This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
In recent years, there have been multiple sets of diagnostic criteria developed (eg, Feighner, RDC, DSM-III, and DSM-III-R) and two more are on the horizon (International Classification of Diseases, 10th Revision, and DSM-IV). Depending on a number of factors (eg, when the study was done, prior experience with the system, and desire for comparability with similar studies), the researcher will choose a diagnostic system to define the study population. Dr Osser correctly points out that the clinician who is only familiar with the current standard system (now DSM-III-R) may have great difficulty in interpreting the results of published studies that use systems with which he or she is not familiar.There are two solutions to this problem. The first would be for journals to require that all submitted papers use the current official system, or the prior official system if the study had started before the adoption of the current
Spitzer RL, First MB. Use of Antidepressants in Schizophrenia: Diagnostic Problems-Reply. Arch Gen Psychiatry. 1990;47(10):980. doi:10.1001/archpsyc.1990.01810220096019
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: