Comparison of the DSM–5 and ICD–10: panic and other anxiety disorders

Abstract

Anxiety disorders are the most prevalent mental disorders and are associated with substantial healthcare costs and a high burden of disease. In this article, changes in the new Diagnostic and Statistical Manual for Mental Disorders (the DSM-5) with respect to panic disorder/agoraphobia, generalized anxiety disorder, social anxiety disorder, specific phobias, and selective mutism are compared with the International Classification of Diseases (ICD-10) system.

The role of beta-adrenolytic drugs in treating anxiety disorders

“…: fobie specyficzne, zaburzenie lęku separacyjnego, mutyzm selektywny, specyficzna fobia, fobia społeczna, agorafobia, zaburzenie paniczne oraz i uogólnione zaburzenie lękowe); zaburzenia obsesyjno-kompulsywne i zaburzenia z nimi powiązane oraz zaburzenia urazowe i związane ze stresem (między innymi: PTSD -Posttraumatic Stress Disorder) [1]. Grupa zaburzeń lękowych została rozszerzona o zaburzenie lęku separacyjnego, poprzednia wersja DSM sugerowała, iż zaburzenie to dotyczy tylko dzieci [2,3]. Zmiana została wprowadzona uwzględniając wyniki badań epidemiologicznych, które wyraźnie wykazały nieoczekiwanie wysoką częstotliwość występowania zaburzeń lęku separacyjnego u osób dorosłych [4].…”

“…specific phobias, separation anxiety disorder, selective mutism, social phobia, agoraphobia, panic disorder, and generalized anxiety disorder); obsessive-compulsive disorders and the related disorders, and trauma and stressor-related disorders (including PTSD -Posttraumatic Stress Disorder) [1]. Separation anxiety disorder was added to the group of anxiety disorders, while the previous version of DSM suggested that this disorder only affected children [2,3]. This change was introduced following the consideration of the results of epidemiological studies which clearly demonstrated an unexpectedly high incidence of separation anxiety disorders in adults [4].…”

A comparison of DSM ‐5 and DSM ‐IV agoraphobia in the World Mental Health Surveys

“…This study examined the effect of the more stringent criterion A in DSM-5 (endorsement of fears from multiple distinct situational domains) on the prevalence rate of AG in children and adolescents seeking anxiety treatment (Cornacchio, Chou, Sacks, Pincus, & Comer, 2015). Whether and how the changes in DSM-5 criteria will affect clinical treatment is yet unclear (Bandelow, 2017); however, additional research into DSM-5 AG in general (Wittchen et al, 2010), and specifically the treatment of DSM-5 AG without PD or panic attacks is warranted, especially given the high persistence of DSM-5 AG shown in the current study. Whether and how the changes in DSM-5 criteria will affect clinical treatment is yet unclear (Bandelow, 2017); however, additional research into DSM-5 AG in general (Wittchen et al, 2010), and specifically the treatment of DSM-5 AG without PD or panic attacks is warranted, especially given the high persistence of DSM-5 AG shown in the current study.…”

“…By examining multivariate comorbidity patterns of PD and AG, the authors showed that AG could be categorized as a fear disorder, whereas PD is more strongly related to distress disorders, such as depression (Greene & Eaton, 2016). Yet, evidence is lacking for specific genetic underpinnings of AG (Wittchen et al, 2010) and for differential treatment effects; the latter may result from a lack of treatment studies focusing on patients with AG without PD (Bandelow, 2017;Wittchen et al, 2010). To our knowledge only one other study examined the effect of changes from DSM-IV to DSM-5 criteria for AG.…”

“…Authors concluded that this adaptation may be too strict for youth, because a substantial proportion (25%) of individuals no longer met criteria for AG, despite being more similar regarding symptomatology and impairment, to individuals who met the new AG criteria than to individuals with SP (Cornacchio et al, 2015). Whether and how the changes in DSM-5 criteria will affect clinical treatment is yet unclear (Bandelow, 2017); however, additional research into DSM-5 AG in general (Wittchen et al, 2010), and specifically the treatment of DSM-5 AG without PD or panic attacks is warranted, especially given the high persistence of DSM-5 AG shown in the current study.…”