迈向 ICD-11 的实施:俄罗斯精神病学界的态度和期望。

Consortium psychiatricum Pub Date : 2021-05-25 eCollection Date: 2021-01-01 DOI:10.17816/CP80
Maya A Kulygina, Timur S Syunyakov, Ilya A Fedotov, George P Kostyuk
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摘要

背景:包括俄罗斯在内的世界卫生组织成员国将于 2022 年初开始实施 ICD-11。在此之前,不仅要对 ICD-11 统计分类和诊断指南进行正式翻译和广泛传播,还要对临床医生进行培训。近年来,ICD-11 的发展和精神障碍诊断的创新一直是全世界精神卫生专业人员关注的焦点:本在线调查旨在了解俄罗斯精神医学界目前对即将实施的 ICD-11 的看法:方法:采用谷歌表格编制调查问卷,并通过俄罗斯精神病学家协会网站和其他专业网络进行传播。提供了统计和叙述分析。调查样本由 148 名在住院或门诊临床环境中工作的精神科医生组成:结果:受访者对精神障碍分类的期望比当前 ICD-10 的目的更广泛。总体而言,俄罗斯精神科医生对即将实施的 ICD-11 表示感兴趣。对 ICD-11 创新的积极态度与熟悉 ICD-11 草案有关。保守或消极的观点则与较长的临床经验有关。与 "老派 "临床医生相比,早期载体的精神科医生更注重实践:这项调查有助于宣传 ICD-11 在临床实践中的优势,并制定有针对性的培训计划。
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Toward ICD-11 Implementation: Attitudes and Expectations of the Russian Psychiatric Community.

Background: ICD-11 implementation will start in early 2022 in WHO member countries, including Russia. This process should be preceded not only by the official translation and wide distribution of ICD-11 statistical classification and diagnostic guidelines but also by clinicians' training. For recent years ICD-11 development and innovations in the diagnosis of mental disorders were in the focus of attention of mental health professionals in all over the world.

Objectives: This online survey aimed to identify the current views of the Russian psychiatric community on the upcoming implementation of ICD-11.

Methods: A survey was composed in a Google form and circulated through the website of the Russian Society of Psychiatrists and other professional networks. Statistical and narrative analysis was provided. The sample was represented by 148 psychiatrists working in inpatient or outpatient clinical settings.

Results: Expectations for the classification of mental disorders reported by the respondents were wider than the current purpose of ICD-10. In general, the Russian psychiatrists expressed their interests to forthcoming ICD-11 implementation. Positive attitudes to ICD-11 innovations were associated with the familiarity with the ICD-11 draft. Conservative or negative views were related to longer years of clinical experience. Early carrier psychiatrists were more practically oriented than 'old school' clinicians.

Conclusion: This survey may help to promote the ICD-11 by focusing on its advantages for clinical practice and develop targeted training programs.

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