Case-controlled field study of the ICD-11 clinical descriptions and diagnostic requirements for Bodily Distress Disorders
Publicado en:JOURNAL OF AFFECTIVE DISORDERS. 333 271-277 - 2023-07-15 333(), DOI: 10.1016/j.jad.2023.04.086
Autores: Keeley J; Reed GM; Rebello T; Brechbiel J; Garcia-Pacheco JA; Adebayo K; Esan O; Majekodunmi O; Ojagbemi A; Onofa L; Robles R; Matsumoto C; Medina-Mora ME; Kogan CS; Kulygina M; Gaebel W; Zhao M; Roberts MC; Sharan P; Ayuso-Mateos JL; Khoury B; Stein DJ; Lovell AM; Pike K; Creed F; Gureje O
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Resumen
Aims: Mental disorders characterized by preoccupation with distressing bodily symptoms and associated functional impairment have been a target of major reconceptualization in the ICD-11, in which a single category of Bodily Distress Disorder (BDD) with different levels of severity replaces most of the Somatoform Disorders in ICD-10. This study compared the accuracy of clinicians' diagnosis of disorders of somatic symptoms using either the ICD-11 or ICD-10 diagnostic guidelines in an online study. Methods: Clinically active members of the World Health Organization's Global Clinical Practice Network (N = 1065) participating in English, Spanish, or Japanese were randomly assigned to apply ICD-11 or ICD-10 diagnostic guidelines to one of nine pairs of standardized case vignettes. The accuracy of the clinicians' diagnoses as well as their ratings of the guidelines' clinical utility were assessed. Results: Overall, clinicians were more accurate using ICD-11 compared to ICD-10 for every presentation of a vignette characterized primarily by bodily symptoms associated with distress and impairment. Clinicians who made a diagnosis of BDD using ICD-11 were generally correct in applying the severity specifiers for the condition. Limitations: This sample may represent some self-selection bias and thus may not generalize to all clinicians. Additionally, diagnostic decisions with live patients may lead to different results. Conclusions: The ICD-11 diagnostic guidelines for BDD represent an improvement over those for Somatoform Disorders in ICD-10 in regard to clinicians' diagnostic accuracy and perceived clinical utility.
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Indicios de calidad
Impacto bibliométrico. Análisis de la aportación y canal de difusión
El trabajo ha sido publicado en la revista JOURNAL OF AFFECTIVE DISORDERS debido a la progresión y el buen impacto que ha alcanzado en los últimos años, según la agencia WoS (JCR), se ha convertido en una referencia en su campo. En el año de publicación del trabajo, 2023, se encontraba en la posición 35/280, consiguiendo con ello situarse como revista Q1 (Primer Cuartil), en la categoría Clinical Neurology.
Desde una perspectiva relativa, y atendiendo al indicador del impacto normalizado calculado a partir del Field Citation Ratio (FCR) de la fuente Dimensions, arroja un valor de: 5.51, lo que indica que, de manera comparada con trabajos en la misma disciplina y en el mismo año de publicación, lo ubica como trabajo citado por encima de la media. (fuente consultada: Dimensions May 2025)
De manera concreta y atendiendo a las diferentes agencias de indexación, el trabajo ha acumulado, hasta la fecha 2025-05-15, el siguiente número de citas:
- Scopus: 6
- Europe PMC: 1
Impacto y visibilidad social
Análisis de liderazgo de los autores institucionales
Este trabajo se ha realizado con colaboración internacional, concretamente con investigadores de: Canada; China; France; Germany; India; Japan; Lebanon; Mexico; Niger; Nigeria; Russia; South African Republic; Switzerland; United Kingdom; United States of America.
