Estudio de campo con casos controlados para evaluar propuestas de la CIE-11 en problemas relacionales y de violencia de pareja

Translated title of the contribution: A case-controlled field study evaluating ICD-11 proposals for relational problems and intimate partner violence

Richard E. Heyman, Cary S. Kogan, Heather M. Foran, Samantha C. Burns, Amy M.Smith Slep, Alexandra K. Wojda, Jared W. Keeley, Tahilia J. Rebello, Geoffrey M. Reed

Research output: Contribution to journalArticlepeer-review

Abstract

Background/Objective: Intimate partner relationship problems and intimate partner abuse and neglect — referred to in this paper as “relational problems and maltreatment” — have substantial and well-documented impact on both physical and mental health. However, classification guidelines, such as those found in the International Classification of Diseases (ICD-10), are vague and unlikely to support consistent application. Revised guidelines proposed for ICD-11 are much more operationalized. We used standardized clinical vignette conditions with an international panel of clinicians to test if ICD-11 changes resulted in improved classification accuracy. Method: English-speaking mental health professionals (N = 738) from 65 nations applied ICD-10 or ICD-11 (proposed) guidelines with experimentally manipulated case presentations of presence or absence of (a) individual mental health diagnoses and (b) relational problems or maltreatment. Results: ICD-11, compared with ICD-10, guidelines resulted in significantly better classification accuracy, although only in the presence of co-morbid mental health problems. Clinician factors (e. g., gender, language, world region) largely did not impact classification performance. Conclusions: Despite being considerably more explicated, raters’ performance with ICD-11 guidelines reveals training issues that should be addressed prior to the release of ICD-11 in 2018 (e. g., overriding the guidelines with pre-existing archetypes for relationship problems and physical and psychological abuse).

Translated title of the contributionA case-controlled field study evaluating ICD-11 proposals for relational problems and intimate partner violence
Original languageSpanish
Pages (from-to)113-123
Number of pages11
JournalInternational Journal of Clinical and Health Psychology
Volume18
Issue number2
DOIs
StatePublished - May 1 2018

Keywords

  • Case-controlled field study
  • International Classification of Diseases
  • Intimate partner relationship problems
  • Intimate partner violence
  • Mental health problems

ASJC Scopus subject areas

  • Clinical Psychology

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