|Year : 2014 | Volume
| Issue : 4 | Page : 350-358
Indian Psychiatric Society-World Psychiatric Association - World Health Organization survey on usefulness of International Classification of Diseases-10
Ajit Avasthi1, Sandeep Grover1, Mario Maj2, Geoffrey Reed3, M Thirunavukarasu4, Uttam Chand Garg5
1 Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, Punjab, India
2 Department of Psychiatry, University of Naples SUN, Naples, Italy
3 Department of Psychiatry, SRM Medical College Hospital and Research Center, Kattankulathur, Kanchipuram, Chennai, Tamil Nadu, India
4 Department of Mental Health and Substance Abuse (MER/MSD), World Health Organization 20, Revision of ICD 10 Mental and Behavioural Disorders, Geneva, Switzerland
5 Consultant Psychiatrist, Agra, Uttar Pradesh, India
Background: World Health Organization (WHO) is in the process of revising the International Classification of Diseases 10 (ICD-10). For increasing the acceptability of the ICD-11, WHO along with World Psychiatric Association (WPA), conducted a survey of psychiatrists around the world, in which 386 psychiatrists from India participated.
Aim: To present the findings of "WPA-WHO Global Survey of Psychiatrists' Attitudes toward Mental Disorders Classification" for Indian psychiatrists who participated in the survey as members of Indian Psychiatric Society.
Methodology: The online survey was sent to qualified psychiatrists who are members of Indian Psychiatric Society and are residing in India.
Results: Of the 1702 members who were urged to participate in the survey, 386 (22.7%) participated. Most(79%) of the psychiatrists opined that they use formal classificatory systems in their day-to-day clinical practice. ICD-10 was the most commonly (71%) followed classificatory system. Nearly half (48%) felt the need for only 10-30 categories for use in clinical settings and another 44% opined that 31-100 categories are required for use. Most of the participants (85%) suggested that a modified/simpler classificatory system should be designed for primary care practitioners. Similarly, the same number of participants (89%) argued that for maximum utility of a nosological system diagnostic criteria should provide flexible guidance that allows cultural variation and clinical judgement. About 75% opined that the diagnostic system they were using was difficult to apply across cultures.
Conclusion: Findings of the survey suggest that classificatory systems are routinely used in day-to-day practice by most of the participating psychiatrists in India and most expect that future classificatory system should provide flexible guidance that allows cultural variation and clinical judgement.
Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh - 160 012, Punjab
Source of Support: None, Conflict of Interest: None
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