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| 1:
Eur Child Adolesc Psychiatry. 2005
Sep;14(6):335-40. |
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DSM-IV or ICD-10-DCR diagnoses in child and adolescent
psychiatry: does it matter?
Sorensen MJ,
Mors O,
Thomsen PH.
Psychiatric Hospital for Children and Adolescents, Harald
Selmersvej 66, 8240, Risskov, Denmark.
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.
PMID: 16220218 [PubMed - in process]
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