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Relation of Age of Onset to the Type and Severity of Child and Adolescent Conduct Problems
Authors:Benjamin B Lahey  Sherryl H Goodman  Irwin D Waldman  Hector Bird  Glorisa Canino  Peter Jensen  Darrel Regier  Philip J Leaf  Rachel Gordon  Brooks Applegate
Institution:(1) University of Chicago, and National Opinion Research Center at the University of Chicago, Chicago, Illinois;(2) Department of Psychiatry (MC 3077), University of Chicago, Chicago, IL, 60637;(3) Emory University, Atlanta, Georgia;(4) Columbia University, New York, New York;(5) University of Puerto Rico, San Juan, Puerto Rico;(6) National Institute of Mental Health, Bethesda, Maryland;(7) University of Miami, Coral Gables, Florida
Abstract:In a cross-sectional household sample of 9-through 17-year-old youths from 4 U.S. communities, youths with earlier ages of onset of conduct problems engaged in more conduct problems than youths with later ages of onset when current age and gender were controlled. Specifically, youths with earlier ages of onset were more likely to engage in several types of physical aggression, frequent lying, theft, and vandalism and were less likely to engage in only truancy. There also was an inverse relation between age of onset and level of functional impairment, mental health service use, and meeting diagnostic criteria for conduct disorder, attention-deficit hyperactivity disorder, and oppositional defiant disorder. Within the limits of cross-sectional data, these results support the hypothesis that key aspects of the heterogeneity of conduct problems among youths are related to the age of onset of conduct problems.
Keywords:Conduct problems  age of onset  conduct disorder  attention-deficit hyperactivity disorder  oppositional defiant disorder
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