Generalizability of DSM-III-R generalized anxiety disorders to proposed DSM-IV criteria and cross-validation of proposed changes

Abel, Jennifer L.; Borkovec, Thomas D.

doi:10.1016/0887-6185(95)00011-c

Cited by 48 publications

(36 citation statements)

References 5 publications

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“…Abel and Borkovec (1995) conducted diagnostic interviews with GAD clients and nonanxious controls to compare DSM-III-R and DSM-IV criteria. They found that the DSM-IV somatic symptoms showed the highest endorsement rates among clients, thus discriminating the group of GAD clients from the control group.…”

Section: Introductionmentioning

confidence: 99%

Somatic Symptoms of Generalized Anxiety Disorder from the DSM-IV

Joormann

Stöber

1999

Journal of Anxiety Disorders

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Section: Introductionmentioning

confidence: 99%

Somatic Symptoms of Generalized Anxiety Disorder from the DSM-IV

Joormann

Stöber

1999

Journal of Anxiety Disorders

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“…[39,88,98] The removal of the autonomic hyperarousal symptoms from DSM-III-R to DSM-IV was also based on psychophysiological data comparing patients with GAD to nonanxious controls. [99,100] Subsequent research has shown that the associated symptom items retained in DSM-IV are among the most highly endorsed from the DSM-III-R list in children and adults, [28,34,[101][102][103][104] though it has been reported that ''nausea, diarrhea, or other abdominal distress'' are also highly endorsed by some adults. [103,104] Of the retained symptoms, parents tend to report more somatic symptoms than their children.…”

Section: Dsm-iv Criterion C: the Associated Symptoms Of Gadmentioning

confidence: 99%

Generalized worry disorder: a review of DSM-IV generalized anxiety disorder and options for DSM-V

Andrews¹,

Hobbs²,

Borkovec³

et al. 2010

Depress. Anxiety

234

187

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Background: Generalized anxiety disorder (GAD) has undergone a series of substantial classificatory changes since its first inclusion in DSM-III. The majority of these revisions have been in response to its poor inter-rater reliability and concerns that it may lack diagnostic validity. This article provides options for the revision of the DSM-IV GAD criteria for DSM-V. Method: First, searches were conducted to identify the evidence that previous DSM Work Groups relied upon when revising the DSM-III-R GAD and the overanxious disorder classifications. Second, the literature pertaining to the DSM-IV criteria for GAD was examined. Conclusions: The review presents a number of options to be considered for DSM-V. One option is for GAD to be re-labeled in DSM-V as generalized worry disorder. This would reflect its hallmark feature. Proposed revisions would result in a disorder that is characterized by excessive anxiety and worry generalized to a number of events or activities for 3 months or more. Worry acts as a cognitive coping strategy that manifests in avoidant behaviors. The reliability and validity of the proposed changes could be investigated in DSM-V validity tests and field trials. Depression and Anxiety 27:134-147, 2010.

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“…Although GAD remains a formal category in DSM-IV, its diagnostic criteria were revised substantially in an effort to define its boundary in relation to mood and adjustment disorders, anxiety disorders, and nonpathological worry. These revisions include the requirement that worry must be perceived by the person as uncontrollable (based on evidence that the parameter of uncontrollability distinguishes GAD worry from normal worry; Abel & Borkovec, 1995;Borkovec, 1994) and the reduction in the number of symptoms forming the associated symptom criterion from 18 to 6 (symptoms of autonomic arousal were eliminated [e.g., accelerated heart rate, shortness of breath]; symptoms of tension and negative affect were retained [e.g., muscle tension, feeling keyed up/on edge, irritability]). Although the decision to eliminate autonomic symptoms was data driven (Brown, Marten, & Barlow, 1995;Marten et al, 1993), researchers have raised concern that this revision may obfuscate the boundary between GAD and the mood disorders (Clark & Watson, 1991).…”

mentioning

confidence: 99%

Reliability of DSM-IV anxiety and mood disorders: Implications for the classification of emotional disorders.

Brown¹,

Nardo²,

Lehman³

et al. 2001

Journal of Abnormal Psychology

791

645

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The reliability of current and lifetime Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994) anxiety and mood disorders was examined in 362 outpatients who underwent 2 independent administrations of the Anxiety Disorders Interview Schedule for DSM-IV: Lifetime version (ADIS-IV-L). Good to excellent reliability was obtained for the majority of DSM-IV categories. For many disorders, a common source of unreliability was disagreements on whether constituent symptoms were sufficient in number, severity, or duration to meet DSM-IV diagnostic criteria. These analyses also highlighted potential boundary problems for some disorders (e.g., generalized anxiety disorder and major depressive disorder). Analyses of ADIS-IV-L clinical ratings (0-8 scales) indicated favorable interrater agreement for the dimensional features of DSM-IV anxiety and mood disorders. The findings are discussed in regard to their implications for the classification of emotional disorders.Classification of emotional disorders has been an inexact science, reflected by the modest reliability of many diagnostic categories and marked changes in definitional criteria across editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM; American Psychiatric Association, 1987Association, , 1994. The diagnostic criteria for all anxiety and mood disorders were revised to varying degrees in the current, fourth edition of the DSM (DSM-IV; American Psychiatric Association, 1994). Often, these revisions were guided by reliability findings from large-scale studies of disorders from the revised, third edition of the DSM (DSM-

show abstract

Generalizability of DSM-III-R generalized anxiety disorders to proposed DSM-IV criteria and cross-validation of proposed changes

Cited by 48 publications

References 5 publications

Somatic Symptoms of Generalized Anxiety Disorder from the DSM-IV

Somatic Symptoms of Generalized Anxiety Disorder from the DSM-IV

Generalized worry disorder: a review of DSM-IV generalized anxiety disorder and options for DSM-V

Reliability of DSM-IV anxiety and mood disorders: Implications for the classification of emotional disorders.

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