A comparison of DSM-5 and DSM-IV agoraphobia in the World Mental Health Surveys

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Roest, Annelieke M. ^[1] ; de Vries, Ymkje Anna ^[1] ; Lim, Carmen C. W. ^{[2, 3]} ; Wittchen, Hans-Ulrich ^{[4, 5]} ; Stein, Dan J. ^[6] ; Adamowski, Tomasz ^[7] ; Al-Hamzawi, Ali ^[8] ; Bromet, Evelyn J. ^[9] ; Viana, Maria Carmen ^{[10, 11]} ; de Girolamo, Giovanni ^[12] ; Demyttenaere, Koen ^[13] ; Florescu, Silvia ^[14] ; Gureje, Oye ^[15] ; Maria Haro, Josep ^[16] ; Hu, Chiyi ^[17] ; Karam, Elie G. ^{[18, 19, 20]} ; Caldas-de-Almeida, Jose Miguel ^{[21, 22, 23]} ; Kawakami, Norito ^[24] ; Lepine, Jean Pierre ^{[25, 26]} ; Levinson, Daphna ^[27] ; Medina-Mora, Maria E. ^[28] ; Navarro-Mateu, Fernando ^{[29, 30, 31]} ; O'Neill, Siobhan ^[32] ; Piazza, Marina ^[33] ; Posada-Villa, Jose A. ^[34] ; Slade, Tim ^[35] ; Torres, Yolanda ^[36] ; Kessler, Ronald C. ^[37] ; Scott, Kate M. ^[38] ; de Jonge, Peter ^[1] ; Co, WHO World Mental Hlth Survey

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^[1] Univ Groningen, Dept Dev Psychol, Groningen - Netherlands

^[2] Univ Queensland, Queensland Ctr Mental Hlth Res, St Lucia, Qld - Australia

^[3] Univ Queensland, Queensland Brain Inst, St Lucia, Qld - Australia

^[4] Tech Univ Dresden, Inst Clin Psychol & Psychotherapy, Dresden - Germany

^[5] Ludwig Maximilans Univ Munich, Dept Psychiat & Psychotherapy, Munich - Germany

^[6] Univ Cape Town, Dept Psychiat & Mental Hlth, Cape Town - South Africa

^[7] Med Acad Wroclaw, Dept Psychiat, Wroclaw - Poland

^[8] Al Qadisiya Univ, Coll Med, Diwania Governorate - Iraq

^[9] SUNY Stony Brook, Sch Med, Dept Psychiat, New York, NY - USA

^[10] Fed Univ Espirito Santo UFES, Psychiat Epidemiol Res Ctr CEPEP, Dept Social Med, Vitoria, ES - Brazil

^[11] Fed Univ Espirito Santo UFES, Psychiat Epidemiol Res Ctr CEPEP, Postgrad Program Publ Hlth, Vitoria, ES - Brazil

^[12] IRCCS Ctr S Giovanni Dio Fatebenefratelli, IRCCS St John God Clin Res Ctr, Brescia - Italy

^[13] Katholieke Univ Leuven, Univ Hosp Gasthuisberg, Dept Psychiat, Leuven - Belgium

^[14] Natl Sch Publ Hlth, Management & Profess Dev, Bucharest - Romania

^[15] Univ Coll Hosp, Dept Psychiat, Ibadan - Nigeria

^[16] Univ Barcelona, Parc Sanitari St Joan de Deu, CIBERSAM, Barcelona - Spain

^[17] Shenzhen Kangning Hosp, Shenzhen Insitute Mental Hlth, Shenzhen - Peoples R China

^[18] St George Hosp Univ, Med Ctr, Dept Psychiat & Clin Psychol, Beirut - Lebanon

^[19] IDRAAC, Beirut - Lebanon

^[20] Balamand Univ, Dept Psychiat & Clin Psychol, Fac Med, Beirut - Lebanon

^[21] Univ Nova Lisboa, Fac Ciencias Med, Dept Mental Hlth, Lisbon - Portugal

^[22] Univ Nova Lisboa, Lisbon Inst Global Mental Hlth, Lisbon - Portugal

^[23] Univ Nova Lisboa, Chron Dis Res Ctr CEDOC, Lisbon - Portugal

^[24] Univ Tokyo, Sch Publ Hlth, Dept Mental Hlth, Tokyo - Japan

^[25] Paris Descartes, Paris - France

^[26] Univ Paris Diderot, Hop Lariboisiere Fernand Widal, AP HP, INSERM, UMR S 1144, Paris - France

^[27] Minist Hlth Israel, Mental Hlth Serv, Jerusalem - Israel

^[28] Natl Inst Psychiat Ramon Fuente, Dept Epidemiol & Psychosocial Res, Mexico City, DF - Mexico

^[29] IMIB Arrixaca, Murcia - Spain

^[30] CIBER Epidemiol & Salud Publ CIBERESP, Murcia - Spain

^[31] Serv Murciano Salud, Subdirecc Gen Salud Mental & Asistencia Psiquiatr, UDIF SM, Murcia - Spain

^[32] Ulster Univ, Sch Psychol, Coleraine, Londonderry - North Ireland

^[33] Univ Peruana Cayetano Hereidia, Natl Inst Hlth, Lima - Peru

^[34] Colegio Mayor Cundinamarca Univ, Bogota - Colombia

^[35] Univ New South Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW - Australia

^[36] CES Univ, Ctr Excellence Res Mental Hlth, Medellin - Colombia

^[37] Harvard Univ, Med Sch, Dept Hlth Care Policy, Boston, MA 02115 - USA

^[38] Univ Otago, Dept Psychol Med, Dunedin, Otago - New Zealand

• Tipo de documento: Artigo Científico
• Fonte: DEPRESSION AND ANXIETY; v. 36, n. 6, p. 499-510, JUN 2019.
• Citações Web of Science: 0

Resumo

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%; chi(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%; chi(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. (AU)

• Processo FAPESP: 03/00204-3 - Estudo epidemiológico dos transtornos psiquiátricos na região metropolitana de São Paulo: prevalências, fatores de risco e sobrecarga social e econômica
• Beneficiário: Laura Helena Silveira Guerra de Andrade
• Modalidade de apoio: Auxílio à Pesquisa - Temático