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.

DOI: 10.1097/NMD.0b013e31816a4952

Cite this paper

@article{Kinoshita2008CrossculturalSO, title={Cross-cultural study of conviction subtype Taijin Kyofu: proposal and reliability of Nagoya-Osaka diagnostic criteria for social anxiety disorder.}, author={Yoshihiro Kinoshita and Junwen Chen and Ronald M. Rapee and Susan Maria B{\"{o}gels and Franklin R. Schneier and Yujuan Choy and Jung-Hye Kwon and Xinghua Liu and Elisabeth Schramm and Denise A. Chavira and Yumi Nakano and Norio Watanabe and Tetsuji Ietzugu and Sei Ogawa and Paul M. G. Emmelkamp and Jianxue Zhang and David Graham Kingdon and Toshihiko Nagata and Toshiaki Furukawa}, journal={The Journal of nervous and mental disease}, year={2008}, volume={196 4}, pages={307-13} }