The classification of Obsessive-Compulsive and Related Disorders in the ICD-11

JOURNAL OF AFFECTIVE DISORDERS

卷:190

Review

Stein, D. J.^1,2  Kogan, C. S.³  Atmaca, M.⁴  Fineberg, N. A.^5,6,7  Fontenelle, L. F.^8,9,10  Grant, J. E.¹¹  Matsunaga, H.¹²  Reddy, Y. C. J.¹³  Simpson, H. B.^14,15,16  Thomsen, P. H.¹⁷  van den Heuvel, O. A.^18,19  Veale, D.^20,21  Woods, D. W.²²  Reed, G. M.^23,24,25 

[1] Univ Cape Town, Groote Schuur Hosp, Dept Psychiat, ZA-7925 Cape Town, South Africa

[2] Univ Cape Town, Groote Schuur Hosp, MRC Unit Anxiety & Stress Disorders, ZA-7925 Cape Town, South Africa

[3] Univ Ottawa, Sch Psychol, Ottawa, ON K1N 6N5, Canada

[4] Firat Univ, Sch Med, Dept Psychiat, Elazig, Turkey

[5] Hertfordshire Partnership Univ NHS Fdn Trust, Highly Specialized Obsess Compuls & Related Disor, Welwyn Garden City, Herts, England

[6] Univ Hertfordshire, Postgrad Med Sch, Hatfield AL10 9AB, Herts, England

[7] Univ Cambridge, Sch Clin Med, Cambridge, England

[8] Fed Univ Rio de Janeiro UFRJ, Inst Psychiat, Rio De Janeiro, Brazil

[9] DOr Inst Res & Educ, Rio De Janeiro, RJ, Brazil

[10] Monash Univ, Sch Psychol Sci, Melbourne, Vic 3004, Australia

[11] Univ Chicago, Dept Psychiat & Behav Neurosci, Chicago, IL 60637 USA

[12] Hyogo Coll Med, Dept Neuropsychiat, Nishinomiya, Hyogo 6638501, Japan

[13] Natl Inst Mental Hlth & Neurosci NIMHANS, Bangalore, Karnataka, India

[14] Columbia Univ, Coll Phys & Surg, Coll Med, New York, NY USA

[15] New York State Psychiat Inst & Hosp, Anxiety Disorders Clin, New York, NY USA

[16] New York State Psychiat Inst & Hosp, Ctr OCD & Related Disorders, New York, NY USA

[17] Aarhus Univ Hosp, Ctr Child & Adolescent Psychiat, DK-8000 Aarhus, Denmark

[18] VU Univ Med Ctr VUmc, Dept Psychiat, Amsterdam, Netherlands

[19] Vrije Univ Amsterdam Med Ctr, Dept Anat & Neurosci, Amsterdam, Netherlands

[20] Kings Coll London, Inst Psychiat Psychol & Neurosci, London WC2R 2LS, England

[21] South London & Maudsley NHS Fdn Trust, Ctr Anxiety Disorders & Trauma, London, England

[22] Texas A&M Univ, Dept Psychol, College Stn, TX 77843 USA

[23] Univ Nacl Autonoma Mexico, Dept Psychol, Mexico City 04510, DF, Mexico

[24] Natl Inst Psychiat Ramon de la Fuente Muniz, Mexico City, DF, Mexico

[25] WHO, Dept Mental Hlth & Substance Abuse, CH-1211 Geneva, Switzerland

关键词: ICD-10;    ICD-11;    Obsessive-Compulsive Disorder;    Classification;    Global public health;   

DOI  :  10.1016/j.jad.2015.10.061

来源: Elsevier

【 摘 要 】

Background: To present the rationale for the new Obsessive-Compulsive and Related Disorders (OCRD) grouping in the Mental and Behavioural Disorders chapter of the Eleventh Revision of the World Health Organization's International Classification of Diseases and Related Health Problems (ICD-11), including the conceptualization and essential features of disorders in this grouping. Methods: Review of the recommendations of the ICD-11 Working Group on the Classification for OCRD. These sought to maximize clinical utility, global applicability, and scientific validity. Results: The rationale for the grouping is based on common clinical features of included disorders including repetitive unwanted thoughts and associated behaviours, and is supported by emerging evidence from imaging, neurochemical, and genetic studies. The proposed grouping includes obsessive-compulsive disorder, body dysmorphic disorder, hypochondriasis, olfactory reference disorder, and hoarding disorder. Body-focused repetitive behaviour disorders, including trichotillomania and excoriation disorder are also included. Tourette disorder, a neurological disorder in ICD-11, and personality disorder with anankastic features, a personality disorder in ICD-11, are recommended for cross-referencing. Limitations: Alternative nosological conceptualizations have been described in the literature and have some merit and empirical basis. Further work is needed to determine whether the proposed ICD-11 OCRD grouping and diagnostic guidelines are mostly likely to achieve the goals of maximizing clinical utility and global applicability. Conclusion: It is anticipated that creation of an OCRD grouping will contribute to accurate identification and appropriate treatment of affected patients as well as research efforts aimed at improving our understanding of the prevalence, assessment, and management of its constituent disorders. (C) 2015 Elsevier B.V. All rights reserved.

【 授权许可】

Free