0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

REGULAR ARTICLES   |    
Diagnostic stability in adolescents followed up 2 years after hospitalization
Am J Psychiatry 1995;152:889-894.
text A A A
PDF of the full text article.
Abstract

OBJECTIVE: The authors examined the stability of DSM-III-R disorders and groups of disorders in adolescent inpatients followed up 2 years after hospitalization. METHOD: Seventy hospitalized adolescents were reliably assessed by using structured diagnostic interviews for DSM-III- R disorders. Two years later the subjects were independently assessed with the same interviews. Diagnostic stability was measured by determining both the percentage of persisting cases and the kappa statistic. RESULTS: Internalizing disorders had the highest percentage of persisting cases (59%) but an insignificant kappa due to many new cases at follow-up. Externalizing disorders had a lower percentage of stable cases (39%) but a significant kappa because of fewer new cases. Substance use disorders were fairly stable (53%) and had a significant kappa, indicating that this may be the most stable group of disorders in adolescents. Personality disorder clusters were relatively unstable, especially clusters A and C. CONCLUSIONS: Diagnostic stability in these hospitalized adolescents was less than that reported for adults. This may indicate that DSM-III-R diagnoses in adolescents have poor construct validity, but it may also reflect the different paths for development of psychopathology during adolescence. For axis I, externalizing disorders appear most specific to adolescence, with some persistence but decreasing incidence over time. Existing cases of internalizing disorders tend to be even more persistent, but the high incidence of new cases during adolescence contributes to lower overall stability. Substance use disorders appear to be most stable, and personality disorders appear to be least stable, in adolescents.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Web of Science® Times Cited: 57

Related Content
Articles
Books
DSM-5™ Clinical Cases > Chapter 2.  >
DSM-5™ Clinical Cases > Chapter 7.  >
DSM-5™ Clinical Cases > Chapter 3.  >
DSM-5™ Clinical Cases > Chapter 4.  >
DSM-5™ Clinical Cases > Chapter 4.  >
Topic Collections
Psychiatric News
PubMed Articles