The Structure of Psychopathology in a Community Sample of Preschoolers |
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Authors: | Jennifer Strickland Jennifer Keller John V. Lavigne Susan LeBailly |
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Affiliation: | (1) College of Psychology, Illinois Institute of Technology, 3105 South Dearborn, Suite 252, Chicago, IL 60616, USA;(2) Feinberg School of Medicine, Northwestern University, Chicago, IL, USA;(3) Department of Child and Adolescent Psychiatry, Children’s Memorial Hospital, Chicago, IL, USA;(4) Mary Ann and J. Milburn Smith Child Health Research Program, Children’s Memorial Hospital, Chicago, IL, USA;(5) Children’s Memorial Research Center, Children’s Memorial Hospital, Chicago, IL, USA |
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Abstract: | Despite growing interest in the development of alternative diagnostic classification systems for psychopathology in young children, little is known about the adequacy of the DSM symptom structure for describing psychopathology in this population. This paper examines the fit of the DSM-IV emotional (ED) and disruptive behavior disorder (DD) symptom structure in a community sample of 796 4-year-old children. Using the parent-report Child Symptom Inventory (CSI), the best model fit for ED included separate factors for Social Phobia, Separation Anxiety Disorder, Generalized Anxiety Disorder, and Major Depressive Disorder. For DD, the best model included separate Attention Deficit Hyperactivity Disorder-Inattentive type (ADHD-I), Attention Deficit Hyperactivity Disorder-Hyperactive/Impulsive type (ADHD-HI), and Oppositional Defiant Disorder diagnoses. These findings support using DSM-IV nosology to classify EDs in a community sample of preschool children, and suggest differentiation of ADHD into ADHD-I and ADHD-HI. |
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