Descriptive validity and stability of diagnostic criteria for dysthymic disorder

Ling Han; Karen B Schmaling; David L Dunner

doi:10.1016/S0010-440X(95)90114-0

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Descriptive validity and stability of diagnostic criteria for dysthymic disorder

Journal article

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Descriptive validity and stability of diagnostic criteria for dysthymic disorder

Ling Han, Karen B Schmaling and David L Dunner

Comprehensive psychiatry, Vol.36(5), pp.338-343

1995

DOI: https://doi.org/10.1016/S0010-440X(95)90114-0

Handle:

https://hdl.handle.net/2376/112516

PMID: 7497707

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Abstract

The goal of this study is to examine different criteria for the diagnosis of dysthymic disorder (DD). Using a two-stage design, records of 37 subjects diagnosed with DSM-III-R DD were systematically reviewed. Seven of these patients met criteria except for having depression less than 50% of the time. The initial evaluation involved a comparison of the diagnostic assessments using symptom criteria of DSM-III-R and ICD-10, proposed DSM-IV criteria for DD, DSM-III-R major depressive disorder (MD) criteria, and the Columbia criteria for atypical depression (AD). A subsample of 16 subjects who were assessed at least twice several months apart was then extracted. Agreement between the assessments with the proposed DSM-IV symptom list was determined. In the initial assessment, all 37 subjects (100%) met DSM-III-R and ICD-10 criteria, proposed DSM-IV criteria for DD, and DSM-III-R MD criteria, with percentages of mean positive items on the four criteria being 77%, 84%, 89%, and 77%, respectively. In addition, nine subjects (24.3%) also met diagnostic criteria for AD. All 16 subjects (100%) of the subsample again met proposed DSM-IV criteria for DD when assessed 75 to 145 days after their initial assessment. Items with the highest agreement between each two assessments were pessimism and low self-esteem, whereas social withdrawal and decreased activity had lower agreement. The proposed DSM-IV criteria for DD had good sensitivity and reliability in assessing core symptoms of DD. The use of different criteria for DD is discussed.

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Title: Descriptive validity and stability of diagnostic criteria for dysthymic disorder
Creators: Ling Han
Karen B Schmaling
David L Dunner
Publication Details: Comprehensive psychiatry, Vol.36(5), pp.338-343
Academic Unit: Psychology, Department of
Publisher: Elsevier Inc
Identifiers: 99900547324801842
Language: English
Resource Type: Journal article