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Impaired but undiagnosed.

Publication ,  Journal Article
Angold, A; Costello, EJ; Farmer, EM; Burns, BJ; Erkanli, A
Published in: J Am Acad Child Adolesc Psychiatry
February 1999

OBJECTIVE: 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. METHODS: 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. RESULTS: 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," 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. CONCLUSION: 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.

Duke Scholars

Published In

J Am Acad Child Adolesc Psychiatry

DOI

ISSN

0890-8567

Publication Date

February 1999

Volume

38

Issue

2

Start / End Page

129 / 137

Location

United States

Related Subject Headings

  • Social Behavior Disorders
  • Sampling Studies
  • Psychiatric Status Rating Scales
  • Prospective Studies
  • Prevalence
  • Patient Acceptance of Health Care
  • Parent-Child Relations
  • North Carolina
  • Mental Health Services
  • Mental Disorders
 

Citation

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Angold, A., Costello, E. J., Farmer, E. M., Burns, B. J., & Erkanli, A. (1999). Impaired but undiagnosed. J Am Acad Child Adolesc Psychiatry, 38(2), 129–137. https://doi.org/10.1097/00004583-199902000-00011
Angold, A., E. J. Costello, E. M. Farmer, B. J. Burns, and A. Erkanli. “Impaired but undiagnosed.J Am Acad Child Adolesc Psychiatry 38, no. 2 (February 1999): 129–37. https://doi.org/10.1097/00004583-199902000-00011.
Angold A, Costello EJ, Farmer EM, Burns BJ, Erkanli A. Impaired but undiagnosed. J Am Acad Child Adolesc Psychiatry. 1999 Feb;38(2):129–37.
Angold, A., et al. “Impaired but undiagnosed.J Am Acad Child Adolesc Psychiatry, vol. 38, no. 2, Feb. 1999, pp. 129–37. Pubmed, doi:10.1097/00004583-199902000-00011.
Angold A, Costello EJ, Farmer EM, Burns BJ, Erkanli A. Impaired but undiagnosed. J Am Acad Child Adolesc Psychiatry. 1999 Feb;38(2):129–137.
Journal cover image

Published In

J Am Acad Child Adolesc Psychiatry

DOI

ISSN

0890-8567

Publication Date

February 1999

Volume

38

Issue

2

Start / End Page

129 / 137

Location

United States

Related Subject Headings

  • Social Behavior Disorders
  • Sampling Studies
  • Psychiatric Status Rating Scales
  • Prospective Studies
  • Prevalence
  • Patient Acceptance of Health Care
  • Parent-Child Relations
  • North Carolina
  • Mental Health Services
  • Mental Disorders