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As the DSM’s explicit criteria became widely applied, it was found that many children (I use “children” to include adolescents) met criteria for multiple diagnoses. For example, studies found that 96 % of boys who met criteria for conduct disorder (CD) also met criteria for oppositional defiant disorder (ODD) [e.g., 2]. The term “comorbidity” became popular not only as a description, but also as an explanation for findings that children often met criteria for multiple diagnoses. Hundreds of publications reported comorbidity between various DSM-defined disorders, with the implication being that children meeting criteria for multiple disorders were actually suffering from each of the disorders for which they met criteria [e.g., 3].

european child and adolescent psychiatry

Transdiagnostic heterogeneity, hierarchical dimensional models, and societal, cultural, and individual differences in the developmental understanding of psychopathology