The continuity of psychopathology from early childhood to preadolescence: a prospective cohort study of 3-12-year-old children.

European Child & Adolescent Psychiatry
Leena PihlakoskiMatti Sillanpää

Abstract

To study the continuity of psychopathology from the age of 3-12 years. In a population-based birth cohort, children's emotional and behavioral problems were assessed at age 3 using the Child Behavior Checklist 2-3 (CBCL 2-3), and at age 12 by parents using the CBCL 11-18, and the Youth Self Report (YSR) completed by the children. Behavioral ratings were obtained from 800 subjects at both time points. externalizing problems at age 3 predicted both externalizing and internalizing problems among both genders in preadolescence. In girls, internalizing behavior at age 3 predicted parent-reported internalizing behavior, and associated negatively with externalizing behavior in self-reports at age 12. Aggressive behavior was found to be remarkably stable, and both aggressive and destructive behavior independently predicted a wide range of later externalizing and internalizing problems. Parent ratings of withdrawal showed stability from early childhood to preadolescence in both genders. Somatic complaints of 3-year-old girls independently predicted both externalizing and internalizing problems. The results show the complexity of pathways in psychopathology from early childhood to preadolescence. In particular, aggressive and destructive...Continue Reading

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