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Marital discord and psychiatric disorder in children and adolescents
Authors:Gerda Lorenz PhD  Christina Hoven DrPH  Howard F Andrews PhD  Hector Bird MD
Institution:(1) Department of Child Psychiatry, New York State Psychiatric Institute, New York, NY;(2) Columbia University School of Public Health, New York, NY;(3) Epidemiology of Mental Disorders, Research Department, New York State Psychiatric Institute, New York, NY;(4) Columbia College of Physicians and Surgeons, New York, NY;(5) New York State Psychiatric Institute, Unit 43, 722 West 168 Street, 10032 New York, NY
Abstract:The relationship between marital discord and any DISC-2.1/DSM-III-R child psychiatric diagnosis was explored. Interview data from a community sample of 90 parent/child pairs and a clinic sample of 37 parent/child pairs were analysed. The data were collected at Columbia University/the New York State Psychiatric Institute as part of the pilot project of a multi-site methodological study. Rates of marital discord and DISC diagnoses were found higher in the clinic sample than in the community sample. The association between marital discord and any diagnosis remained significant when other risk and protective factors were controlled. Policy implications and recommendations for future research strategies suggested by the current exploratory study were discussed.
Keywords:child psychiatric disorder  marital discord  parenting  risk factors  protective factors
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