ICD-11 guidelines for psychotic,mood, anxiety and stress-related disorders in Mexico: Clinical utility and reliability |
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Authors: | María Elena Medina-Mora Rebeca Robles Tahilia J. Rebello Tecelli Domínguez Nicolás Martínez Francisco Juárez Pratap Sharan Geoffrey M. Reed |
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Affiliation: | 1. Instituto Nacional de Psiquiatría Ramón de la Fuente, Mexico;2. Global Mental Health Program, Columbia University College of Physicians and Surgeons, USA;3. Cátedra CONACYT (Consejo Nacional de Ciencia y Tecnología), Mexico;4. All India Institute of Medical Sciences, Ansari Nagar, India |
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Abstract: | Background/Objective: The World Health Organization's diagnostic guidelines for ICD-11 mental and behavioural disorders must be tested in clinical settings around the world to ensure that they are clinically useful and genuinely global. The objective is evaluate the inter-rater reliability and clinical utility of ICD-11 guidelines for psychotic, mood, anxiety- and stress-related disorders in Mexican patients. Method: Adult volunteers exhibiting the selected symptoms were referred from the pre-consultation unit of a public psychiatric hospital to an interview by a pair of clinicians, who subsequently assigned independent diagnoses and evaluated the clinical utility of the diagnostic guidelines as applied to each particular case, on the basis of a scale developed for this purpose. Results: 23 clinicians evaluated 153 patients. Kappa scores were strong for psychotic disorders (.83), moderate for stress-related (.77) and mood disorders (.60) and week for anxiety and fear-related disorders (.43). A high proportion of clinicians considered all diagnostic guidelines to be quite to extremely useful as applied to their patients. Conclusions: ICD-11 guidelines for psychotic, stress-related and mood disorders allow adequate inter-rater consistency among Mexican clinicians, who also considered them as clinical useful tools. |
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Keywords: | ICD-11 Diagnostic guidelines Mental disorders Reliability Clinical utility Instrumental study Guías diagnósticas trastornos mentales fiabilidad utilidad clínica estudio instrumental |
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