[ICD-10 in psychiatric diagnosis. The concept and initial practical experiences]

Area of Science:

• Psychiatry
• Medical Classification Systems
• Public Health

Context:

• The introduction of the International Classification of Diseases, 10th Revision (ICD-10) in 1992 by World Health Organization (WHO)-member states marked a significant shift in psychiatric diagnostics.
• This represented the first implementation of an operational diagnostic approach within a WHO classification system for psychiatric routine care.

Purpose:

• To provide a historical overview of psychiatric diagnostic systems.
• To demonstrate the basic concepts and key innovations of the ICD-10.
• To evaluate the results of field trials assessing the ICD-10's utility and reliability.

Summary:

• The ICD-10, implemented in WHO member states since 1992, introduced an operational diagnostic approach to psychiatric routine.
• Field trial results indicated wide acceptance and improved diagnostic reliability with the new classification system.
• Despite methodological advancements, the study acknowledges that numerous content-related issues still require resolution.

Impact:

• Facilitated a standardized and more reliable method for psychiatric diagnosis globally.
• Laid the groundwork for future revisions and improvements in mental health classification.
• Highlighted the ongoing need for refinement in diagnostic criteria and content within psychiatric nosology.