Diagnosing major depressive disorder: II: is there justification for compound symptom criteria?

The Journal of Nervous and Mental Disease
M ZimmermanIwona Chelminski

Abstract

The DSM-IV symptom inclusion criteria for the diagnosis of major depressive disorder (MDD) are constructed in three ways: single symptom criteria, compound criteria encompassing opposite variants of the same disturbance, and compound criteria encompassing related problems. In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services project, we tested the following three hypotheses: (1) the components of compound-opposite criteria rarely occur simultaneously, (2) the components of the compound-related criteria frequently occur simultaneously, and (3) the components of the compound-related criteria more frequently co-occur than other pairs of the MDD criteria. We also examined how many patients would be rediagnosed if the compound criteria were split into separate items. One thousand eight hundred psychiatric outpatients were evaluated with a semistructured diagnostic interview. We inquired about all of the DSM-IV diagnostic criteria for MDD for all patients. As hypothesized, the symptoms of the compound-opposite criteria usually did not co-occur, whereas the symptoms of the compound-related criteria frequently were present simultaneously. However, the results also indicated that other pairs ...Continue Reading

References

Jan 1, 1995·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·M R First
Dec 31, 2002·The American Journal of Psychiatry·Robert Kendell, Assen Jablensky
Nov 26, 2003·The Australian and New Zealand Journal of Psychiatry·Nick Haslam
Mar 15, 2006·The Journal of Nervous and Mental Disease·Mark ZimmermanIwona Chelminski

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Citations

Sep 17, 2013·Journal of Affective Disorders·Joan TrujolsVíctor Perez
Sep 16, 2008·Psychiatry Research·Adam M LeventhalMark Zimmerman
Oct 1, 2014·Comprehensive Psychiatry·Mark ZimmermanKristy Dalrymple
Jun 15, 2006·The Journal of Nervous and Mental Disease·Mark ZimmermanIwona Chelminski
Jul 2, 2021·Scientific Reports·Eva GrahamNorbert Schmitz

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