Comparison of Different Diagnostic Criteria for Vascular Dementia (ADDTC, DSM-IV, ICD-10, NINDS-AIREN)

Stroke ◽  
1996 ◽  
Vol 27 (1) ◽  
pp. 30-36 ◽  
Author(s):  
Tilman Wetterling ◽  
Rolf-Dieter Kanitz ◽  
Karl-Jochen Borgis
Keyword(s):  
Vascular Dementia ◽  
Diagnostic Criteria ◽  
Icd 10 ◽  
Dsm Iv

scholarly journals Harmonisation of ICD–11 and DSM–V: opportunities and challenges

2009 ◽  
Vol 195 (5) ◽  
pp. 382-390 ◽  
Author(s):  
Michael B. First
Keyword(s):  
Diagnostic Criteria ◽  
Development Process ◽  
Prior Experience ◽  
International Communication ◽  
Tic Disorder ◽  
Parallel Development ◽  
Dsm V ◽  
Two Systems ◽  
Icd 10 ◽  
Dsm Iv

BackgroundDifferences in the ICD–10 and DSM–IV definitions for the same disorder impede international communication and research efforts. The forthcoming parallel development of DSM–V and ICD–11 offers an opportunity to harmonise the two classifications.AimsThis paper aims to facilitate the harmonisation process by identifying diagnostic differences between the two systems.MethodDSM–IV–TR criteria sets and the ICD–10 Diagnostic Criteria for Research were compared and categorised into those with identical definitions, those with conceptually based differences and those in which differences are not conceptually based and appear to be unintentional.ResultsOf the 176 criteria sets in both systems, only one, transient tic disorder, is identical. Twenty-one per cent had conceptually based differences and 78% had non-conceptually based differences.ConclusionsHarmonisation of criteria sets, especially those with non-conceptually based differences, should be prioritised in the DSM–V and ICD–11 development process. Prior experience with the DSM–IV and ICD–10 harmonisation effort suggests that for the process to be successful steps should be taken as early as possible.

scholarly journals The Consortium to Investigate Vascular Impairment of Cognition: Methods and First Findings

2003 ◽  
Vol 30 (3) ◽  
pp. 237-243 ◽  
Author(s):  
Kenneth Rockwood ◽  
Heather Davis ◽  
Chris MacKnight ◽  
Robert Vandorpe ◽  
Serge Gauthier ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Case Report ◽  
Diagnostic Criteria ◽  
Clinical Diagnosis ◽  
Vascular Cognitive Impairment ◽  
Case Report Form ◽  
Icd 10 ◽  
Dsm Iv ◽  
The Impact

Background:The Consortium to Investigate Vascular Impairment of Cognition (CIVIC) is a Canadian, multi-centre, clinic-based prospective cohort study of patients with Vascular Cognitive Impairment (VCI). We report its organization and the impact of diagnostic criteria on the study of VCI.Methods:Nine memory disability clinics enrolled patients and recorded their usual investigations and care. A case report form included all vascular dementia (VaD) individual criteria for each of four sets (National Institute of Neurological Disorders and Stroke (NINDS-AIREN), Alzheimer’s Disease Diagnostic Treatment Centers (ADDTC), the ICD-10 Classification of Mental and Behavioural Disorders (ICD-10), and the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)) of consensus-based diagnostic criteria and for the Hachinski Ischemia Score (HIS). Investigators, having completed the case report form, were asked to make a clinical judgement about the cognitive diagnosis based on the best available information, including neuroimaging.Results:Of 1,347 patients (mean age 72 years; 56% women), 846 (63%) were diagnosed with dementia and 324 (24%) were diagnosed with VCI. The proportion of patients diagnosed with VaD by the diagnostic criteria was: 23.9% (n=322) by DSM-IV, 10.2% (n=137) by HIS, 4.3% (n=58) by ICD-10, 3.8% (n=51) by ADTCC, and 3.6% (n=48) by NINDS-AIREN. Judged against a clinical diagnosis of VaD, the sensitivity/specificity of each was: DSM-IV (0.77/0.80); HIS (0.41/0.92); ICD-10 (0.29/0.98); ADTCC (0.24/0.98); NINDS-AIREN (0.42/0.995). Compared with a clinical diagnosis of VCI, sensitivities were lower for the diagnostic criteria, reflecting the exclusion of patients who did not have dementia.Conclusions:Consensus-based criteria for VaD omit patients who do not meet dementia criteria that are modeled on Alzheimer’s disease. Even for patients who do, the proportion identified with VaD varies widely. Criteria based on empirical analyses need to be developed and validated.

scholarly journals The reliability and validity of DSM 5 diagnostic criteria for neurocognitive disorder and relationship with plasma neurofilament light in a down syndrome population

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sarah E. Pape ◽  
Tamara al Janabi ◽  
Nicholas J. Ashton ◽  
Abdul Hye ◽  
Rory Sheehan ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Diagnostic Criteria ◽  
Clinical Judgement ◽  
Neurocognitive Disorder ◽  
Rater Reliability ◽  
Neurofilament Light ◽  
Dsm 5 ◽  
Mild Neurocognitive Disorder ◽  
Icd 10 ◽  
Dsm Iv

AbstractThe validity of dementia diagnostic criteria depends on their ability to distinguish dementia symptoms from pre-existing cognitive impairments. The study aimed to assess inter-rater reliability and concurrent validity of DSM-5 criteria for neurocognitive disorder in Down syndrome. The utility of mild neurocognitive disorder as a distinct diagnostic category, and the association between clinical symptoms and neurodegenerative changes represented by the plasma biomarker neurofilament light were also examined. 165 adults with Down syndrome were included. Two clinicians independently applied clinical judgement, DSM-IV, ICD-10 and DSM-5 criteria for dementia (or neurocognitive disorder) to each case. Inter-rater reliability and concurrent validity were analysed using the kappa statistic. Plasma neurofilament light concentrations were measured for 55 participants as a marker of neurodegeneration and between group comparisons calculated. All diagnostic criteria showed good inter-rater reliability apart from mild neurocognitive disorder which was moderate (k = 0.494). DSM- 5 criteria had substantial concurrence with clinical judgement (k = 0.855). When compared to the no neurocognitive disorder group, average neurofilament light concentrations were higher in both the mild and major neurocognitive disorder groups. DSM-5 neurocognitive disorder criteria can be used reliably in a Down syndrome population and has higher concurrence with clinical judgement than the older DSM-IV and ICD-10 criteria. Whilst the inter-rater reliability of the mild neurocognitive disorder criteria was modest, it does appear to identify people in an early stage of dementia with underlying neurodegenerative changes, represented by higher average NfL levels.

scholarly journals A retrospective analysis of the clinical case records of ‘autistic psychopaths’ diagnosed by Hans Asperger and his team at the University Children's Hospital, Vienna

2003 ◽  
Vol 358 (1430) ◽  
pp. 291-301 ◽  
Author(s):  
Kathrin Hippler ◽  
Christian Klicpera
Keyword(s):  
Diagnostic Criteria ◽  
Motor Skills ◽  
Clinical Case ◽  
Circumscribed Interests ◽  
Parental Background ◽  
Icd 10 ◽  
Dsm Iv ◽  
Characteristic Features ◽  
The University ◽  
Very High

To date, it is questionable whether the diagnostic criteria for Asperger syndrome (AS) as stated by ICD–10 or DSM–IV still reflect Asperger's original account of ‘autistic psychopathy’ (AP) from the 1940s. The present study examined 74 clinical case records of children with AP diagnosed by Hans Asperger and his team at the Viennese Children's Clinic and Asperger's private practice between 1950 and 1986. The characteristic features of the children are outlined, including reasons for referral, parental background, behavioural problems, cognitive functioning, communication and interests. Results show that the patients of Asperger described in our study represent a subgroup of children with very high intellectual functioning, specific circumscribed interests and talents but impaired social, communication and motor skills. Sixty–eight percent of the sample met ICD–10 criteria for AS, while 25% fulfilled the diagnostic criteria for autism. Implications for the diagnosis of AS are discussed.

scholarly journals Comparison of Different Clinical Criteria (DSM-III, ADDTC, ICD-10, NINDS-AIREN, DSM-IV) for the Diagnosis of Vascular Dementia

Stroke ◽  
2000 ◽  
Vol 31 (12) ◽  
pp. 2952-2957 ◽  
Author(s):  
T. Pohjasvaara ◽  
R. Mäntylä ◽  
R. Ylikoski ◽  
M. Kaste ◽  
T. Erkinjuntti
Keyword(s):  
Vascular Dementia ◽  
Clinical Criteria ◽  
Icd 10 ◽  
Dsm Iv

Cross-System Concordance of Personality Disorder Diagnoses of DSM-IV and Diagnostic Criteria for Research of ICD-10

2002 ◽  
Vol 16 (3) ◽  
pp. 283-292 ◽  
Author(s):  
Hans Ottosson ◽  
Lisa Ekselius ◽  
Martin Grann ◽  
Gunnar Kullgren
Keyword(s):  
Personality Disorder ◽  
Diagnostic Criteria ◽  
Icd 10 ◽  
Dsm Iv ◽  
Cross System

A comparison of DSM-III-R and ICD-10 personality disorder criteria in an out-patient population

1996 ◽  
Vol 26 (1) ◽  
pp. 151-160 ◽  
Author(s):  
G. Sara ◽  
P. Raven ◽  
A. Mann
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Diagnostic Criteria ◽  
Equivalent Form ◽  
Primary Diagnosis ◽  
Individual Personality ◽  
Diagnostic Threshold ◽  
Icd 10 ◽  
Dsm Iv

SynopsisThis study reports the results of a comparison of DSM-III-R and ICD-10 personality disorder criteria by application of both sets of criteria to the same group of patients. Despite the clinical relevance of these disorders and the need for reliable diagnostic criteria, such a comparison has not previously been reported. DSM-III-R and ICD-10 have converged in their classification of personality disorders, but some important differences between the two systems remain. Personality disorder diagnoses from both systems were obtained in 52 out-patients, using the Standardized Assessment of Personality (SAP), a brief, informant-based interview which yields diagnoses in both DSM-III-R and ICD-10. For individual personality disorder diagnoses, agreement between systems was limited. Thirty-four subjects received a personality disorder diagnosis that had an equivalent form in both systems, but only 10 subjects (29%) received the same primary diagnosis in each system. There was a difference in rate of diagnosis, with ICD-10 making significantly more personality disorder diagnoses. The lower diagnostic threshold of the ICD-10 contributed most of this effect. Further modifications in ICD-10 Diagnostic Criteria for Research (DCR) and DSM-IV to the personality disorder category have been considered. The omission in DSM-IV of three categories unique to that system and the raising of the threshold in ICD-10 DCR, do seem to have been helpful in promoting convergence.

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