@article{ref1,
title="Did Narrowing the Major Depression Bereavement Exclusion From DSM-III-R to DSM-IV Increase Validity?: Evidence From the National Comorbidity Survey",
journal="Journal of nervous and mental disease",
year="2011",
author="Wakefield, Jerome C. and Schmitz, Mark F. and Baer, Judith C.",
volume="199",
number="2",
pages="66-73",
abstract="The DSM's major-depression &quot;bereavement exclusion&quot; eliminates bereavement-related depressive episodes (BRDs) from diagnosis unless they are &quot;complicated&quot; by prolonged duration or certain severe symptoms. The exclusion was substantially narrowed in DSM-IV to decrease false-negative diagnoses, but the impact of this change remains unknown. We divided BRDs in the National Comorbidity Survey into uncomplicated versus complicated categories using broader DSM-III-R and narrower DSM-IV exclusion criteria. Using 6 pathology validators (symptom number, melancholic depression, suicide attempt, interference with life, medication for depression, and hospitalization for depression), we compared the validity of the 2 exclusion criteria sets using 2 tests: (1) which criteria set yielded less pathological uncomplicated cases or more pathological complicated cases; (2) which yielded the largest separation between uncomplicated and complicated pathology levels. Results of both tests indicated that the narrower DSM-IV criteria substantially decreased the exclusion's validity. These results suggest caution regarding the current proposal to eliminate the bereavement exclusion in DSM-5.<p /> <p>Language: en</p>",
language="en",
issn="0022-3018",
doi="10.1097/NMD.0b013e31820840c5",
url="http://dx.doi.org/10.1097/NMD.0b013e31820840c5"
}