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Problem behavior in international adoptees: III. Diagnosis of child psychiatric disorders

F C Verhulst1, H Versluis-den Bieman, J van der Ende

  • 1Sophia Children's Hospital, Erasmus University, Rotterdam, The Netherlands.

Journal of the American Academy of Child and Adolescent Psychiatry
|May 1, 1990
PubMed

Insights

International adoptees show higher rates of psychiatric disorders, particularly conduct disorders. The Child Behavior Checklist (CBCL) effectively estimates prevalence in epidemiological studies.

Area of Science:

  • Psychiatry
  • Developmental Psychology
  • Epidemiology

Background:

  • Problem behavior in international adoptees requires further clinical investigation.
  • Previous epidemiological studies established a baseline for problem behaviors.

Purpose of the Study:

  • To conduct a clinical extension of epidemiological findings on problem behavior in international adoptees.
  • To validate the Child Behavior Checklist (CBCL) for estimating psychiatric disorder prevalence.

Main Methods:

  • Clinical interviews with 132 14-year-old international adoptees and parents.
  • Utilized Child Behavior Checklist (CBCL) scores for participant selection.
  • Obtained clinical severity ratings and DSM-III-R diagnoses.

Main Results:

  • High correlations (r=0.63, r=0.45) between CBCL scores and clinical ratings validated the tool.
  • A 28% prevalence rate of psychiatric disorders was observed in the adoptee sample (36% boys, 22% girls).
  • Elevated conduct disorders were noted, characterized by antisocial behaviors and relationship problems.

Conclusions:

  • The Child Behavior Checklist (CBCL) is a reliable tool for epidemiological studies on child psychiatric disorders.
  • International adoptees exhibit a higher prevalence of psychiatric disorders compared to general populations.
  • Conduct disorders are a significant concern in this population, manifesting as antisocial behavior and affect issues.

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