Navegando por Palavras-chave "Psychiatric Classification"

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    Avaliação da validade e reprodutibilidade das categorias diagnósticas da décima primeira edição da Classificação Internacional os transtornos mentais na Atenção Primária: CID-11 AP
    (Universidade Federal de São Paulo (UNIFESP), 2020-04-08) Jorquera, Carolina Andrea Ziebold [UNIFESP]; Mari, Jair De Jesus [UNIFESP]; Universidade Federal de São Paulo
    Introduction: The World Health Organization is preparing a primary care version of the eleventh revision of the International Classification of Diseases (ICD-11 PHC). To collaborate with the development of this classification, it was proposed to examine the validity and reliability of the ICD-11 PHC categories of anxious depression and bodily stress syndrome (BSS) to diagnose the most common mental health disorders presented in primary care. Methods: Were analyzed data collected through the ICD-11 PHC field trials in five countries (N= 2.279). General physicians, using screening questionnaires, referred patients they suspected to have depressive and/or anxiety or BSS symptoms to be interviewed by a research assistant using the Clinical Interview Schedule-Revised, a measure of disability (12-WHODAS 2.0) and two five-items depression and anxiety scales. Analysis of variance and x2 tests were used to evaluate the impact of the reduced anxiety duration criteria on disability and suicidality, respectively. Structural analysis was used to examine the construct validity and reliability of the scales containing the symptoms proposed for depression, anxiety and BSS in the ICD-11 PHC. Results: Under the ICD-11 PHC, AD was the most frequent and disabling diagnosis among participants (47.7%). One third of individuals diagnosed with AD had anxiety durations between 2 weeks and 3 months and presented as much disability and suicidal ideation as individuals with longer anxiety durations. Regarding the structural analysis, two bi-factor models fit the data well: (1) all symptoms loaded on a general factor, along with one of three specific depression, anxiety and somatic factors [x2 (627) = 741.016, p <0.0011, RMSEA = 0.015, CFI = 0.911, TLI = 0.900]; and (2) a general factor and two specific anxious depression and somatic factors [x2 (627) = 663.065, p = 0.1543, RMSEA = 0.008, CFI = 0.954, TLI = 0.948]. Conclusions: This study provided support for the validity and reliability of the newly category of AD and the reduced requirement for anxiety duration. The co-occurrence of depressive, anxiety and somatic symptoms in PHC it would be explained by a shared latent construct. To guarantee the validity and reliability of the BSS diagnosis, it is advisable to assess the presence of depressives and anxiety symptoms in patients suspected of BSS.