Associations between different diagnostic approaches for child and adolescent psychopathology.
نویسندگان
چکیده
OBJECTIVE To test the convergence between the empirical-quantitative approach of the Child Behavior Checklist (CBCL) and the clinical-diagnostic approach of the DSM. METHOD The parent version of the NIMH Diagnostic Interview Schedule for Children (DISC), version 2.3, was administered after completion of the CBCL for 231 children and adolescents consecutively referred to an outpatient mental health clinic. RESULTS Of the subjects with a DSM-III-R diagnosis, 60% scored in the clinical range of the CBCL total problem score. The Withdrawn scale predicted affective and anxiety disorders. The Somatic Complaints scale predicted anxiety and mood disorders and Attention Deficit Hyperactivity Disorder. The Anxious/Depressed scale predicted anxiety and mood disorders and, to a lesser extent, disruptive behavior disorders. The Social Problems scale predicted Oppositional Defiant Disorder. The Attention Problems scale was the only significant predictor of "pure" Attention Deficit Hyperactivity Disorder (ADHD). The Aggressive Behavior scale predicted several disruptive behavior disorders, and Major Depression. The Delinquent Behavior scale was strongly associated with Conduct Disorder. CONCLUSIONS Empirically based CBCL scale scores and DISC-P based DSM-III-R diagnoses converged. However, both approaches do not converge to a degree that one approach can replace the other. Instead, combining both approaches may be valuable by adding information from one approach that is not captured by the other.
منابع مشابه
Preschoolers' observed temperament and psychiatric disorders assessed with a parent diagnostic interview.
Evidence supports the role of temperament in the origins of psychiatric disorders. However, there are few data on associations between temperament and psychiatric disorders in early childhood. A community sample of 541 three-year-old preschoolers participated in a laboratory temperament assessment, and caregivers were administered a structured diagnostic interview on preschool psychopathology. ...
متن کاملنقش پدر و مادر در آسیب شناسی روانی کودک و نوجوان
This article investigates father's role in child and adolescent psychopathology. The role of mother has been studied extensively, but the father's role in child psychopathology has been studied much less and is limited to what has been done in the past few decades. This article reviews some of the studies regarding father's role in child and adolescent psychopathology, namely attention-deficit ...
متن کاملStressors and child and adolescent psychopathology: measurement issues and prospective effects.
This article reviews existing research on the association between stressors and symptoms of psychopathology in children and adolescents with a focus on measurement issues and prospective effects. The first half of the article focuses on the measurement of stressors, emphasizing checklists and interviews. Available measures of stressful experiences are reviewed and critiqued. Results of this rev...
متن کاملPreschool irritability: longitudinal associations with psychiatric disorders at age 6 and parental psychopathology.
OBJECTIVE There is increasing scientific and clinical attention to chronic irritability in youth. However, little is known about the predictive validity and clinical significance of chronic irritability during early childhood. This prospective, longitudinal study examined associations of chronic irritability with psychiatric disorders and parental psychopathology in a large community sample of ...
متن کاملChild, family, school and community risk factors for poor mental health in Brazilian schoolchildren.
OBJECTIVE To identify risk factors for poor child mental health in the southeastern Brazilian municipality of Taubaté. METHOD In 2001 we carried out a representative school-based survey of Brazilian schoolchildren ages 7 to 14 years (response rate, 83%). We collected extensive data on child mental health and on potential risk and protective factors at baseline (N = 1,112) and collected follow...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of child psychology and psychiatry, and allied disciplines
دوره 38 6 شماره
صفحات -
تاریخ انتشار 1997