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| Research article summary (published 30 May 2003): |
Who are the comorbid adolescents? Agreement between psychiatric diagnosis, youth, parent, and teacher report.
Full Abstract
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.
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Author information
Author/s: Youngstrom, Eric A (EA); Findling, Robert L (RL); Calabrese, Joseph R (JR);
Affiliation: Department of Psychology, Case Western Reserve University, Cleveland, Ohio 44106-7123, USA. eay@po.cwru.edu
Journal and publication information
Publication Type: Journal Article; Research Support, Non-U.S. Gov't
Journal: Journal of abnormal child psychology (J Abnorm Child Psychol), published in United States. (Language: eng)
Reference: 2003-Jun; vol 31 (issue 3) : pp 231-45
Dates: Created 2003/05/30; Completed 2003/09/02; Revised 2006/11/15;
PMID: 12774858, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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