Child Psychiatrists' Views of DSM-III-R: A Survey of Usage and Opinions

STEPHEN R. SETTERBERG, MONIQUE ERNST, UMA RAO, MAGDA CAMPBELL, GABRIELLE A. CARLSON, DAVID SHAFFER, BEATRIZ M. STAGHEZZA

Research output: Contribution to journalArticle

Abstract

The DSM-IV Child Psychiatry Work Group surveyed 460 child psychiatrists about their use of DSM-III-R and their reactions to specific proposed nosological revisions for DSM-IV. This paper presents the responses of the sample as a whole and of respondent subgroups with different theoretical, practice, and training characteristics. The survey indicates that DSM-III and DSM-III-R are widely used and generally accepted by child psychiatrists. Ninety-eight percent of respondents believe a criterion-based diagnostic system is useful, and 65% consider DSM-III-R to be an improvement over DSM-III. Depending on the diagnosis, 47% to 66% of the respondents reported that they generally assess all applicable criteria and 28% to 49% often refer to the manual before assigning a diagnosis. A majority of respondents supported proposals for several new diagnostic subtypes. Ninety-three percent of respondents indicated that “adequacy of family support” was very valuable for treatment planning or estimating prognosis. Fifty-five percent of respondents admitted to diagnosing adjustment disorders in order to avoid the stigma associated with other disorders. Child psychiatrists who are psychodynamically oriented or practicing in an office-based setting or out of training for more than 10 years tend to use the DSM-III-R less rigorously.

Original languageEnglish (US)
Pages (from-to)652-658
Number of pages7
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume30
Issue number4
DOIs
StatePublished - Jan 1 1991

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Keywords

  • DSM-III-R
  • satisfaction
  • stigma
  • use

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

Cite this

SETTERBERG, STEPHEN. R., ERNST, MONIQUE., RAO, UMA., CAMPBELL, MAGDA., CARLSON, GABRIELLE. A., SHAFFER, DAVID., & STAGHEZZA, BEATRIZ. M. (1991). Child Psychiatrists' Views of DSM-III-R: A Survey of Usage and Opinions. Journal of the American Academy of Child and Adolescent Psychiatry, 30(4), 652-658. https://doi.org/10.1097/00004583-199107000-00019