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Family Practice Vol. 12, No. 4, 466-473
© Oxford University Press 1995

other

The field trial of the mental disorders section of ICD-10 designed for primary care (ICD10-PHC) in England

David Goldberg, Deborah Sharp* and Kanthi Nanayakkara

Institute of Psychiatry London
*Department of Social Medicine, University of Bristol

This study reports the English field trial of a primary health care version of the section of ICD-10 dealing with mental disorders. The classification gives guidance on both diagnosis and management of 24 common disorders. Fifty doctors collaborated with the study, in four different locations, and 40 completed all their assessments. The new classification has been well received, and there was an increase in the participants' interest in mental disorders and in their confidence in making diagnoses. Use of the depression card increased the range of symptoms considered when making a diagnosis of depression, increased the threshold for prescription of antidepressants, and added to the managements suggested for depressive illnesses. The many constructive comments made about the cards will be taken into account by WHO when the classification is revised later in 1995.


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