Open AccessPanic and agoraphobia: sources of dissonance between ICD‐10 and DSM‐IV
Author(s) -
Andrews Gavin,
Slade Tim
Publication year - 1998
Publication title -
international journal of methods in psychiatric research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.275
H-Index - 73
eISSN - 1557-0657
pISSN - 1049-8931
DOI - 10.1002/mpr.45
Subject(s) - agoraphobia , medical diagnosis , concordance , cidi , icd 10 , psychology , panic disorder , panic , psychiatry , clinical psychology , dsm 5 , anxiety , anxiety disorder , medicine , pathology
Abstract The present study examined the diagnostic concordance between ICD‐10 and DSM‐IV for panic and agoraphobia in a sample derived from clinic and community cases. The Composite International Diagnostic Interview was administered to 1504 people and discrepant diagnoses were identified for the three pairs of ICD‐10/DSM‐IV panic and agoraphobia disorders. The initial analyses produced 271 diagnoses in the three disorders yet only 103 (38%) of the diagnoses were concordant on both classifications. After possible errors in the CIDI and in the construction of the diagnostic criteria had been removed, there were 245 diagnoses in the three disorders of which 137 (56%) were concordant. The two classifications identify different groups of people but use similar names for the diagnoses, a fact that could interfere with the orderly accumulation and integration of knowledge from international research. Copyright © 1998 Whurr Publishers Ltd.