Poznanski E, Mokros H B, Grossman J, Freeman L N
Am J Psychiatry. 1985 Oct;142(10):1168-73. doi: 10.1176/ajp.142.10.1168.
Comparison of diagnoses of childhood depression from four sets of criteria (i.e., Research Diagnostic Criteria, DSM-III, and those of Poznanski and Weinberg) used with 65 children referred to a psychiatric clinic showed complete agreement in 56 (86%) of the cases. The major disagreement resulted from differences between the clinician's rating of dysphoria based on the child's nonverbal behavior and the child's and parent's verbal report of no dysphoria. Analyses of the essential symptoms of depression among the four criteria sets indicated that the nonverbal rating was most strongly associated with a diagnosis of depression and the best predictor of the severity of depression.
对转至一家精神科诊所的65名儿童使用四套标准（即研究诊断标准、《精神疾病诊断与统计手册》第三版以及波兹南斯基和温伯格的标准）诊断儿童抑郁症，结果显示56例（86%）的诊断完全一致。主要的分歧源于临床医生根据儿童非语言行为对烦躁不安的评分与儿童及其父母口头报告无烦躁不安之间的差异。对四套标准中抑郁症基本症状的分析表明，非语言评分与抑郁症诊断的关联最为紧密，也是抑郁症严重程度的最佳预测指标。
