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"Comorbidity" in an epidemiological sample: a longitudinal perspective

F C Verhulst1, J van der Ende

  • 1Department of Child and Adolescent Psychiatry, Sophia Children's Hospital/Erasmus University Rotterdam, The Netherlands.

Journal of Child Psychology and Psychiatry, and Allied Disciplines
|July 1, 1993
PubMed
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Child behavior problems rated by parents using the Child Behavior Checklist (CBCL) show significant overlap across scales and over time. Children with fewer co-occurring issues generally have a better prognosis.

Area of Science:

  • Child Psychology
  • Developmental Psychology
  • Behavioral Science

Background:

  • The Child Behavior Checklist (CBCL) is a widely used parent-report measure for assessing child psychopathology.
  • Understanding the stability and co-occurrence of behavioral problems is crucial for accurate diagnosis and intervention.

Purpose of the Study:

  • To examine the longitudinal associations between different scales of the CBCL in a general population sample of children.
  • To investigate the predictive validity of CBCL problem scales over a 6-year period.
  • To explore the prognostic implications of co-occurring behavioral syndromes.

Main Methods:

  • Longitudinal analysis of parent-reported CBCL data from 1117 children aged 4-11 years over a 6-year interval.
  • Categorical and quantitative analyses were employed to assess scale overlap and predictive relationships.

Related Experiment Videos

  • Prognosis was evaluated based on patterns of high and low scores across different behavioral syndromes.

    • Main Results:

    • A significant positive association (overlap) was observed between most CBCL problem scales.
    • The majority of CBCL scales demonstrated predictive utility for non-corresponding scales across the 6-year study period.
    • Children exhibiting a single deviant syndrome had a better prognosis compared to those with multiple co-occurring syndromes.

    Conclusions:

    • Childhood behavioral problems assessed by the CBCL are often interrelated and stable over time.
    • The presence of co-occurring conditions significantly impacts prognosis, highlighting the importance of a comprehensive assessment.
    • Future research on the etiology and treatment of specific childhood conditions must account for comorbid behavioral issues to avoid confounding results.