Abstract
Background:
ICD-10 and DSM-IV include similar criterial symptom lists for conduct disorder (CD) and oppositional defiant disorder (ODD), but while DSM-IV treats each list separately, ICD-10 considers them jointly. One consequence is that ICD-10 identifies a group of children with ODD subtype who do not receive a diagnosis under DSM-IV.
Methods:
We examined the characteristics of this group of children using the Great Smoky Mountains Study of children in the community aged 9-16. This study provided child and parent reports of symptoms and psychosocial impairment assessed with standardised diagnostic interviews.
Results:
Children who received an ICD-10 diagnosis but not a DSM-IV diagnosis showed broadly similar levels of psychiatric comorbidity, delinquent activity and psychosocial impairment to those who met DSM-IV criteria in both cross-sectional and longitudinal analyses.
Conclusions:
These results indicate that DSM-IV excludes from diagnosis children who receive an ICD-10 diagnosis of CD (ODD sub-type), and who are substantially disturbed. Methods of redressing this situation are considered.
Publication types
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
MeSH terms
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Adolescent
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Anxiety / classification
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Anxiety / diagnosis
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Anxiety / epidemiology
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Anxiety / psychology
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Attention Deficit Disorder with Hyperactivity / classification
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Attention Deficit Disorder with Hyperactivity / diagnosis
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Attention Deficit Disorder with Hyperactivity / epidemiology
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Attention Deficit Disorder with Hyperactivity / psychology
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Attention Deficit and Disruptive Behavior Disorders / classification
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Attention Deficit and Disruptive Behavior Disorders / diagnosis*
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Attention Deficit and Disruptive Behavior Disorders / epidemiology
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Attention Deficit and Disruptive Behavior Disorders / psychology
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Child
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Comorbidity
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Conduct Disorder / classification
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Conduct Disorder / diagnosis*
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Conduct Disorder / epidemiology
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Conduct Disorder / psychology
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Cross-Sectional Studies
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Depression / classification
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Depression / diagnosis
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Depression / epidemiology
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Depression / psychology
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Diagnostic and Statistical Manual of Mental Disorders
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Female
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Humans
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International Classification of Diseases
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Longitudinal Studies
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Male
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North Carolina
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Personality Assessment / statistics & numerical data
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Rural Population / statistics & numerical data*
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Socialization
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Statistics as Topic