The Classification of Anxiety and Fear-Related Disorders in the ICD-11

被引:61
作者
Kogan, Cary S. [1 ]
Stein, Dan J. [2 ]
Maj, Mario [3 ]
First, Michael B. [4 ]
Emmelkamp, Paul M. G. [5 ,6 ]
Reed, Geoffrey M. [7 ,8 ]
机构
[1] Univ Ottawa, Sch Psychol, Ottawa, ON, Canada
[2] Univ Cape Town, Dept Psychiat, Groote Schuur Hosp, Cape Town, South Africa
[3] Univ Naples SUN, Dept Psychiat, Naples, Italy
[4] Columbia Univ, Dept Psychiat, New York State Psychiat Inst, New York, NY USA
[5] Univ Amsterdam, Dept Clin Psychol, Amsterdam, Netherlands
[6] Netherlands Inst Adv Study Humanities & Social Sci, Amsterdam, Netherlands
[7] WHO, Dept Mental Hlth & Subst Abuse, Geneva, Switzerland
[8] Univ Nacl Autonoma Mexico, Fac Psychol, Mexico City, DF, Mexico
关键词
World Health Organization; International Classification of Diseases (ICD) diagnosis; classification; anxiety disorders; Diagnostic and Statistical Manual of Mental Disorders (DSM-5); DSM-IV ANXIETY; COMMON MENTAL-DISORDERS; DOMAIN CRITERIA RDOC; QUALITY-OF-LIFE; MOOD DISORDERS; PANIC DISORDER; MAJOR DEPRESSION; SOCIAL PHOBIA; PREVALENCE; METAANALYSIS;
D O I
10.1002/da.22530
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Anxiety disorders are highly prevalent worldwide and engender substantial economic costs and disability. The World Health Organization is currently developing the Eleventh Revision of the International Classification of Diseases and Related Health Problems (ICD-11), which represents the first opportunity to improve the validity, clinical utility, and global applicability of the classification in more than 25 years. This article describes changes in the organization and diagnostic guidelines for anxiety and fear-related disorders proposed by the ICD-11 Working Group on the Classification of Mood and Anxiety Disorders and the rationale and evidence base for the proposals. In ICD-11, anxiety and fear-related disorders that manifest across the lifespan are brought together under a new grouping, and are partly distinguished by their focus of apprehension. The focus of apprehension is the stimulus or situation that triggers the fear or anxiety and may be highly specific as in specific phobia or relate to a broader class of situations as in social anxiety disorder. The guidelines also clarify the relationship between panic disorder and agoraphobia and a qualifier is provided for panic attacks in the context of other disorders. A standardized format emphasizing essential features of anxiety disorders is intended to improve clinical utility. Guidelines will be further refined based on findings from two types of field studies: those using a case-controlled vignette methodology disseminated via the Internet to practitioners worldwide () and clinic-based field trials implemented globally at participating field study centers.
引用
收藏
页码:1141 / 1154
页数:14
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