3.9 Article

Body-focused repetitive behavior disorders in ICD-11

Journal

REVISTA BRASILEIRA DE PSIQUIATRIA
Volume 36, Issue -, Pages S59-S64

Publisher

ASSOC BRASILEIRA PSIQUIATRIA
DOI: 10.1590/1516-4446-2013-1228

Keywords

Classification; impulse control disorders; obsessive-compulsive disorder; models/theories of psychiatry; psychiatric diagnosis

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Funding

  1. Medical Research Council of South Africa

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This article addresses the question of how body-focused repetitive behavior disorders (e.g., trichotillomania and skin-picking disorder) should be characterized in ICD-11. The article reviews the historical nosology of the two disorders and the current approaches in DSM-5 and ICD-10. Although data are limited and mixed regarding the optimal relationship between body-focused repetitive behavior disorders and nosological categories, these conditions should be included within the obsessive-compulsive and related disorders category, as this is how most clinicians see these behaviors, and as this may optimize clinical utility. The descriptions of these disorders should largely mirror those in DSM-5, given the evidence from recent field surveys. The recommendations regarding ICD-11 and body-focused repetitive behavior disorders should promote the global identification and treatment of these conditions in primary care settings.

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