Diagnosing major depressive disorder I: A psychometric evaluation of the DSM-IV symptom criteria

The Journal of Nervous and Mental Disease
Mark ZimmermanIwona Chelminski

Abstract

The diagnostic criteria for depression were developed on the basis of clinical experience rather than empirical study. Although they have been available and widely used for many years, few studies have examined the psychometric properties of the DSM criteria for major depression. In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services project, we examined whether criteria such as insomnia, fatigue, and impaired concentration that are also diagnostic criteria for other disorders are less specific than the other DSM-IV depression symptom criteria. We also conducted a regression analysis to determine whether all criteria are independently associated with the diagnosis of major depressive disorder. A total of 1538 psychiatric outpatients were administered a semistructured diagnostic interview. We inquired about all of the symptoms of depression for all patients. All of the DSM-IV symptom criteria for major depressive disorder were significantly associated with the diagnosis. Contrary to our prediction, symptoms such as insomnia, fatigue, and impaired concentration, which are also criteria of other disorders, generally performed as well as the criteria that are unique to depression such as s...Continue Reading

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Citations

Jul 25, 2009·Psychological Medicine·M ZimmermanC Francione Witt
Aug 30, 2008·Journal of Abnormal Psychology·Daniel N Klein
Dec 29, 2010·Experimental and Clinical Psychopharmacology·Adam M LeventhalSteve Sussman
May 16, 2006·The Journal of Nervous and Mental Disease·Mark ZimmermanIwona Chelminski
Jul 15, 2006·The Journal of Nervous and Mental Disease·Mark ZimmermanDiane Young
Sep 15, 2006·The Journal of Nervous and Mental Disease·Mark ZimmermanIwona Chelminski
Nov 15, 2006·The Journal of Nervous and Mental Disease·Mark ZimmermanIwona Chelminski
Dec 14, 2006·The Journal of Nervous and Mental Disease·Mark ZimmermanDiane Young
Nov 15, 2007·The Journal of Nervous and Mental Disease·Sarah E RomansTrevor Silverstone
Jul 18, 2014·International Journal of High Risk Behaviors & Addiction·Yue PanKe-Sheng Wang
Jan 14, 2016·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Qianqian WeiHuifang Shang
Mar 12, 2015·Journal of the American College of Nutrition·Theertham P RaoLekh R Juneja
Jan 8, 2014·Journal of Psychosomatic Obstetrics and Gynaecology·Jaspreet K SinghMiriam Kuppermann
Jan 16, 2007·The Journal of Nervous and Mental Disease·John RuscioDiane Young
Oct 1, 2014·Comprehensive Psychiatry·Mark ZimmermanKristy Dalrymple
Dec 3, 2014·Journal of Affective Disorders·Eiko I Fried, Randolph M Nesse
Dec 18, 2016·Acta Psychiatrica Scandinavica·G ParkerD Hadzi-Pavlovic
Jun 15, 2006·The Journal of Nervous and Mental Disease·Mark ZimmermanIwona Chelminski
Feb 7, 2007·Acta Psychiatrica Scandinavica. Supplementum·R Armitage
Jan 30, 2014·Psychiatry Investigation·Seon-Cheol ParkYong Chon Park
Sep 16, 2020·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Mario MajHans-Ulrich Wittchen
Jul 14, 2010·CNS Spectrums·Prabha SunderajanMadhukar H Trivedi
Jan 16, 2019·BMC Public Health·Bozhi ChenFalk Müller-Riemenschneider
Nov 20, 2016·International Journal of Methods in Psychiatric Research·Matthias W RiepeAndreas Brieden
Apr 14, 2015·The American Journal on Addictions·Jordan A Wong, Adam M Leventhal
Sep 9, 2020·The Journal of Pediatrics·Natasha GillSiraj Amanullah
May 8, 2018·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Junhan ChoAdam M Leventhal

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