Summary This work has analyzed and evaluated the dissemination of research done at Spanish universities through the World Wide Web (WWW) in order to obtain a map of the visibility of the information available on this research and to propose measures for improving the quality of this diffusion, all within the social and institutional context of the European Area for Higher Education. The methodology applied in the study has used both qualitative and quantitative research methods to obtain some quality indicators on the dissemination of university research. The object of study consists of a sample of 19 Spanish universities, chosen according to their representativeness by Autonomous Community and their administrative and scientific weight. The process of defining indicators, both qualitative and quantitative, as well as the collection and analysis of data, are explained. The results give us a detailed panorama of the state of the art of the visibility of information on research in the web pages of selected universities. This has allowed us to make certain proposals for improvement that can contribute to the excellence of its dissemination.
The ICD-11 chapter on mental, behavioral and neurodevelopmental disorders contains new controversial diagnoses including compulsive sexual behavior disorder (CSBD), intermittent explosive disorder (IED) and gaming disorder. Using a vignette-based methodology, this field study examined the ability of mental health professionals (MHPs) to apply the new ICD-11 diagnostic requirements for impulse control disorders, which include CSBD and IED, and disorders due to addictive behaviors, which include gaming disorder, compared to the previous ICD-10 guidelines.
Across eleven comparisons, members of the WHO's Global Clinical Practice Network (N = 1,090) evaluated standardized case descriptions that were designed to test key differences between the diagnostic guidelines of ICD-11 and ICD-10.
The ICD-11 outperformed the ICD-10 in the accuracy of diagnosing impulse control disorders and behavioral addictions in most comparisons, while the ICD-10 was not superior in any. The superiority of the ICD-11 was particularly clear where new diagnoses had been added to the classification system or major revisions had been made. However, the ICD-11 outperformed the ICD-10 only in a minority of comparisons in which mental health professionals were asked to evaluate cases with non-pathological high involvement in rewarding behaviors.
Discussion and Conclusions
Overall, the present study indicates that the ICD-11 diagnostic requirements represent an improvement over the ICD-10 guidelines. However, additional efforts, such as training programs for MHPs and possible refinements of diagnostic guidance, are needed to avoid over-diagnosis of people who are highly engaged in a repetitive and rewarding behavior but below the threshold for a disorder.