The Classification of Anxiety Disorders in ICD-10 and DSM-IV: A Concordance AnalysisAndrews G. · Slade T.
World Health Organization Collaborating Center in Evidence for Mental Health Policy, School of Psychiatry, UNSW at St. Vincent’s Hospital, Sydney, Australia
On the surface, the classifications of anxiety disorders in DSM-IV and ICD-10 appear quite similar. However, differences exist and are evident in four aspects of the diagnostic criteria: typology, identifying criteria, inclusion and exclusion criteria. The current study uses data from the Australian National Mental Health Survey to model the impact of these differences on the diagnosis of generalized anxiety disorder. The results show that the concordance between the current classifications would be improved with the removal of the criterion for uncontrollability from DSM-IV, a closer focus on the symptoms of hypervigilance and scanning as in DSM-IV and the removal of the clinical significance criterion from DSM-IV. Equivalency of the exclusion criteria between the two classification systems reduces the concordance, demonstrating that each classification systems is a set of interdependent diagnoses, and to ultimately achieve concordance, all diagnoses must be considered together.
Prof. Gavin Andrews
Clinical Research Unit for Anxiety and Depression
299 Forbes Street
Darlinghurst Sydney, NSW 2010 (Australia)
Tel. +61 2 9332 1013, Fax +61 2 9332 4316, E-Mail email@example.com
Number of Print Pages : 7
Number of Figures : 0, Number of Tables : 5, Number of References : 23
Psychopathology (International Journal of Descriptive Psychopathology Phenomenology and Clinical Diagnositcs)
Founded 1897 as ‘Monatsschrift für Psychiatrie und Neurologie’
Vol. 35, No. 2-3, Year 2002 (Cover Date: March-June 2002)
Journal Editor: E. Gabriel, Vienna; C. Mundt, Heidelberg
ISSN: 0254–4962 (print), 1423–033X (Online)
For additional information: http://www.karger.com/journals/psp