OBJECTIVE: We tested the predictive utility of symptoms for proposed DSM-IV definitions of the disruptive behavior disorders using indices corrected for symptom and diagnosis base rates. METHOD: The field trials sample consisted of 440 clinic-referred youths who were consecutive referrals to a heterogeneous group of mental health clinics. Multiple informants were interviewed to determine the presence of symptoms and diagnoses. RESULTS: Some symptoms which were either not in DSM-III or DSM-III-R, or were modifications of DSM-III-R symptoms, had greater diagnostic efficiency than did several existing symptoms. Symptom utility estimates were generally similar for different ages and genders, although some interesting age and sex trends emerged for a few symptoms. CONCLUSIONS: The results supported the inclusion of more restricted definitions of "lying" and "truancy" to increase their association with a conduct disorder diagnosis and they supported the elimination of "swearing" in the oppositional defiant disorder criteria. In addition to their relevance for developing optimal criteria for DSM-IV, these results can aid DSM-IV users by providing a useful guide to the relative efficiency of individual symptoms based on data from a large heterogeneous clinic population.
OBJECTIVE: We tested the predictive utility of symptoms for proposed DSM-IV definitions of the disruptive behavior disorders using indices corrected for symptom and diagnosis base rates. METHOD: The field trials sample consisted of 440 clinic-referred youths who were consecutive referrals to a heterogeneous group of mental health clinics. Multiple informants were interviewed to determine the presence of symptoms and diagnoses. RESULTS: Some symptoms which were either not in DSM-III or DSM-III-R, or were modifications of DSM-III-R symptoms, had greater diagnostic efficiency than did several existing symptoms. Symptom utility estimates were generally similar for different ages and genders, although some interesting age and sex trends emerged for a few symptoms. CONCLUSIONS: The results supported the inclusion of more restricted definitions of "lying" and "truancy" to increase their association with a conduct disorder diagnosis and they supported the elimination of "swearing" in the oppositional defiant disorder criteria. In addition to their relevance for developing optimal criteria for DSM-IV, these results can aid DSM-IV users by providing a useful guide to the relative efficiency of individual symptoms based on data from a large heterogeneous clinic population.
Authors: B B Lahey; S H Goodman; I D Waldman; H Bird; G Canino; P Jensen; D Regier; P J Leaf; R Gordon; B Applegate Journal: J Abnorm Child Psychol Date: 1999-08
Authors: Courtney L Benjamin; Rinad S Beidas; Jonathan S Comer; Anthony C Puliafico; Philip C Kendall Journal: Depress Anxiety Date: 2010-11-03 Impact factor: 6.505
Authors: Erik G Willcutt; Nomita Chhabildas; Mikaela Kinnear; John C DeFries; Richard K Olson; Daniel R Leopold; Janice M Keenan; Bruce F Pennington Journal: J Abnorm Child Psychol Date: 2014-01
Authors: Alexandra Garcia Rosales; Silia Vitoratou; Tobias Banaschewski; Philip Asherson; Jan Buitelaar; Robert D Oades; Aribert Rothenberger; Hans-Christoph Steinhausen; Stephen V Faraone; Wai Chen Journal: Eur Child Adolesc Psychiatry Date: 2015-03-06 Impact factor: 4.785