The reliability and clinical utility of ICD-11 schizoaffective disorder: A field trial.

Schizophrenia Research
Destiny L PetersonGeoffrey M Reed

Abstract

A major goal for the revision of the International Classification of Diseases and Related Health Problems, Tenth Edition (ICD-10) is to increase the clinical utility of the diagnostic system. Schizoaffective disorder has a history of poor diagnostic reliability due to the similarities and overlap in symptoms that it shares with other disorders, especially primary psychotic and mood disorders. The present study was part of the case-controlled field trials for ICD-11 and examines how the proposed changes for schizoaffective disorder may improve differential diagnosis and diagnostic accuracy. Clinicians from around the globe (n = 873) were provided with either ICD-10 or ICD-11 diagnostic guidelines and asked to apply them to case vignettes comparing schizoaffective disorder to schizophrenia and mood disorders with psychotic symptoms. Participants were asked to respond to follow-up diagnostic questions to determine which components of the diagnostic guidelines affected diagnostic accuracy. Overall, clinicians showed small improvements in accurately diagnosing vignettes using ICD-11 over ICD-10. Results suggest the discrepancy in diagnosing schizoaffective disorder is related primarily to the presence of mood symptoms and discrepanc...Continue Reading

Citations

Jun 27, 2019·Journal of Clinical Psychology·Julia K Brechbiel, Jared W Keeley
Jan 31, 2020·International Journal of Mental Health Systems·Mario LucianoAndrea Fiorillo
Dec 9, 2020·Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie·Frauke Schultze-LutterChantal Michel
Feb 4, 2021·Schizophrenia Bulletin·Jonne LintunenMarkku Lähteenvuo
Oct 28, 2019·CNS Spectrums·João Gama Marques, Sílvia Ouakinin

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