Cross-cultural study of conviction subtype Taijin Kyofu: proposal and reliability of Nagoya-Osaka diagnostic criteria for social anxiety disorder.
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.
Kinoshita
Yoshihiro
Y
Department of Psychiatry, University of Southampton, Southampton, United Kingdom. ykino@joy.hi-ho.ne.jp
Chen
Junwen
J
Rapee
Ronald M
RM
Bögels
Susan
S
Schneier
Franklin R
FR
Choy
Yujuan
Y
Kwon
Jung-Hye
JH
Liu
Xinghua
X
Schramm
Elisabeth
E
Chavira
Denise A
DA
Nakano
Yumi
Y
Watanabe
Norio
N
Ietzugu
Tetsuji
T
Ogawa
Sei
S
Emmelkamp
Paul
P
Zhang
Jianxue
J
Kingdon
David
D
Nagata
Toshihiko
T
Furukawa
Toshi A
TA
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