Exclusion Criteria of DSM-III: A Study of Co-occurrence of Hierarchy-Free Syndromes

Jeffrey H. Boyd, Jack D. Burke, Ernest Gruenberg, Charles E. Holzer, Donald S. Rae, Linda K. George, Marvin Karno, Roger Stoltzman, Larry McEvoy, Gerald Nestadt

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)983-989
Number of pages7
JournalArchives of general psychiatry
Volume41
Issue number10
DOIs
StatePublished - Oct 1984

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Psychiatry and Mental health

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    Boyd, J. H., Burke, J. D., Gruenberg, E., Holzer, C. E., Rae, D. S., George, L. K., Karno, M., Stoltzman, R., McEvoy, L., & Nestadt, G. (1984). Exclusion Criteria of DSM-III: A Study of Co-occurrence of Hierarchy-Free Syndromes. Archives of general psychiatry, 41(10), 983-989. https://doi.org/10.1001/archpsyc.1984.01790210065008