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|Type:||Artigo de periódico|
|Title:||What Do Brazilian Psychiatrists Want From Diagnostic Classifications? [o Que Os Psiquiatras Brasileiros Esperam Das Classificações Diagnósticas?]|
Dos Santos Jr. A.
Loureiro Jr. J.C.
|Abstract:||Objective: An anonymous mail survey was carried out with Brazilian psychiatrists affiliated with Brazilian Psychiatric Association (ABP). A structured questionnaire was employed to assess use and perceived utility of current diagnostic classifications (ICD-10 and DSM-IV), as well as their expectations about the future revisions. Methods: From the mailing list provided by ABP with 3,062 names of affi liated Brazilian psychiatrists, 1,050 were randomly selected to receive the questionnaire, along with a stamped, return address envelope. From the sample of 1,050, 160 completed questionnaires were returned, which corresponds to the following rate of response: 15.2%. No claims are made about the representativeness of the sample. Results: It was found that the ICD-10 is the most frequently used system, especially its clinical axis. The DSM-IV's axes I and II are often used as well. For this sample the most important purpose of a classification is to ensure reliable inter-clinician communication. Classifications are seen as tools for psychiatric use and, to a lesser extent, for the use of a multidisciplinary team. Current diagnostic systems are perceived as reliable for cross-cultural use in our context. Regarding expectations about the future revisions, Brazilian psychiatrists prefer simpler classifications, with less than 100 diagnostic labels. They split, however, about having separate systems to account for cause/pathogenesis and to inform treatment plans or a single classification, with many compromises, to convey information concerning causes, prognosis and treatment decisions. Conclusions: Classificatory systems play an important role in everyday psychiatric clinical practice in this sample of psychiatrists. Brazilian psychiatrists' opinions seem to reflect well existing controversies regarding some key nosographic issues.|
|Appears in Collections:||Unicamp - Artigos e Outros Documentos|
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