By Dennis P. Cantwell M.D., Gabrielle A. Carlson M.D. (auth.)
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Extra info for Affective Disorders in Childhood and Adolescence: An Update
Depressive illness in childhood. In: Coppens A, Walk A, eds. Recent developments in affective disorders. Ashford, Kent: Headley Brothers, 1968: 117-136. Gittelman-Klein R. Definitional and methodological issues concerning depressive illness in children. In: Schulterbrandt JG, Raskin A, eds. Depression in childhood. New York: Raven Press, 1977:69-80. Glaser K. Masked depression in children and adolescents. Ann Prog Child Psychiatry Child Dev 1968; 1:345-355. Goodwin OW, Guze SB. Psychiatric diagnosis.
The diagnostic categories in the classification system must be reliable. A system cannot be valid if it is not reliable. Even if a classification system has reliability-that is, clinicians can agree with a high degree of reliability on diagnoses applied to a series of cases-it still may not have validity. Spitzer (I 980) has pinpointed the major sources of unreliability in psychiatric diagnosis. These include information variance, observation and interpretation variance, and criterion variance.
He was so articulate at describing the affective, cognitive, and neurovegetative features of his depression, and at providing a remarkably accurate chronology, one needed hardly resort to equivalents to make the diagnosis. (Although his mother's death was unfortunate, it was interesting that R. " We have seen children who develop these "equivalents" secondary to their depression. We have also seen many children whose depressive symptoms postdate their conduct problems and/or encopresis. The temporal relationship of these "equivalents" to the course of the depression may be more important than simply their presence or absence.
Affective Disorders in Childhood and Adolescence: An Update by Dennis P. Cantwell M.D., Gabrielle A. Carlson M.D. (auth.)