Cargando…
Bipolar disorders in ICD-11: current status and strengths
BACKGROUND: The Clinical descriptions and diagnostic guidelines for the ICD-11 Classification of mental and behavioural disorders should soon be finalized. To measure their potential impact, the new proposed definitions of bipolar disorders in ICD-11 were applied to data from the Zurich cohort study...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970089/ https://www.ncbi.nlm.nih.gov/pubmed/31956923 http://dx.doi.org/10.1186/s40345-019-0165-9 |
_version_ | 1783489447758659584 |
---|---|
author | Angst, Jules Ajdacic-Gross, Vladeta Rössler, Wulf |
author_facet | Angst, Jules Ajdacic-Gross, Vladeta Rössler, Wulf |
author_sort | Angst, Jules |
collection | PubMed |
description | BACKGROUND: The Clinical descriptions and diagnostic guidelines for the ICD-11 Classification of mental and behavioural disorders should soon be finalized. To measure their potential impact, the new proposed definitions of bipolar disorders in ICD-11 were applied to data from the Zurich cohort study and compared with the definitions of ICD-10 and DSM-5. RESULTS: We found little difference between ICD-11 and ICD-10 in the identification of subjects with bipolar disorders, but compared to DSM-5 a considerable increase in the diagnosis of hypomanic episodes and therefore of bipolar-II disorders. CONCLUSIONS: Compared to ICD-10 and DSM-5 the definition of hypomanic episodes according to ICD-11 represents important progress. A higher prevalence of BP-II disorder makes sense from a clinical point of view. Further transcultural research is needed into whether out-patient treatment should be included as a criterion for hypomania. Pure mania is unfortunately missing as an independent and codable disorder in the international diagnostic manuals, whether ICD-11 or DSM-5. |
format | Online Article Text |
id | pubmed-6970089 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-69700892020-01-30 Bipolar disorders in ICD-11: current status and strengths Angst, Jules Ajdacic-Gross, Vladeta Rössler, Wulf Int J Bipolar Disord Short Communication BACKGROUND: The Clinical descriptions and diagnostic guidelines for the ICD-11 Classification of mental and behavioural disorders should soon be finalized. To measure their potential impact, the new proposed definitions of bipolar disorders in ICD-11 were applied to data from the Zurich cohort study and compared with the definitions of ICD-10 and DSM-5. RESULTS: We found little difference between ICD-11 and ICD-10 in the identification of subjects with bipolar disorders, but compared to DSM-5 a considerable increase in the diagnosis of hypomanic episodes and therefore of bipolar-II disorders. CONCLUSIONS: Compared to ICD-10 and DSM-5 the definition of hypomanic episodes according to ICD-11 represents important progress. A higher prevalence of BP-II disorder makes sense from a clinical point of view. Further transcultural research is needed into whether out-patient treatment should be included as a criterion for hypomania. Pure mania is unfortunately missing as an independent and codable disorder in the international diagnostic manuals, whether ICD-11 or DSM-5. Springer Berlin Heidelberg 2020-01-20 /pmc/articles/PMC6970089/ /pubmed/31956923 http://dx.doi.org/10.1186/s40345-019-0165-9 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Short Communication Angst, Jules Ajdacic-Gross, Vladeta Rössler, Wulf Bipolar disorders in ICD-11: current status and strengths |
title | Bipolar disorders in ICD-11: current status and strengths |
title_full | Bipolar disorders in ICD-11: current status and strengths |
title_fullStr | Bipolar disorders in ICD-11: current status and strengths |
title_full_unstemmed | Bipolar disorders in ICD-11: current status and strengths |
title_short | Bipolar disorders in ICD-11: current status and strengths |
title_sort | bipolar disorders in icd-11: current status and strengths |
topic | Short Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970089/ https://www.ncbi.nlm.nih.gov/pubmed/31956923 http://dx.doi.org/10.1186/s40345-019-0165-9 |
work_keys_str_mv | AT angstjules bipolardisordersinicd11currentstatusandstrengths AT ajdacicgrossvladeta bipolardisordersinicd11currentstatusandstrengths AT rosslerwulf bipolardisordersinicd11currentstatusandstrengths |