Comparison of DSM-III and DSM-III-R diagnoses for prepubertal children: changes in prevalence and validity.
Comparison of DSM-III and DSM-III-R diagnoses for prepubertal children: changes in prevalence and validity.
复制标题
青春期前儿童 DSM-III 和 DSM-III-R 诊断的比较：患病率和有效性的变化。
DOI：
10.1097/00004583-199007000-00017
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发表时间：
1990
影响因子：
13.3
通讯作者：
Dulcan,M
中科院分区：
文献类型：
--
作者：
Lahey,BB;Loeber,R;Stouthamer-Loeber,M;Christ,MA;Green,S;Russo,MF;Frick,PJ;Dulcan,M
以儿童、家长和教师的儿童诊断访谈计划修订版为基础，采用结构化和可靠的诊断程序，对177名7至12岁的门诊男孩进行了DSM-III和DSM-III-R诊断。与DSM-IH相比较，DSM-III-对立违抗性障碍的患病率降低25.5%，DSM-III-恶劣心境障碍的患病率降低37.8%，DSM-III-R品行障碍(CD)的患病率降低44.3%。然而，DSM-III-R注意缺陷多动障碍的患病率比DSM-III注意缺陷多动障碍的患病率高14.4%。对CD的两种定义进行了比较，以举例说明诊断验证的经验方法。DSM-HI-R诊断CD似乎更有效，因为它与警察接触、学校停学和生父的反社会人格障碍史更密切相关，但这两种CD诊断都与家族刑事定罪相关。
A structured and reliable diagnostic procedure based on a revised version of the Diagnostic Interview Schedule for Children for children, parents, and teachers was used to assign bothDSM-IIIandDSM-III-Rdiagnoses to 177 outpatient boys aged 7 to 12 years. Compared to their DSM-IH counterparts,DSM-III-Roppositional defiant disorder was 25.5% less prevalent,DSM-III-Rdysthymia was 37.8% less prevalent, andDSM-III-Rconduct disorder (CD) was 44.3% less prevalent. However,DSM-III-Rattention deficit hyperactivity disorder was 14.4% more prevalent thanDSM-IIIattention deficit disorder with hyperactivity. The two definitions of CD were compared to exemplify an empirical approach to diagnostic validation. The DSM-HI-R diagnosis of CD appears to be more valid as it is more strongly associated with police contacts, school suspensions, and history of antisocial personality disorder in the biological father, but both CD diagnoses are associated with family histories of criminal convictions.