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Internalizing disorders in childhood

M Kovacs1, B Devlin

  • 1Department of Psychiatry, University of Pittsburgh School of Medicine, PA 15213, USA.

Journal of Child Psychology and Psychiatry, and Allied Disciplines
|April 16, 1998
PubMed
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This review examines childhood internalizing disorders, focusing on predictive validity, comorbidity, onset timing, and genetic transmission. Findings suggest a developmental and genetic basis for childhood depression and anxiety, with implications for adult disorders.

Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Behavioral Genetics

Background:

  • Internalizing disorders, including depression and anxiety, are prevalent in childhood.
  • Understanding their developmental trajectory and etiological factors is crucial for effective intervention.
  • Existing research presents a complex picture of these disorders' presentation and inheritance.

Purpose of the Study:

  • To selectively review recent research on childhood internalizing disorders.
  • To synthesize findings on diagnostic validity, comorbidity, onset chronology, and genetic transmission.
  • To provide a developmental perspective on these disorders and their relevance to adult psychopathology.

Main Methods:

  • Selective review of recent scientific literature on childhood internalizing disorders.

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  • Focus on four key areas: predictive validity, comorbidity, onset chronology, and transmission.
  • Developmental perspective integrating genetic and biological factors.

    • Main Results:

    • The review synthesizes findings on the predictive validity of childhood depressive and anxiety disorder diagnoses.
    • It examines the rates of comorbidity among these disorders and their chronological onsets.
    • Evidence for the transmission of depressive and anxiety disorders within affected family pedigrees is discussed.

    Conclusions:

    • A developmental and genetically influenced biological perspective is essential for understanding childhood internalizing disorders.
    • Findings in children and adolescents have significant implications for adult depressive and anxiety disorders.
    • Recommendations for future research directions are provided.