BACKGROUND: ICD-10 and DSM-IV include similar criterial symptom lists for conduct disorder (CD) and oppositional defiant disorder (ODD), but while DSM-IV treats each list separately, ICD-10 considers them jointly. One consequence is that ICD-10 identifies a group of children with ODD subtype who do not receive a diagnosis under DSM-IV. METHODS: We examined the characteristics of this group of children using the Great Smoky Mountains Study of children in the community aged 9-16. This study provided child and parent reports of symptoms and psychosocial impairment assessed with standardised diagnostic interviews. RESULTS: Children who received an ICD-10 diagnosis but not a DSM-IV diagnosis showed broadly similar levels of psychiatric comorbidity, delinquent activity and psychosocial impairment to those who met DSM-IV criteria in both cross-sectional and longitudinal analyses. CONCLUSIONS: These results indicate that DSM-IV excludes from diagnosis children who receive an ICD-10 diagnosis of CD (ODD sub-type), and who are substantially disturbed. Methods of redressing this situation are considered.
BACKGROUND: ICD-10 and DSM-IV include similar criterial symptom lists for conduct disorder (CD) and oppositional defiant disorder (ODD), but while DSM-IV treats each list separately, ICD-10 considers them jointly. One consequence is that ICD-10 identifies a group of children with ODD subtype who do not receive a diagnosis under DSM-IV. METHODS: We examined the characteristics of this group of children using the Great Smoky Mountains Study of children in the community aged 9-16. This study provided child and parent reports of symptoms and psychosocial impairment assessed with standardised diagnostic interviews. RESULTS:Children who received an ICD-10 diagnosis but not a DSM-IV diagnosis showed broadly similar levels of psychiatric comorbidity, delinquent activity and psychosocial impairment to those who met DSM-IV criteria in both cross-sectional and longitudinal analyses. CONCLUSIONS: These results indicate that DSM-IV excludes from diagnosis children who receive an ICD-10 diagnosis of CD (ODD sub-type), and who are substantially disturbed. Methods of redressing this situation are considered.
Authors: Maria T Acosta; F Xavier Castellanos; Kelly L Bolton; Joan Z Balog; Patricia Eagen; Linda Nee; Janet Jones; Luis Palacio; Christopher Sarampote; Heather F Russell; Kate Berg; Mauricio Arcos-Burgos; Maximilian Muenke Journal: J Am Acad Child Adolesc Psychiatry Date: 2008-07 Impact factor: 8.829
Authors: Carter R Petty; Michael C Monuteaux; Eric Mick; Samantha Hughes; Jacqueline Small; Stephen V Faraone; Joseph Biederman Journal: J Psychiatr Res Date: 2008-05-01 Impact factor: 4.791
Authors: Benjamin B Lahey; Paul J Rathouz; Carol Van Hulle; Richard C Urbano; Robert F Krueger; Brooks Applegate; Holly A Garriock; Derek A Chapman; Irwin D Waldman Journal: J Abnorm Child Psychol Date: 2007-10-03