Medical College of Wisconsin
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Applying impairment criteria to children's psychiatric diagnosis. J Am Acad Child Adolesc Psychiatry 1990 Sep;29(5):789-95

Date

09/01/1990

Pubmed ID

2228935

DOI

10.1097/00004583-199009000-00019

Scopus ID

2-s2.0-0025076210 (requires institutional sign-in at Scopus site)   52 Citations

Abstract

This paper examines the effect of applying impairment criteria using the Children's Global Assessment Scale on rates, agreement between informants, and recall of diagnosis over 2 years in a sample of 220 offspring of depressed and nondepressed parents. The findings show that the offspring of depressed parents, compared with nondepressed parents, were more impaired overall. The rates of most psychiatric disorders in both groups of children were markedly reduced when impairment criteria were applied. The application of impairment criteria improved agreement between mother and child on many of the children's diagnoses and also improved stability of recall of child's diagnosis at 2-year follow-up. Long-term follow-up studies are needed to determine the clinical consequences for children who meet diagnostic criteria for psychiatric disorder but who have minimal functional impairment.

Author List

Weissman MM, Warner V, Fendrich M

Author

Michael Fendrich PhD Professor in the Emergency Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adaptation, Psychological
Adolescent
Adult
Child
Child of Impaired Parents
Depressive Disorder
Female
Follow-Up Studies
Humans
Male
Risk Factors