Exclusion criteria of DSM-III. A study of co-occurrence of hierarchy-free syndromes.


Journal Article

The diagnostic criteria of the third edition of the DSM-III often state that one diagnosis cannot be made if it is "due to" another disorder. Using data from the National Institute of Mental Health Diagnostic Interview Schedule, with a sample of 11,519 subjects from a community population, we found that if two disorders were related to each other according to the DSM-III exclusion criteria, then the presence of a dominant disorder greatly increased the odds of having the excluded disorder. We also found that disorders, which DSM-III says are related to each other, were more strongly associated than disorders, which DSM-III says are unrelated. However, we also found there was a general tendency toward co-occurrence, so that the presence of any disorder increased the odds of having almost any other disorder, even if DSM-III does not list it as a related disorder. We concluded that empirical studies are needed to study the assumptions underlying the use of a diagnostic hierarchy.

Full Text

Duke Authors

Cited Authors

  • Boyd, JH; Burke, JD; Gruenberg, E; Holzer, CE; Rae, DS; George, LK; Karno, M; Stoltzman, R; McEvoy, L; Nestadt, G

Published Date

  • October 1, 1984

Published In

Volume / Issue

  • 41 / 10

Start / End Page

  • 983 - 989

PubMed ID

  • 6477056

Pubmed Central ID

  • 6477056

Electronic International Standard Serial Number (EISSN)

  • 1538-3636

International Standard Serial Number (ISSN)

  • 0003-990X

Digital Object Identifier (DOI)

  • 10.1001/archpsyc.1984.01790210065008


  • eng