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