Abstract
Objective: The purpose of the field trials for oppositional defiant disorder and conduct disorder was to select valid diagnostic thresholds for these disorders and to compare the psychometric properties of DSM-IV criteria for oppositional defiant disorder and conduct disorder with previous DSM diagnostic formulations. Method: Structured diagnostic interviews, standardized clinician's validation diagnoses, and multiple measures of impairment were obtained for 440 clinic-referred children and adolescents aged 4-17 years. Results: A diagnostic threshold of four symptoms of oppositional defiant disorder optimized identification of impaired children, improved agreement somewhat with the clinician's validation diagnosis, and had somewhat better test-retest agreement than DSM-III-R. In the case of conduct disorder, the optimal time window for ascertainment of symptoms was clarified. A diagnostic threshold of three symptoms of conduct disorder maximized accurate identification of impaired children and agreement with the clinician's validation diagnosis and resulted in slightly better test-retest agreement than DSM-III-R. Compared with the DSM-III-R definition, the DSM-IV definition of oppositional defiant disorder was somewhat more prevalent, but the prevalence of conduct disorder was essentially unchanged. Conclusions: DSM-IV definitions of oppositional defiant disorder and conduct disorder are somewhat better than DSM-III-R definitions in terms of internal consistency and test-retest agreement, and the validity of the DSM-IV definition of oppositional defiant disorder is slightly better than that of DSM-III-R.
| Original language | English |
|---|---|
| Pages (from-to) | 1163-1171 |
| Number of pages | 9 |
| Journal | American Journal of Psychiatry |
| Volume | 151 |
| Issue number | 8 |
| State | Published - Aug 1 1994 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Psychiatry and Mental health
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DSM-IV field trials for oppositional defiant disorder and conduct disorder in children and adolescents. / Lahey, Benjamin B.; Applegate, Brooks; Barkley, Russell A.; Garfinkel, Barry; McBurnett, Keith; Kerdyk, Lynn; Greenhill, Laurence; Hynd, George W.; Frick, Paul J.; Newcorn, Jeffrey; Biederman, Joseph; Ollendick, Thomas; Hart, Elizabeth L.; Perez, Dorcas; Waldman, Irwin; Shaffer, David.
In: American Journal of Psychiatry, Vol. 151, No. 8, 01.08.1994, p. 1163-1171.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - DSM-IV field trials for oppositional defiant disorder and conduct disorder in children and adolescents
AU - Lahey, Benjamin B.
AU - Applegate, Brooks
AU - Barkley, Russell A.
AU - Garfinkel, Barry
AU - McBurnett, Keith
AU - Kerdyk, Lynn
AU - Greenhill, Laurence
AU - Hynd, George W.
AU - Frick, Paul J.
AU - Newcorn, Jeffrey
AU - Biederman, Joseph
AU - Ollendick, Thomas
AU - Hart, Elizabeth L.
AU - Perez, Dorcas
AU - Waldman, Irwin
AU - Shaffer, David
PY - 1994/8/1
Y1 - 1994/8/1
N2 - Objective: The purpose of the field trials for oppositional defiant disorder and conduct disorder was to select valid diagnostic thresholds for these disorders and to compare the psychometric properties of DSM-IV criteria for oppositional defiant disorder and conduct disorder with previous DSM diagnostic formulations. Method: Structured diagnostic interviews, standardized clinician's validation diagnoses, and multiple measures of impairment were obtained for 440 clinic-referred children and adolescents aged 4-17 years. Results: A diagnostic threshold of four symptoms of oppositional defiant disorder optimized identification of impaired children, improved agreement somewhat with the clinician's validation diagnosis, and had somewhat better test-retest agreement than DSM-III-R. In the case of conduct disorder, the optimal time window for ascertainment of symptoms was clarified. A diagnostic threshold of three symptoms of conduct disorder maximized accurate identification of impaired children and agreement with the clinician's validation diagnosis and resulted in slightly better test-retest agreement than DSM-III-R. Compared with the DSM-III-R definition, the DSM-IV definition of oppositional defiant disorder was somewhat more prevalent, but the prevalence of conduct disorder was essentially unchanged. Conclusions: DSM-IV definitions of oppositional defiant disorder and conduct disorder are somewhat better than DSM-III-R definitions in terms of internal consistency and test-retest agreement, and the validity of the DSM-IV definition of oppositional defiant disorder is slightly better than that of DSM-III-R.
AB - Objective: The purpose of the field trials for oppositional defiant disorder and conduct disorder was to select valid diagnostic thresholds for these disorders and to compare the psychometric properties of DSM-IV criteria for oppositional defiant disorder and conduct disorder with previous DSM diagnostic formulations. Method: Structured diagnostic interviews, standardized clinician's validation diagnoses, and multiple measures of impairment were obtained for 440 clinic-referred children and adolescents aged 4-17 years. Results: A diagnostic threshold of four symptoms of oppositional defiant disorder optimized identification of impaired children, improved agreement somewhat with the clinician's validation diagnosis, and had somewhat better test-retest agreement than DSM-III-R. In the case of conduct disorder, the optimal time window for ascertainment of symptoms was clarified. A diagnostic threshold of three symptoms of conduct disorder maximized accurate identification of impaired children and agreement with the clinician's validation diagnosis and resulted in slightly better test-retest agreement than DSM-III-R. Compared with the DSM-III-R definition, the DSM-IV definition of oppositional defiant disorder was somewhat more prevalent, but the prevalence of conduct disorder was essentially unchanged. Conclusions: DSM-IV definitions of oppositional defiant disorder and conduct disorder are somewhat better than DSM-III-R definitions in terms of internal consistency and test-retest agreement, and the validity of the DSM-IV definition of oppositional defiant disorder is slightly better than that of DSM-III-R.
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M3 - Article
C2 - 8037251
AN - SCOPUS:0028022521
VL - 151
SP - 1163
EP - 1171
JO - American Journal of Psychiatry
JF - American Journal of Psychiatry
SN - 0002-953X
IS - 8
ER -