To investigate the prevalence and outcomes of individuals with psychosocial impairment not meeting DSM-III-R criteria for any of 29 well-defined disorders and to suggest operational definitions for not otherwise specified (NOS) diagnoses and V codes.
Two-stage general population sampling resulted in 1,015 youths aged 9,11, and 13 years being interviewed in the first wave of the Great Smoky Mountains Study.
They were reinterviewed 1 year later using the Child and Adolescent Psychiatric Assessment.
The weighted prevalence of sibling relational problems was found to be 1.4%. That of parent-child relational problems was 3.6% and that of relational problems NOS was 0.6%. The overall rate of symptomatic impairment was 9.4%. Across a variety of caseness measures, 1 those with symptomatic impairment proved to be more disturbed than those without either a diagnosis or impairment, and as disturbed as those with a diagnosis but without impairment.
Children and adolescents who do not meet DSM-III-R criteria for any well-defined disorder but who have symptoms associated with psychosocial impairment should be regarded as suffering from a psychiatric disorder.
It is suggested that researchers adopt this definition for the many NOS diagnoses included in the DSM nosology and implement it in their research diagnostic algorithms.
Mots-clés Pascal : Prévalence, Trouble psychiatrique, Classification, Epidémiologie, Diagnostic, Etude longitudinale, Age scolaire, Enfant, Homme, Préadolescent, Adolescent
Mots-clés Pascal anglais : Prevalence, Mental disorder, Classification, Epidemiology, Diagnosis, Follow up study, School age, Child, Human, Preadolescent, Adolescent
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0123126
Code Inist : 002B18D10. Création : 16/11/1999.