Format

Send to

Choose Destination
See comment in PubMed Commons below
World Psychiatry. 2009 Jun;8(2):82-5.

What is "functional impairment"? Disentangling disability from clinical significance.

Author information

  • 1Classifications, Terminologies and Standards, World Health Organization, Geneva, Switzerland.

Abstract

The formulation of disability (or "functional impairment") is currently not operationalized in either the ICD or the DSM. In the DSM system, making a diagnosis depends on a conjoint assessment of symptoms and functioning, whereas the ICD keeps the disability construct separate from the diagnosis of mental disorders. We need an internationally agreed conceptualization between ICD and DSM in terms of better operationalization of disease and disability components. No functioning or disability should appear as part of the threshold of the diagnosis in either system.

KEYWORDS:

DSM; Disability; ICD; ICF; diagnosis; functional impairment; severity

PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Wiley Icon for PubMed Central
    Loading ...
    Write to the Help Desk