[Trend in ICD-11 primary health care version--possibility of introducing new psychiatric diagnosis categories]

Area of Science:

• Psychiatry
• Public Health
• Medical Classification Systems

Context:

• The upcoming revision of the International Classification of Diseases, 11th Revision (ICD-11) is set for general assembly approval in 2015.
• The ICD-11 revision, particularly the ICD-11 for Primary Health Care (ICD-11-PHC), emphasizes enhanced cooperation with primary care providers.
• Current diagnostic frameworks may not fully capture the nuances of mental health conditions in general medical practice.

Purpose:

• To develop a classification system that more accurately reflects common mental disorders seen in primary medical settings.
• To highlight the comorbidity between physical and psychological disorders for better practitioner recognition.
• To incorporate dimensional assessments of disorder severity instead of simple case/non-case distinctions.

Summary:

• The ICD-11-PHC draft includes 28 categories with detailed clinical descriptions, an increase from ICD-10-PHC.
• Diagnostic categories like neurasthenia, phobic disorders, and panic disorder have been removed.
• New categories such as autistic spectrum disorder, post-traumatic stress disorder (PTSD), and personality disorder have been added, alongside suggested name changes for existing conditions.

Impact:

• The revision introduces new diagnostic concepts and name changes, necessitating awareness and understanding among healthcare professionals.
• The ICD-11-PHC aims to improve the diagnosis and management of mental health conditions within primary care.
• A deeper understanding of ICD-11 is crucial for its future application and impact on psychiatric practice and research.