Abstract
Objective
DSM-IV is the most widely used diagnostic classification system in research, whereas ICD-10 is more widely used clinically. Knowledge of differences is essential when research findings are implemented in daily clinical practice. We examined differences between the two diagnostic systems regarding three major child psychiatric diagnostic categories.
Methods
A total of 199 consecutively referred, child psychiatric patients were interviewed with a semistructured diagnostic interview (K-SADS-PL) including questions covering specific ICD-10-DCR criteria, and diagnosed according to both diagnostic systems.
Results
Differences were found regarding the diagnoses major depressive disorder/depressive episode and attention deficit hyperactivity disorder/disturbance of activity and attention. In both cases, more children met DSM-IV-TR criteria than ICD-10-DCR criteria. The diagnosis, oppositional defiant disorder, proved interchangeable between the two diagnostic systems.
Conclusion
Differences between diagnostic systems must be taken into account when research findings using one diagnostic system are implemented with children diagnosed by another diagnostic system.
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References
Ambrosini PJ, Metz C, Prabucki K, Lee JC (1989) Videotape reliability of the third revised edition of the K-SADS. J Am Acad Child Adolesc Psychiatry 28:723–728
American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders DSM-IV-TR. American Psychiatric Association, Washington, DC
Barrett ML, Berney TP, Bhate S, Famuyiwa OO, Fundudis T, Kolvin I, Tyrer S (1991) Diagnosing childhood depression who should be interviewed–parent or child? The Newcastle Child Depression Project. Br J Psychiatry (Suppl):22–27
Bertelsen A (2002) Wanted: validation studies on the current diagnostic classifications. Acta Psychiatr Scand 106:81–82
Costello EJ, Angold A, Burns BJ, Stangl DK, Tweed DL, Erkanli A, Worthman CM (1996) The Great Smoky Mountains Study of Youth. Goals, design, methods, and the prevalence of DSM-III-R disorders. Arch Gen Psychiatry 53:1129–1136
Edelbrock C, Costello AJ, Dulcan MK, Kalas R, Conover NC (1985) Age differences in the reliability of the psychiatric interview of the child. Child Dev 56:265–275
Feinstein C, Blouin AG, Egan J, Conners CK (1984) Depressive symptomatology in a child psychiatric outpatient population: correlations with diagnosis. Compr Psychiatry 25:379–391
Hodges K (1993) Structured interviews for assessing children (see comments). J Child Psychol Psychiatry 34:49–68
Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P, Williamson D, Ryan N (1997) Schedule for Affective Disorders and Schizophrenia for School-Age Children—Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 36:980–988
Kolvin I, Barrett ML, Bhate SR, Berney TP, Famuyiwa OO, Fundudis T, Tyrer S (1991) The Newcastle Child Depression Project. Diagnosis and classification of depression. Br J Psychiatry (Suppl):9–21
Kovacs M (2001) Gender and the course of major depressive disorder through adolescence in clinically referred youngsters. J Am Acad Child Adolesc Psychiatry 40:1079–1085
Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174
Mezzich JE (2002) International surveys on the use of ICD-10 and related diagnostic systems. Psychopathology 35:2–3
Milich R, Balentine AC, Lynam DR (2001) ADHD Combined Type and ADHD Predominantly Inattentive Type Are Distinct and Unrelated Disorders. Clinical Psychology—Science and Practice 8:463–488
Patton GC, Coffey C, Posterino M, Carlin JB, Wolfe R (2000) Adolescent depressive disorder: a population-based study of ICD-10 symptoms. Aust N Z J Psychiatry 34:741–747
Paykel ES (2002) Mood disorders: review of current diagnostic systems. Psychopathology 35:94–99
Shanee N, Apter A, Weizman A (1997) Psychometric properties of the KSADS-PL in an Israeli adolescent clinical population. Isr J Psychiatry Relat Sci 34:179–186
Sorensen MJ, Nissen JB, Mors O, Thomsen PH (2005) Age and gender differences in depressive symptomatology and comorbidity: an incident sample of psychiatrically admitted children. J Affect Disord 84:85–91
Sourander A, Turunen MM (1999) Psychiatric hospital care among children and adolescents in Finland: a nationwide register study. Soc Psychiatry Psychiatr Epidemiol 34:105–110
SPSS. Statistical Package for the Social Sciences. 2002. Chicago, SPSS inc. 1989
Steinberger K, Schuch B (2002) Classification of obsessive-compulsive disorder in childhood and adolescence. Acta Psychiatr Scand 106:97–102
Weiss B, Garber J (2003) Developmental differences in the phenomenology of depression. Dev Psychopathol 15:403–430
Williamson DE, Birmaher B, Brent DA, Balach L, Dahl RE, Ryan ND (2000) Atypical symptoms of depression in a sample of depressed child and adolescent outpatients. J Am Acad Child Adolesc Psychiatry 39:1253–1259
World Health Organization (1993) The ICD-10 classification of mental and behavioural disorders: diagnostic criteria for research. World Health Organization, Geneva
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Sørensen, M.J., Mors, O. & Thomsen, P.H. DSM-IV or ICD-10-DCR diagnoses in child and adolescent psychiatry: does it matter?. Europ.Child & Adolescent Psych 14, 335–340 (2005). https://doi.org/10.1007/s00787-005-0482-7
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DOI: https://doi.org/10.1007/s00787-005-0482-7