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 - 1984

Fingerprint

Diagnostic and Statistical Manual of Mental Disorders
National Institute of Mental Health (U.S.)
Appointments and Schedules
Exclusion
Co-occurrence
Syndrome
Interviews
Population
Diagnostics

ASJC Scopus subject areas

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

Cite this

Exclusion Criteria of DSM-III : A Study of Co-occurrence of Hierarchy-Free Syndromes. / Boyd, Jeffrey H.; Burke, Jack D.; Gruenberg, Ernest; Holzer, Charles E.; Rae, Donald S.; George, Linda K.; Karno, Marvin; Stoltzman, Roger; McEvoy, Larry; Nestadt, Gerald.

In: Archives of General Psychiatry, Vol. 41, No. 10, 1984, p. 983-989.

Research output: Contribution to journalArticle

Boyd, JH, Burke, JD, Gruenberg, E, Holzer, CE, Rae, DS, George, LK, 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, vol. 41, no. 10, pp. 983-989. https://doi.org/10.1001/archpsyc.1984.01790210065008
Boyd, Jeffrey H. ; Burke, Jack D. ; Gruenberg, Ernest ; Holzer, Charles E. ; Rae, Donald S. ; George, Linda K. ; Karno, Marvin ; Stoltzman, Roger ; McEvoy, Larry ; Nestadt, Gerald. / Exclusion Criteria of DSM-III : A Study of Co-occurrence of Hierarchy-Free Syndromes. In: Archives of General Psychiatry. 1984 ; Vol. 41, No. 10. pp. 983-989.
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