Identifying comorbid depression and disruptive behavior disorders: comparison of two approaches used in adolescent studies.

Journal of Psychiatric Research
Ann Vander StoepHelena Chmura Kraemer

Abstract

Interest in commonly co-occurring depression and disruptive behavior disorders in children has yielded a small body of research that estimates the prevalence of this comorbid condition and compares children with the comorbid condition and children with depression or disruptive behavior disorders alone with respect to antecedents and outcomes. Prior studies have used one of two different approaches to measure comorbid disorders: (1) meeting criteria for two DSM or ICD diagnoses or (2) scoring .5 SD above the mean or higher on two dimensional scales. This study compares two snapshots of comorbidity taken simultaneously in the same sample with each of the measurement approaches. The Developmental Pathways Project administered structured diagnostic interviews as well as dimensional scales to a community-based sample of 521 11-12 year olds to assess depression and disruptive behavior disorders. Clinical caseness indicators of children identified as "comorbid" by each method were examined concurrently and 3-years later. Cross-classification of adolescents via the two approaches revealed low agreement. When other indicators of caseness, including functional impairment, need for services, and clinical elevations on other symptom scales...Continue Reading

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Citations

Apr 30, 2013·Journal of Abnormal Child Psychology·Carolyn A McCartyAnn Vander Stoep
Oct 17, 2014·Child Psychiatry and Human Development·Tea AgerupAnne Mari Sund
Jul 20, 2016·Child and Adolescent Psychiatry and Mental Health·Minna Rytilä-ManninenSebastian Therman
Nov 7, 2016·Journal of Affective Disorders·William MellickCarla Sharp
Feb 8, 2018·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Gretchen R GudmundsenAnn Vander Stoep

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