Abstract
Background: The Diagnostic and Statistical Manual of Mental Disorders, version 5 (DSM-5) definition of agoraphobia (AG) as an independent diagnostic entity makes it timely to re-examine the epidemiology of AG. Study objective was to present representative data on the characteristics of individuals who meet DSM-IV criteria for AG (AG without a history of panic disorder [PD] and PD with AG) but not DSM-5 criteria, DSM-5 but not DSM-IV criteria, or both sets of criteria. Methods: Population-based surveys from the World Mental Health Survey Initiative including adult respondents (n = 136,357) from 27 countries across the world. The Composite International Diagnostic Interview was used to assess AG and other disorders. Results: Lifetime and 12-month prevalence estimates of DSM-5 AG (1.5% and 1.0%) were comparable to DSM-IV (1.4% and 0.9%). Of respondents meeting criteria in either system, 57.1% met criteria in both, while 24.2% met criteria for DSM-5 only and 18.8% for DSM-IV only. Severe role impairment due to AG was reported by a lower proportion of respondents who met criteria only for DSM-IV AG (30.4%) than those with both DSM-5 and DSM-IV AG (44.0%; χ 2 1 = 4.7; P = 0.031). The proportion of cases with any comorbidity was lower among respondents who met criteria only for DSM-IV AG (78.7%) than those who met both sets (92.9%; χ 2 1 = 14.5; P < 0.001). Conclusions: This first large survey shows that, compared to the DSM-IV, the DSM-5 identifies a substantial group of new cases with AG, while the prevalence rate remains stable at 1.5%. Severity and comorbidity are higher in individuals meeting DSM-5 AG criteria compared with individuals meeting DSM-IV AG criteria only.
| Language | English |
|---|---|
| Pages | 499-510 |
| Number of pages | 12 |
| Journal | Depression and Anxiety |
| Volume | 36 |
| Issue number | 6 |
| Early online date | 6 Feb 2019 |
| DOIs | |
| Publication status | Published - 4 Jun 2019 |
Fingerprint
Keywords
- agoraphobia
- anxiety/anxiety disorders
- cross-national
- disorders
- epidemiology
- phobia/phobic
Cite this
}
A comparison of DSM-5 and DSM-IV agoraphobia in the World Mental Health Surveys. / Roest, Annelieke; de Vries , Ymkje Anna ; Lim, Carmen; Wittchen, Hans-Ulrich; Stein, Dan; Adamowski , Tomasz; Al-Hamzawi , Ali; Bromet , Evelyn; Viana, Maria Carmen; di Girolamo, Giovanni; Demyttenaere, Koen; Florescu, Silvia; Gureje , Oye ; Haro, Josep Maria; Hu, Chiyi; Karam, Elie; Caldas‐de‐Almeida , José Miguel; Kawakami , Norito; Lepine, Jean Pierre; Levinson, Daphna; Medina Mora, Maria Elena; Navarro-Mateau, Fernando; O'Neill, Siobhan; Piazza, Marina; Posada‐Villa, José A.; Slade, Tim; Torres, Yolanda ; Kessler, Ronald; Scott, Kate; de Jonge, Peter.
In: Depression and Anxiety, Vol. 36, No. 6, 04.06.2019, p. 499-510.Research output: Contribution to journal › Article
TY - JOUR
T1 - A comparison of DSM-5 and DSM-IV agoraphobia in the World Mental Health Surveys
AU - Roest, Annelieke
AU - de Vries , Ymkje Anna
AU - Lim, Carmen
AU - Wittchen, Hans-Ulrich
AU - Stein, Dan
AU - Adamowski , Tomasz
AU - Al-Hamzawi , Ali
AU - Bromet , Evelyn
AU - Viana, Maria Carmen
AU - di Girolamo, Giovanni
AU - Demyttenaere, Koen
AU - Florescu, Silvia
AU - Gureje , Oye
AU - Haro, Josep Maria
AU - Hu, Chiyi
AU - Karam, Elie
AU - Caldas‐de‐Almeida , José Miguel
AU - Kawakami , Norito
AU - Lepine, Jean Pierre
AU - Levinson, Daphna
AU - Medina Mora, Maria Elena
AU - Navarro-Mateau, Fernando
AU - O'Neill, Siobhan
AU - Piazza, Marina
AU - Posada‐Villa, José A.
AU - Slade, Tim
AU - Torres, Yolanda
AU - Kessler, Ronald
AU - Scott, Kate
AU - de Jonge, Peter
PY - 2019/6/4
Y1 - 2019/6/4
N2 - Background: The Diagnostic and Statistical Manual of Mental Disorders, version 5 (DSM-5) definition of agoraphobia (AG) as an independent diagnostic entity makes it timely to re-examine the epidemiology of AG. Study objective was to present representative data on the characteristics of individuals who meet DSM-IV criteria for AG (AG without a history of panic disorder [PD] and PD with AG) but not DSM-5 criteria, DSM-5 but not DSM-IV criteria, or both sets of criteria. Methods: Population-based surveys from the World Mental Health Survey Initiative including adult respondents (n = 136,357) from 27 countries across the world. The Composite International Diagnostic Interview was used to assess AG and other disorders. Results: Lifetime and 12-month prevalence estimates of DSM-5 AG (1.5% and 1.0%) were comparable to DSM-IV (1.4% and 0.9%). Of respondents meeting criteria in either system, 57.1% met criteria in both, while 24.2% met criteria for DSM-5 only and 18.8% for DSM-IV only. Severe role impairment due to AG was reported by a lower proportion of respondents who met criteria only for DSM-IV AG (30.4%) than those with both DSM-5 and DSM-IV AG (44.0%; χ 2 1 = 4.7; P = 0.031). The proportion of cases with any comorbidity was lower among respondents who met criteria only for DSM-IV AG (78.7%) than those who met both sets (92.9%; χ 2 1 = 14.5; P < 0.001). Conclusions: This first large survey shows that, compared to the DSM-IV, the DSM-5 identifies a substantial group of new cases with AG, while the prevalence rate remains stable at 1.5%. Severity and comorbidity are higher in individuals meeting DSM-5 AG criteria compared with individuals meeting DSM-IV AG criteria only.
AB - Background: The Diagnostic and Statistical Manual of Mental Disorders, version 5 (DSM-5) definition of agoraphobia (AG) as an independent diagnostic entity makes it timely to re-examine the epidemiology of AG. Study objective was to present representative data on the characteristics of individuals who meet DSM-IV criteria for AG (AG without a history of panic disorder [PD] and PD with AG) but not DSM-5 criteria, DSM-5 but not DSM-IV criteria, or both sets of criteria. Methods: Population-based surveys from the World Mental Health Survey Initiative including adult respondents (n = 136,357) from 27 countries across the world. The Composite International Diagnostic Interview was used to assess AG and other disorders. Results: Lifetime and 12-month prevalence estimates of DSM-5 AG (1.5% and 1.0%) were comparable to DSM-IV (1.4% and 0.9%). Of respondents meeting criteria in either system, 57.1% met criteria in both, while 24.2% met criteria for DSM-5 only and 18.8% for DSM-IV only. Severe role impairment due to AG was reported by a lower proportion of respondents who met criteria only for DSM-IV AG (30.4%) than those with both DSM-5 and DSM-IV AG (44.0%; χ 2 1 = 4.7; P = 0.031). The proportion of cases with any comorbidity was lower among respondents who met criteria only for DSM-IV AG (78.7%) than those who met both sets (92.9%; χ 2 1 = 14.5; P < 0.001). Conclusions: This first large survey shows that, compared to the DSM-IV, the DSM-5 identifies a substantial group of new cases with AG, while the prevalence rate remains stable at 1.5%. Severity and comorbidity are higher in individuals meeting DSM-5 AG criteria compared with individuals meeting DSM-IV AG criteria only.
KW - agoraphobia
KW - anxiety/anxiety disorders
KW - cross-national
KW - disorders
KW - epidemiology
KW - phobia/phobic
UR - http://www.scopus.com/inward/record.url?scp=85061342511&partnerID=8YFLogxK
U2 - 10.1002/da.22885
DO - 10.1002/da.22885
M3 - Article
VL - 36
SP - 499
EP - 510
JO - Depression and Anxiety
T2 - Depression and Anxiety
JF - Depression and Anxiety
SN - 1091-4269
IS - 6
ER -