Joint developmental trajectories of internalizing and externalizing disorders between childhood and adolescence

被引:70
|
作者
Nivard, Michel G. [1 ]
Lubke, Gitta H. [1 ,2 ]
Dolan, Conor V. [1 ]
Evans, David M. [3 ,4 ]
Pourcain, Beate St. [5 ]
Munafo, Marcus R. [4 ]
Middeldorp, Christel M. [1 ,6 ]
机构
[1] Vrije Univ, Amsterdam, Netherlands
[2] Univ Notre Dame, Notre Dame, IN 46556 USA
[3] Univ Queensland, Diamantina Inst, Brisbane, Qld, Australia
[4] Univ Bristol, Bristol, Avon, England
[5] Max Planck Inst Psycholinguist, Nijmegen, Netherlands
[6] Vrije Univ Amsterdam, Med Ctr, Amsterdam, Netherlands
基金
英国惠康基金;
关键词
DEFICIT HYPERACTIVITY DISORDER; 14-YEAR FOLLOW-UP; LOW-BIRTH-WEIGHT; CONDUCT PROBLEMS; CHILDREN; PSYCHOPATHOLOGY; DEPRESSION; SYMPTOMS; VALIDATION; PREDICTORS;
D O I
10.1017/S0954579416000572
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
This study sought to identify trajectories of DSM-IV based internalizing (INT) and externalizing (EXT) problem scores across childhood and adolescence and to provide insight into the comorbidity by modeling the co-occurrence of INT and EXT trajectories. INT and EXT were measured repeatedly between age 7 and age 15 years in over 7,000 children and analyzed using growth mixture models. Five trajectories were identified for both INT and EXT, including very low, low, decreasing, and increasing trajectories. In addition, an adolescent onset trajectory was identified for INT and a stable high trajectory was identified for EXT. Multinomial regression showed that similar EXT and INT trajectories were associated. However, the adolescent onset INT trajectory was independent of high EXT trajectories, and persisting EXT was mainly associated with decreasing INT. Sex and early life environmental risk factors predicted EXT and, to a lesser extent, INT trajectories. The association between trajectories indicates the need to consider comorbidity when a child presents with INT or EXT disorders, particularly when symptoms start early. This is less necessary when INT symptoms start at adolescence. Future studies should investigate the etiology of co-occurring INT and EXT and the specific treatment needs of these severely affected children.
引用
收藏
页码:919 / 928
页数:10
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