Concordances and discrepancies between ICD-10 and DSM-IV criteria for anxiety disorders in childhood and adolescence

Author:

Adornetto Carmen,Suppiger Andrea,In-Albon Tina,Neuschwander Murielle,Schneider Silvia

Abstract

Abstract Background Mental disorders are classified by two major nosological systems, the ICD-10 and the DSM-IV-TR, consisting of different diagnostic criteria. The present study investigated the diagnostic concordance between the two systems for anxiety disorders in childhood and adolescence, in particular for separation anxiety disorder (SAD), specific phobia, social phobia, and generalized anxiety disorder (GAD). Methods A structured clinical interview, the Kinder-DIPS, was administered to 210 children and 258 parents. The percentage of agreement, kappa, and Yule’s Y coefficients were calculated for all diagnoses. Specific criteria causing discrepancies between the two classification systems were identified. Results DSM-IV-TR consistently classified more children than ICD-10 with an anxiety disorder, with a higher concordance between DSM-IV-TR and the ICD-10 child section (F9) than with the adult section (F4) of the ICD-10. This result was found for all four investigated anxiety disorders. The results revealed low to high levels of concordance and poor to good agreement between the classification systems, depending on the anxiety disorder. Conclusions The two classification systems identify different children with an anxiety disorder. However, it remains an open question, whether the research results can be generalized to clinical practice since DSM-IV-TR is mainly used in research while ICD-10 is widely established in clinical practice in Europe. Therefore, the population investigated by the DSM (research population) is not identical with the population examined using the ICD (clinical population).

Publisher

Springer Science and Business Media LLC

Subject

Psychiatry and Mental health,Pediatrics, Perinatology and Child Health

Reference29 articles.

1. World Health Organisation: The ICD-10, classification of mental and behavioural disorders. 1993, Geneva: Diagnostic Criteria for Research

2. American Psychiatric Association: Diagnostic and statistical manual of mental disorders – text revision (DSM-IV-TR). 2000, Washington DC: American Psychiatric Association

3. Bertelsen A: Reflections on the clinical utility of the ICD-10 and DSM-IV classifications and their diagnostic criteria. Journal of Psychiatry. 1999, 33: 166-173.

4. Frances AJ, First MB, Widiger TA, Miele GM, Tilly SM, Davis WW, Pincus HA: An A to Z guide to DSM-IV conundrums. J Abnorm Psychol. 1991, 100: 407-412.

5. Remschmidt H, Schmidt M, Poustka F: Multiaxiales Klassifikationsschema für psychische Störungen des Kindes- und Jugendalters nach ICD-10 der WHO (5. Aufl.). Multiaxial classification of child and adolescent psychiatric disorders. 2006, Bern: Huber, 5

Cited by 17 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3