Early preschool predictors of preadolescent internalizing and externalizing DSM-IV diagnoses

Early preschool predictors of preadolescent internalizing and externalizing DSM-IV diagnoses
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DOI:
10.1097/00004583-200109000-00011
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发表时间:
2001-09-01
影响因子:
13.3
通讯作者:
Koot, HM
Koot, HM
中科院分区:
医学1区
文献类型:
--
作者:
Mesman, J;Koot, HM

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目的:为了探讨独立的预测价值的父母报告的精神病理学和家庭危险因素在早期学龄前与父母报告的内化和外化的精神病理学在preadolescence,方法:受试者参加了一项纵向研究的420名2 - 3奥尔兹的孩子从一般人群的祖德-荷兰,荷兰,在1989年开始。在8年后的第二次随访中(10-11岁),有358名儿童参与。在这项研究中,332名儿童被纳入DSM-IV诊断(来自儿童诊断访谈计划-版本4-父母版本),年龄为10至11岁。学龄前危险因素是通过2至3岁的儿童行为检查表和家长访谈获得的。结果如下:早期学前内化和外化的问题是预测他们的DSM-IV同行8年后,独立的影响,早期父母报告的家庭危险因素。学龄前儿童的身体问题是独立预测的内化和外化诊断在青春期前。在环境风险因素中,只有压力性生活事件独立地预测了后来的外化问题。结论:早期不利的家庭环境和养育子女的特点并不有助于预测以后的精神病理学,一旦儿童的特点占。
Objective: To investigate the independent predictive value of parent-reported psychopathology and family risk factors in early preschool in relation to parent-reported internalizing and externalizing psychopathology in preadolescence, Method: Subjects were participants in a longitudinal study of 420 two- to three-year-olds from the general population of Zuid-Holland, the Netherlands, which started in 1989. At a second follow-up 8 years later (ages 10-11 years), 358 children participated. For this study, 332 children were included for whom DSM-IV diagnoses (derived from the Diagnostic Interview Schedule for Children-Version 4-Parent Version) were obtained at age 10 to 11 years. Preschool risk factors were obtained through the Child Behavior Checklist for ages 2 to 3 years and a parent interview. Results: Early preschool internalizing and externalizing problems were predictive of their DSM-IV counterparts 8 years later, independent of the influence of early parent-reported family risk factors. Preschool child physical problems were independently predictive of both internalizing and externalizing diagnoses in preadolescence. Of the environmental risk factors, only stressful life events contributed independently to the prediction of later externalizing problems. Conclusion: Early adverse family circumstances and parenting characteristics do not contribute to the prediction of later psychopathology once child characteristics are accounted for.