TY - JOUR
T1 - Exclusion Criteria of DSM-III
T2 - A Study of Co-occurrence of Hierarchy-Free Syndromes
AU - Boyd, Jeffrey H.
AU - Burke, Jack D.
AU - Gruenberg, Ernest
AU - Holzer, Charles E.
AU - Rae, Donald S.
AU - George, Linda K.
AU - Karno, Marvin
AU - Stoltzman, Roger
AU - McEvoy, Larry
AU - Nestadt, Gerald
N1 - Copyright:
Copyright 2015 Elsevier B.V., All rights reserved.
PY - 1984/10
Y1 - 1984/10
N2 - The diagnostic criteria of the third edition of the DSM-III often state that one diagnosis cannot be made If It is “due to” another disorder. Using data from the National Institute of Mental Health Diagnostic Interview Schedule, with a sample of 11,519 subjects from a community population, we found that if two disorders were related to each other according to the DSM-III exclusion criteria, then the presence of a dominant disorder greatly increased the odds of having the excluded disorder. We also found that disorders, which DSM-III says are related to each other, were more strongly associated than disorders, which DSM-III says are unrelated. However, we also found there was a general tendency toward co-occurrence, so that the presence of any disorder increased the odds of having almost any other disorder, even if DSM-III does not list it as a related disorder. We concluded that empirical studies are needed to study the assumptions underlying the use of a diagnostic hierarchy.
AB - The diagnostic criteria of the third edition of the DSM-III often state that one diagnosis cannot be made If It is “due to” another disorder. Using data from the National Institute of Mental Health Diagnostic Interview Schedule, with a sample of 11,519 subjects from a community population, we found that if two disorders were related to each other according to the DSM-III exclusion criteria, then the presence of a dominant disorder greatly increased the odds of having the excluded disorder. We also found that disorders, which DSM-III says are related to each other, were more strongly associated than disorders, which DSM-III says are unrelated. However, we also found there was a general tendency toward co-occurrence, so that the presence of any disorder increased the odds of having almost any other disorder, even if DSM-III does not list it as a related disorder. We concluded that empirical studies are needed to study the assumptions underlying the use of a diagnostic hierarchy.
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U2 - 10.1001/archpsyc.1984.01790210065008
DO - 10.1001/archpsyc.1984.01790210065008
M3 - Article
C2 - 6477056
AN - SCOPUS:0021126113
SN - 0003-990X
VL - 41
SP - 983
EP - 989
JO - Archives of general psychiatry
JF - Archives of general psychiatry
IS - 10
ER -