title: Cross-cultural study of conviction subtype Taijin Kyofu: proposal and reliability of Nagoya-Osaka diagnostic criteria for social anxiety disorder.
abstract: Conviction subtype Taijin-Kyofu (c-TK) is a subgroup of mental disorder characterized by conviction and strong fear of offending others in social situations. Although the concept of c-TK overlaps with that of social anxiety disorder (SAD), patients with c-TK often may not be diagnosed as such within the current Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV criteria. We propose the Nagoya-Osaka criteria to amend this situation. This study examined the cross-cultural interrater reliability of the proposed criteria. Eighteen case vignettes of patients with a variety of complaints focused around social anxieties were collected from 6 different countries, and diagnosed by 13 independent raters from various nationalities according to the original DSM-IV and the expanded criteria. The average agreement ratio for the most frequent diagnostic category in each case was 61.5% with DSM-IV and 87.6% with the modified DSM-IV with Nagoya-Osaka criteria (p < 0.001). These findings indicate that the Nagoya-Osaka criteria for SAD can improve interrater reliability of SAD.
authors.affiliation: Department of Psychiatry, University of Southampton, Southampton, United Kingdom. ykino@joy.hi-ho.ne.jp
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kinoshita
authors.forename: Junwen
authors.initials: J
authors.lastname: Chen
authors.forename: Ronald M
authors.initials: RM
authors.lastname: Rapee
authors.forename: Susan
authors.initials: S
authors.lastname: Bögels
authors.forename: Franklin R
authors.initials: FR
authors.lastname: Schneier
authors.forename: Yujuan
authors.initials: Y
authors.lastname: Choy
authors.forename: Jung-Hye
authors.initials: JH
authors.lastname: Kwon
authors.forename: Xinghua
authors.initials: X
authors.lastname: Liu
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Schramm
authors.forename: Denise A
authors.initials: DA
authors.lastname: Chavira
authors.forename: Yumi
authors.initials: Y
authors.lastname: Nakano
authors.forename: Norio
authors.initials: N
authors.lastname: Watanabe
authors.forename: Tetsuji
authors.initials: T
authors.lastname: Ietzugu
authors.forename: Sei
authors.initials: S
authors.lastname: Ogawa
authors.forename: Paul
authors.initials: P
authors.lastname: Emmelkamp
authors.forename: Jianxue
authors.initials: J
authors.lastname: Zhang
authors.forename: David
authors.initials: D
authors.lastname: Kingdon
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Nagata
authors.forename: Toshi A
authors.initials: TA
authors.lastname: Furukawa
mesh_terms: D000293:Adolescent; D000328:Adult; D003431:Cross-Cultural Comparison; D003702:Delusions / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D007406:Interview, Psychological; D007564:Japan; D008297:Male; D015588:Observer Variation; D010552:Personality Assessment / Q000706:statistics & numerical data*; D010698:Phobic Disorders / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology; D011594:Psychometrics / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D012649:Self Concept; D012945:Social Values