A Participant's Observations: Preparing DSM-IV

@article{Shaffer1996APO,
  title={A Participant's Observations: Preparing DSM-IV},
  author={David Shaffer},
  journal={The Canadian Journal of Psychiatry},
  year={1996},
  volume={41},
  pages={325 - 329}
}
  • D. Shaffer
  • Published 1 August 1996
  • Psychology
  • The Canadian Journal of Psychiatry
Objective: To provide an overview of the process of creating the DSM-IV from a participant's perspective. Method: Narrative review. Results: In its attempt to address the perceived weaknesses of both the content and development of the DSM-III and DSM-III-R, the DSM-IV development was based on commissioned reviews for sets of diagnoses, especially designed field trials and a transparent decision-making process. Conclusions: Nosology is an ambitious and complicated enterprise. Classification… 
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References

SHOWING 1-10 OF 15 REFERENCES
DSM-III. A step forward or back in terms of the classification of child psychiatric disorders?
Field trial for autistic disorder in DSM-IV.
TLDR
Modifications in the ICD-10 definition of autism were made based on data obtained regarding 977 patients with the following clinician-assigned diagnoses: autism, other pervasive developmental disorders, and other disorders.
DSM-IV field trials for the disruptive behavior disorders: symptom utility estimates.
TLDR
The results supported the inclusion of more restricted definitions of "lying" and "truancy" to increase their association with a conduct disorder diagnosis and they supported the elimination of "swearing" in the oppositional defiant disorder criteria.
The Diagnostic Interview Schedule for Children-Revised Version (DISC-R): III. Concurrent criterion validity.
TLDR
Although these findings provide preliminary support for the use of the DISC-R, they cast some doubt on the adequacy of clinician-generated diagnoses as validation criteria and suggest that alternate approaches to the assessment of validation should be pursued.
The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3): description, acceptability, prevalence rates, and performance in the MECA Study. Methods for the Epidemiology of Child and Adolescent Mental Disorders Study.
TLDR
The DISC-2 is a reliable and economical tool for assessing child psychopathology and the 2.3 version of the instrument provides a significant improvement over earlier versions.
DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents.
TLDR
The results support the decision to subdivide the heterogeneous category of DSM-III-R attention deficit hyperactivity disorder into three subtypes and the resulting DSM-IV definition appears to be somewhat less biased toward the symptom pattern typical of elementary school boys.
Evidence for developmentally based diagnoses of oppositional defiant disorder and conduct disorder
TLDR
External validity lent support to the distinctions between DSM-III-R ODD and CD, and between MODD, ICD, and ACD, and was a better predictor than ODD of which boys received a later diagnosis of CD.
Which boys will fare worse? Early predictors of the onset of conduct disorder in a six-year longitudinal study.
TLDR
Physical fighting, although not a symptom of ODD, should be targeted in preventive interventions along with ODD symptoms, and low socioeconomic status of the parent, O DD, and parental substance abuse best predicted the onset of CD.
Four-year longitudinal study of conduct disorder in boys: patterns and predictors of persistence.
TLDR
For most boys with CD, the number of symptoms fluctuated above and below the diagnostic threshold from year to year but remained relatively high, but the interaction of parental APD and the boy's verbal intelligence predicted the persistence of CD symptoms over time.
Attention deficit disorder with and without hyperactivity: comparison of behavioral characteristics of clinic-referred children.
TLDR
Comparisons of measures involved in the diagnostic process showed that the ADD/H children were rated by teachers as being more impulsive and those with ADD/WO were more likely to display a severe pattern of aggressive conduct disorder in spite of being younger at the time of assessment.
...
...