s12916-020-1495-2.
An update of the chapter on Mental, Behavioral and Neurodevelopmental Disorders in the International Classification of Diseases and Related Health Problems (ICD) is of great interest around the world. The recent approval of the 11th Revision of the ICD (ICD-11) by the World Health Organization (WHO) raises broad questions about the status of nosology of mental disorders as a whole as well as more focused questions regarding changes to the diagnostic guidelines for specific conditions and the implications of these changes for practice and research. This Forum brings together a broad range of experts to reflect on key changes and controversies in the ICD-11 classification of mental disorders. Taken together, there is consensus that the WHO's focus on global applicability and clinical utility in developing the diagnostic guidelines for this chapter will maximize the likelihood that it will be adopted by mental health professionals and administrators. This focus is also expected to enhance the application of the guidelines in non-specialist settings and their usefulness for scaling up evidence-based interventions. The new mental disorders classification in ICD-11 and its accompanying diagnostic guidelines therefore represent an important, albeit iterative, advance for the field.
精神、行为和神经发育障碍章节在国际疾病分类和相关健康问题（ICD）中的更新在全球范围内引起了极大的关注。世界卫生组织（WHO）最近批准了 ICD 的第 11 次修订版（ICD-11），这引发了关于整个精神障碍分类学地位的广泛问题，以及更具体的关于特定疾病诊断指南变化的问题，以及这些变化对实践和研究的影响。本论坛汇集了广泛的专家，以反思 ICD-11 精神障碍分类中的关键变化和争议。总的来说，与会者一致认为，WHO 关注全球适用性和临床实用性，为该章节制定诊断指南，将最大限度地提高精神卫生专业人员和管理人员采用该指南的可能性。这种关注也有望增强在非专业环境中应用这些指南的能力，并提高其用于扩大循证干预措施的实用性。因此，ICD-11 中的新精神障碍分类及其伴随的诊断指南代表了该领域的一个重要但迭代的进展。
