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Chunk #4 — METHODS — Diagnostic assessment

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Lifetime co-morbidity of DSM-IV disorders in the US National Comorbidity Survey Replication Adolescent Supplement (NCS-A).
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Adolescent interviews assessed all disorders. Parent questionnaires assessed only disorders for which parent reports have previously been found important in diagnosis: behavior disorders (Johnston & Murray, 2003) and depression/dysthymia (Braaten et al., 2001). Parent and adolescent reports were combined at the symptom level using an “or” rule (except in the case of attention-deficit/hyperactivity disorder, where only parent reports were used based on evidence of invalidity of adolescent reports). All diagnoses were made using DSM-IV distress/impairment criteria and organic exclusion rules, but diagnostic hierarchy rules were not used because we wanted to study comorbidity among hierarchy-free disorders.