Persistence of psychiatric disorders in pediatric settings

Margaret J. Briggs-Gowan, Pamela L. Owens, Mary E. Schwab-Stone, John M. Leventhal, Philip Leaf, Sarah McCue Horwitz

Research output: Contribution to journalArticle

Abstract

Objective: To examine the longitudinal course of subthreshold and full-criteria child psychiatric disorders. Method: Nine hundred ninety-six children, aged 4 to 9 years, from a representative sampie of pediatric primary care practices participated in a 1-year follow-up in 1989-1990. Parent interviews included the Diagnostic Interview Schedule for Children, measures of psychosocial problems, stress, social support, possible child abuse, and sociodemographics. Results: The initial prevalence of full and subthreshold disorders was 18.8% and 14.0%, respectively. Full and subthreshold disorders were associated with impairment. Approximately 37% of children with full disorders had persistent disorders. Persistence was more common among boys than girls, particularly when comorbidity was present. Children with initial subthreshold disorders only were five times more likely than those without disorder to develop a full disorder. Persistence of full disorders was associated with high initial symptoms. Among boys, persistence was linked to possible child abuse, whereas among girls it was associated with full externalizing disorders that were accompanied by subthreshold internalizing disorders. Conclusions: Intervention may be particularly crucial when a high number of symptoms and/or both internalizing and externalizing problems are present. Underscoring the importance of family-centered rather than child-centered interventions, boys whose parents reported possible child abuse were more likely to have persistent disorders.

Original languageEnglish (US)
Pages (from-to)1360-1369
Number of pages10
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume42
Issue number11
DOIs
StatePublished - Nov 2003

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Psychiatry
Pediatrics
Child Abuse
Interviews
Child Psychiatry
Social Support
Comorbidity
Primary Health Care
Appointments and Schedules
Parents

Keywords

  • Child
  • Impairment
  • Persistence
  • Psychiatric disorder
  • Subthreshold

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Developmental and Educational Psychology

Cite this

Persistence of psychiatric disorders in pediatric settings. / Briggs-Gowan, Margaret J.; Owens, Pamela L.; Schwab-Stone, Mary E.; Leventhal, John M.; Leaf, Philip; Horwitz, Sarah McCue.

In: Journal of the American Academy of Child and Adolescent Psychiatry, Vol. 42, No. 11, 11.2003, p. 1360-1369.

Research output: Contribution to journalArticle

Briggs-Gowan, Margaret J. ; Owens, Pamela L. ; Schwab-Stone, Mary E. ; Leventhal, John M. ; Leaf, Philip ; Horwitz, Sarah McCue. / Persistence of psychiatric disorders in pediatric settings. In: Journal of the American Academy of Child and Adolescent Psychiatry. 2003 ; Vol. 42, No. 11. pp. 1360-1369.
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