TY - JOUR
T1 - Who are the comorbid adolescents? Agreement between psychiatric diagnosis, youth, parent, and teacher report
AU - Youngstrom, Eric A.
AU - Findling, Robert L.
AU - Calabrese, Joseph R.
N1 - Funding Information:
This research was supported by a Bipolar Disorder Clinical Research Center Grant from the Stanley Foundation. Results based on a portion of these data were presented at a symposium at the biennial meeting of the Society for Research on Child Development at Minneapolis in April 2001. We would like to thank Greg Meyer and Jenn Beyers for their comments; Christine Demeter, Denise DelPorto, Lisa Branicky, Raisa David, Lisa Townsend, Mary Pattison, Lou Wagner, and Julie Rosencrans for all of their assistance with this project; and Albert Farrell for the suggestion of doing a symposium. We also thank all of the families that participated.
Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2003/6
Y1 - 2003/6
N2 - The investigators examined the rates of psychiatric comorbidity for externalizing and internalizing behavior problems, using semistructured diagnostic interview and parent, teacher, and youth report on the Achenbach checklists. The study also evaluated the effects of conjunctive, compensatory, and disjunctive data combination strategies. Using the same data and identical diagnostic thresholds, between 5 and 74% of 189 youths presenting to an outpatient clinic were identified as having comorbid internalizing and externalizing problems. Parent report and semistructured interview indicated the highest comorbidity rates. Despite good cross-source agreement (rs .29-.58), there was very little agreement about which specific youths presented with comorbid internalizing and externalizing problems (kappas .14-.40). Results also indicate that single DSM-IV disorders, such as bipolar disorder, can manifest "comorbid" patterns of behavior problems on checklists.
AB - The investigators examined the rates of psychiatric comorbidity for externalizing and internalizing behavior problems, using semistructured diagnostic interview and parent, teacher, and youth report on the Achenbach checklists. The study also evaluated the effects of conjunctive, compensatory, and disjunctive data combination strategies. Using the same data and identical diagnostic thresholds, between 5 and 74% of 189 youths presenting to an outpatient clinic were identified as having comorbid internalizing and externalizing problems. Parent report and semistructured interview indicated the highest comorbidity rates. Despite good cross-source agreement (rs .29-.58), there was very little agreement about which specific youths presented with comorbid internalizing and externalizing problems (kappas .14-.40). Results also indicate that single DSM-IV disorders, such as bipolar disorder, can manifest "comorbid" patterns of behavior problems on checklists.
KW - Bipolar spectrum disorders
KW - Children and adolescents
KW - Comorbidity
KW - Externalizing problems
KW - Internalizing problems
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U2 - 10.1023/A:1023244512119
DO - 10.1023/A:1023244512119
M3 - Article
C2 - 12774858
AN - SCOPUS:0038362758
SN - 0091-0627
VL - 31
SP - 231
EP - 245
JO - Journal of Abnormal Child Psychology
JF - Journal of Abnormal Child Psychology
IS - 3
ER -