Modification of DSM-IV Criteria for Depressed Preschool Children
OBJECTIVE: This study compared the severity of depression in preschoolers diagnosed by standard versus modified DSM-IV criteria for major depression. METHOD: A group of 145 preschoolers and their caregivers underwent a diagnostic assessment for preschool children. A factor analysis of depressive sym...
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| Veröffentlicht in: | The American journal of psychiatry 2003-06, Vol.160 (6), p.1169-1172 |
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| container_title | The American journal of psychiatry |
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| creator | Luby, Joan L. Mrakotsky, Christine Heffelfinger, Amy Brown, Kathy Hessler, Martha Spitznagel, Edward |
| description | OBJECTIVE: This study compared the severity of depression in preschoolers diagnosed by standard versus modified DSM-IV criteria for major depression. METHOD: A group of 145 preschoolers and their caregivers underwent a diagnostic assessment for preschool children. A factor analysis of depressive symptoms from the group was performed to derive a depression severity score. Scores were compared among four groups: standard DSM-IV major depression, modified DSM-IV major depression, DSM-IV attention deficit hyperactivity disorder and or oppositional defiant disorder, and no disorder. RESULTS: A hierarchy in severity emerged, with significant differences among all four groups. Preschoolers meeting standard criteria displayed the highest severity, followed by those who met modified criteria. Both depressed groups had significantly higher severity than the two comparison groups. CONCLUSIONS: Standard DSM-IV criteria captured the most severely affected preschoolers, missing a substantial proportion of children with potentially clinically significant but less severe symptoms who were captured by modified DSM-IV criteria. |
| doi_str_mv | 10.1176/appi.ajp.160.6.1169 |
| format | Article |
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METHOD: A group of 145 preschoolers and their caregivers underwent a diagnostic assessment for preschool children. A factor analysis of depressive symptoms from the group was performed to derive a depression severity score. Scores were compared among four groups: standard DSM-IV major depression, modified DSM-IV major depression, DSM-IV attention deficit hyperactivity disorder and or oppositional defiant disorder, and no disorder. RESULTS: A hierarchy in severity emerged, with significant differences among all four groups. Preschoolers meeting standard criteria displayed the highest severity, followed by those who met modified criteria. Both depressed groups had significantly higher severity than the two comparison groups. CONCLUSIONS: Standard DSM-IV criteria captured the most severely affected preschoolers, missing a substantial proportion of children with potentially clinically significant but less severe symptoms who were captured by modified DSM-IV criteria.</description><identifier>ISSN: 0002-953X</identifier><identifier>EISSN: 1535-7228</identifier><identifier>DOI: 10.1176/appi.ajp.160.6.1169</identifier><identifier>PMID: 12777277</identifier><identifier>CODEN: AJPSAO</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Publishing</publisher><subject>Age Factors ; Attention Deficit and Disruptive Behavior Disorders - classification ; Attention Deficit and Disruptive Behavior Disorders - diagnosis ; Attention Deficit Disorder with Hyperactivity - classification ; Attention Deficit Disorder with Hyperactivity - diagnosis ; Biological and medical sciences ; Child clinical studies ; Child, Preschool ; Children & youth ; Depression ; Depressive Disorder - classification ; Depressive Disorder - diagnosis ; Depressive Disorder - psychology ; Diagnosis ; Diagnosis, Differential ; Diagnostic and Statistical Manual IV ; Diagnostic and Statistical Manual of Mental Disorders ; Factor analysis ; Factor Analysis, Statistical ; Humans ; Medical sciences ; Mental depression ; Mood disorders ; Nosology. Terminology. Diagnostic criteria ; Preschool children ; Principal Component Analysis ; Psychiatric Status Rating Scales - statistics & numerical data ; Psychiatric tests ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics ; Psychopathology. Psychiatry ; Severity ; Severity of Illness Index ; Techniques and methods</subject><ispartof>The American journal of psychiatry, 2003-06, Vol.160 (6), p.1169-1172</ispartof><rights>2003 INIST-CNRS</rights><rights>Copyright American Psychiatric Association Jun 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a430t-bc79a065917f75d37b852e597ac7b23a4e4f7ad4fab38839ed19546b842e7613</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/appi.ajp.160.6.1169$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/appi.ajp.160.6.1169$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,776,780,2842,21605,21606,21607,27901,27902,30977,77763,77768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14852620$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12777277$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luby, Joan L.</creatorcontrib><creatorcontrib>Mrakotsky, Christine</creatorcontrib><creatorcontrib>Heffelfinger, Amy</creatorcontrib><creatorcontrib>Brown, Kathy</creatorcontrib><creatorcontrib>Hessler, Martha</creatorcontrib><creatorcontrib>Spitznagel, Edward</creatorcontrib><title>Modification of DSM-IV Criteria for Depressed Preschool Children</title><title>The American journal of psychiatry</title><addtitle>Am J Psychiatry</addtitle><description>OBJECTIVE: This study compared the severity of depression in preschoolers diagnosed by standard versus modified DSM-IV criteria for major depression. METHOD: A group of 145 preschoolers and their caregivers underwent a diagnostic assessment for preschool children. A factor analysis of depressive symptoms from the group was performed to derive a depression severity score. Scores were compared among four groups: standard DSM-IV major depression, modified DSM-IV major depression, DSM-IV attention deficit hyperactivity disorder and or oppositional defiant disorder, and no disorder. RESULTS: A hierarchy in severity emerged, with significant differences among all four groups. Preschoolers meeting standard criteria displayed the highest severity, followed by those who met modified criteria. Both depressed groups had significantly higher severity than the two comparison groups. CONCLUSIONS: Standard DSM-IV criteria captured the most severely affected preschoolers, missing a substantial proportion of children with potentially clinically significant but less severe symptoms who were captured by modified DSM-IV criteria.</description><subject>Age Factors</subject><subject>Attention Deficit and Disruptive Behavior Disorders - classification</subject><subject>Attention Deficit and Disruptive Behavior Disorders - diagnosis</subject><subject>Attention Deficit Disorder with Hyperactivity - classification</subject><subject>Attention Deficit Disorder with Hyperactivity - diagnosis</subject><subject>Biological and medical sciences</subject><subject>Child clinical studies</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Depression</subject><subject>Depressive Disorder - classification</subject><subject>Depressive Disorder - diagnosis</subject><subject>Depressive Disorder - psychology</subject><subject>Diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Diagnostic and Statistical Manual IV</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Factor analysis</subject><subject>Factor Analysis, Statistical</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>Mood disorders</subject><subject>Nosology. Terminology. Diagnostic criteria</subject><subject>Preschool children</subject><subject>Principal Component Analysis</subject><subject>Psychiatric Status Rating Scales - statistics & numerical data</subject><subject>Psychiatric tests</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychopathology. Psychiatry</subject><subject>Severity</subject><subject>Severity of Illness Index</subject><subject>Techniques and methods</subject><issn>0002-953X</issn><issn>1535-7228</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkUtLKzEUgINc0fr4BYIMF667qXmfyc5L6wsUBUXchcxMginTyZi0C_-9qS0KLnQRDgnfeeR8CB0RPCYE5KkZBj82s2FMJB7L_CbVFhoRwUQJlFZ_0AhjTEsl2PMu2ktplq-YAd1Bu4QCQD4jdHYbWu98YxY-9EVwxfThtrx-KibRL2z0pnAhFlM7RJuSbYv7HJuXELpi8uK7Ntr-AG070yV7uIn76PHi_HFyVd7cXV5P_t-UhjO8KOsGlMFSKAIORMugrgS1QoFpoKbMcMsdmJY7U7OqYsq2RAku64pTC5KwfXSyLjvE8Lq0aaHnPjW260xvwzJpYIxyStSvoACiOBYr8O83cBaWsc9_0JRiDhxjkSG2hpoYUorW6SH6uYlvmmC9sqBXFnS2oLMFLfXKQs463pRe1nPbfuVs1p6BfxvApMZ0Lpq-8emL43k5kuLM4TX30eVzvp96vwOmhJ9W</recordid><startdate>20030601</startdate><enddate>20030601</enddate><creator>Luby, Joan L.</creator><creator>Mrakotsky, Christine</creator><creator>Heffelfinger, Amy</creator><creator>Brown, Kathy</creator><creator>Hessler, Martha</creator><creator>Spitznagel, Edward</creator><general>American Psychiatric Publishing</general><general>American Psychiatric Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20030601</creationdate><title>Modification of DSM-IV Criteria for Depressed Preschool Children</title><author>Luby, Joan L. ; Mrakotsky, Christine ; Heffelfinger, Amy ; Brown, Kathy ; Hessler, Martha ; Spitznagel, Edward</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a430t-bc79a065917f75d37b852e597ac7b23a4e4f7ad4fab38839ed19546b842e7613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Age Factors</topic><topic>Attention Deficit and Disruptive Behavior Disorders - classification</topic><topic>Attention Deficit and Disruptive Behavior Disorders - diagnosis</topic><topic>Attention Deficit Disorder with Hyperactivity - classification</topic><topic>Attention Deficit Disorder with Hyperactivity - diagnosis</topic><topic>Biological and medical sciences</topic><topic>Child clinical studies</topic><topic>Child, Preschool</topic><topic>Children & youth</topic><topic>Depression</topic><topic>Depressive Disorder - classification</topic><topic>Depressive Disorder - diagnosis</topic><topic>Depressive Disorder - psychology</topic><topic>Diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Diagnostic and Statistical Manual IV</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>Factor analysis</topic><topic>Factor Analysis, Statistical</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Mental depression</topic><topic>Mood disorders</topic><topic>Nosology. Terminology. Diagnostic criteria</topic><topic>Preschool children</topic><topic>Principal Component Analysis</topic><topic>Psychiatric Status Rating Scales - statistics & numerical data</topic><topic>Psychiatric tests</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics</topic><topic>Psychopathology. Psychiatry</topic><topic>Severity</topic><topic>Severity of Illness Index</topic><topic>Techniques and methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luby, Joan L.</creatorcontrib><creatorcontrib>Mrakotsky, Christine</creatorcontrib><creatorcontrib>Heffelfinger, Amy</creatorcontrib><creatorcontrib>Brown, Kathy</creatorcontrib><creatorcontrib>Hessler, Martha</creatorcontrib><creatorcontrib>Spitznagel, Edward</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luby, Joan L.</au><au>Mrakotsky, Christine</au><au>Heffelfinger, Amy</au><au>Brown, Kathy</au><au>Hessler, Martha</au><au>Spitznagel, Edward</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modification of DSM-IV Criteria for Depressed Preschool Children</atitle><jtitle>The American journal of psychiatry</jtitle><addtitle>Am J Psychiatry</addtitle><date>2003-06-01</date><risdate>2003</risdate><volume>160</volume><issue>6</issue><spage>1169</spage><epage>1172</epage><pages>1169-1172</pages><issn>0002-953X</issn><eissn>1535-7228</eissn><coden>AJPSAO</coden><abstract>OBJECTIVE: This study compared the severity of depression in preschoolers diagnosed by standard versus modified DSM-IV criteria for major depression. METHOD: A group of 145 preschoolers and their caregivers underwent a diagnostic assessment for preschool children. A factor analysis of depressive symptoms from the group was performed to derive a depression severity score. Scores were compared among four groups: standard DSM-IV major depression, modified DSM-IV major depression, DSM-IV attention deficit hyperactivity disorder and or oppositional defiant disorder, and no disorder. RESULTS: A hierarchy in severity emerged, with significant differences among all four groups. Preschoolers meeting standard criteria displayed the highest severity, followed by those who met modified criteria. Both depressed groups had significantly higher severity than the two comparison groups. CONCLUSIONS: Standard DSM-IV criteria captured the most severely affected preschoolers, missing a substantial proportion of children with potentially clinically significant but less severe symptoms who were captured by modified DSM-IV criteria.</abstract><cop>Washington, DC</cop><pub>American Psychiatric Publishing</pub><pmid>12777277</pmid><doi>10.1176/appi.ajp.160.6.1169</doi><tpages>4</tpages></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; American Psychiatric Publishing Journals (1997-Present); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Age Factors Attention Deficit and Disruptive Behavior Disorders - classification Attention Deficit and Disruptive Behavior Disorders - diagnosis Attention Deficit Disorder with Hyperactivity - classification Attention Deficit Disorder with Hyperactivity - diagnosis Biological and medical sciences Child clinical studies Child, Preschool Children & youth Depression Depressive Disorder - classification Depressive Disorder - diagnosis Depressive Disorder - psychology Diagnosis Diagnosis, Differential Diagnostic and Statistical Manual IV Diagnostic and Statistical Manual of Mental Disorders Factor analysis Factor Analysis, Statistical Humans Medical sciences Mental depression Mood disorders Nosology. Terminology. Diagnostic criteria Preschool children Principal Component Analysis Psychiatric Status Rating Scales - statistics & numerical data Psychiatric tests Psychology. Psychoanalysis. Psychiatry Psychometrics Psychopathology. Psychiatry Severity Severity of Illness Index Techniques and methods |
| title | Modification of DSM-IV Criteria for Depressed Preschool Children |
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