The neurotic versus delusional subtype of taijin-kyofu-sho: their DSM diagnoses.
The main purpose of the present study was to investigate the diagnostic concepts of taijin-kyofu-sho (TKS) and social phobia, by comparing the clinical diagnosis of TKS and the operational diagnosis of Diagnostic and Statistical Manual of Mental Disorders (3rd edition, revised; DSM-III-R). Three evaluators conducted semistructured interview for DSM-III-R (SCID axis I and II, the Japanese version) to 88 outpatients who visited Jikei University Daisan Hospital, Japan, over a period of 1 year, requesting Morita therapy. The patients were also independently diagnosed by three psychiatrists to identify TKS. A total of 65.8% of 38 cases of TKS were diagnosed as social phobia. Among the neurotic TKS cases, the percentage was high at 81.5%, while among the delusional TKS cases it was 27.3%. A total of 42.1% of the TKS cases were diagnosed as mood disorder; 60.5% of the TKS cases presented some axis II disorders, among which avoidant personality disorder was the most prevalent (31.6%). There was no significant difference between the neurotic and delusional subtypes of TKS, regarding comorbidity with axis I diagnoses. As for axis II diagnoses, delusional TKS patients had a higher rate of comorbidity with paranoid personality disorder, although they demonstrated very similar trends in comorbidity with all other personality disorders. In the diagnostic system of DSM-III-R, it is highly likely that the neurotic and delusional subtypes of TKS will be seen to correspond to different diagnostic categories.
Nakamura
Kei
K
Department of Psychiatry, Jikei University, Daisan Hospital, Japan. kei87@kt.rim.or.jp
Kitanishi
Kenji
K
Miyake
Yuko
Y
Hashimoto
Kazuyuki
K
Kubota
Mikiko
M
D000328:Adult; D015897:Comorbidity; D003702:Delusions / Q000523:psychology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D009497:Neurotic Disorders / Q000175:diagnosis* / Q000208:ethnology / Q000523:psychology*; D015588:Observer Variation; D010698:Phobic Disorders / Q000175:diagnosis* / Q000208:ethnology / Q000523:psychology*; D015203:Reproducibility of Results