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Tytuł:
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Reliability and Clinical Utility of Gender Identity-Related Diagnoses: Comparisons Between the ICD-11, ICD-10, DSM-IV, and DSM-5.
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Autorzy:
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de Vries ALC; Department of Child and Adolescent Psychiatry and Center of Expertise on Gender Dysphoria, Amsterdam University Medical Centers, Location VUmc, Amsterdam, The Netherlands.
Beek TF; Department of Medical Psychology, Center of Expertise on Gender Dysphoria, Amsterdam University Medical Centers, Location VUmc, Amsterdam, The Netherlands.
Dhondt K; Center for Sexology and Gender, Pediatric Gender Clinic, Ghent University Hospital, Ghent, Belgium.
de Vet HCW; Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Amsterdam University Medical Centers, Location VUmc, Amsterdam, The Netherlands.
Cohen-Kettenis PT; Department of Medical Psychology, Center of Expertise on Gender Dysphoria, Amsterdam University Medical Centers, Location VUmc, Amsterdam, The Netherlands.
Steensma TD; Department of Medical Psychology, Center of Expertise on Gender Dysphoria, Amsterdam University Medical Centers, Location VUmc, Amsterdam, The Netherlands.
Kreukels BPC; Department of Medical Psychology, Center of Expertise on Gender Dysphoria, Amsterdam University Medical Centers, Location VUmc, Amsterdam, The Netherlands.
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Źródło:
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LGBT health [LGBT Health] 2021 Feb-Mar; Vol. 8 (2), pp. 133-142. Date of Electronic Publication: 2021 Feb 18.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: New Rochelle, NY : Mary Ann Liebert, Inc. publishers, [2014]-
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MeSH Terms:
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Diagnostic and Statistical Manual of Mental Disorders*
International Classification of Diseases*
Gender Dysphoria/*diagnosis
Adolescent ; Adult ; Child ; Female ; Gender Identity ; Humans ; Male ; Reproducibility of Results
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Contributed Indexing:
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Keywords: DSM; ICD; classification; gender dysphoria; gender incongruence; reliability; utility
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Entry Date(s):
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Date Created: 20210218 Date Completed: 20210817 Latest Revision: 20210817
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Update Code:
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20240105
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DOI:
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10.1089/lgbt.2020.0272
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PMID:
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33600259
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Purpose: The World Health Organization general assembly approved the 11th revision of the International Classification of Diseases (ICD) in 2019 which will be implemented in 2022. Gender identity-related diagnoses were substantially reconceptualized and removed from the mental health chapter so that the distress criterion is no longer a prerequisite. The present study examined reliability and clinical utility of gender identity-related diagnoses of the ICD-11 in comparison with the Diagnostic and Statistical Manual of Mental Disorders (DSM)-5, ICD-10, and DSM-IV. Methods: Sixty-four health care providers assessed six videos of two children, two adolescents, and two adults referred for gender incongruence. Each provider rated one pair of videos with three of the four classification systems (ICD-11, DSM-5, ICD-10, and DSM-IV-TR). This resulted in 72 ratings for the adolescent and adult diagnoses and 59 ratings for the children's diagnoses. Results: Interrater agreement rates for each instrument ranged from 65% to 79% for the adolescence/adulthood diagnoses and from 67% to 94% for the childhood diagnoses and were comparable regardless of the system used. Only agreement rates for ICD-11 were significantly better than those for DSM-5 for both age categories. Clinicians evaluated all four systems as convenient and easy to use. Conclusion: In conclusion, both classification systems (DSM and ICD) and both editions (DSM-IV and DSM-5 and ICD-10 and ICD-11) of gender identity-related diagnoses seem reliable and convenient for clinical use.
