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Research on Child and Adolescent Psychopathology

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01-10-2006 | Original Paper

Conduct Problems, Depressive Symptomatology and Their Co-Occurring Presentation in Childhood as Predictors of Adjustment in Early Adolescence

Auteurs: Erin M. Ingoldsby, Gwynne O. Kohl, Robert J. McMahon, Liliana Lengua, The Conduct Problems Prevention Research Group

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 5/2006

Abstract

The present study investigated patterns in the development of conduct problems (CP), depressive symptoms, and their co-occurrence, and relations to adjustment problems, over the transition from late childhood to early adolescence. Rates of depressive symptoms and CP during this developmental period vary by gender; yet, few studies involving non-clinical samples have examined co-occurring problems and adjustment outcomes across boys and girls. This study investigates the manifestation and change in CP and depressive symptom patterns in a large, multisite, gender-and ethnically-diverse sample of 431 youth from 5th to 7th grade. Indicators of CP, depressive symptoms, their co-occurrence, and adjustment outcomes were created from multiple reporters and measures. Hypotheses regarding gender differences were tested utilizing both categorical (i.e., elevated symptom groups) and continuous analyses (i.e., regressions predicting symptomatology and adjustment outcomes). Results were partially supportive of the dual failure model (Capaldi, 1991, 1992), with youth with co-occurring problems in 5th grade demonstrating significantly lower academic adjustment and social competence two years later. Both depressive symptoms and CP were risk factors for multiple negative adjustment outcomes. Co-occurring symptomatology and CP demonstrated more stability and was associated with more severe adjustment problems than depressive symptoms over time. Categorical analyses suggested that, in terms of adjustment problems, youth with co-occurring symptomatology were generally no worse off than those with CP-alone, and those with depressive symptoms-alone were similar over time to those showing no symptomatology at all. Few gender differences were noted in the relations among CP, depressive symptoms, and adjustment over time.

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Multiple imputation (MI) is an appropriate method for treating missing data if variables and correlates of the dependent variable that are thought to relate to the causes of missing data are included in the imputation model. First, missingness patterns were examined to insure that data met missing-at-random assumptions. Thirty-two participants were missing all data (7% of sample) and these participants were excluded from any analyses. Of the 431 youth with some data, the percentage of missing data across measures ranged from 6% (25 youth were missing the parent reported Child Behavior Checklist at 5th grade) to 16% (70 youth were missing the Self-Report of Close Friends measure in 7th grade). MI was deemed appropriate for this dataset, as missing data numbered less than 30% and demonstrated an adequate random pattern of missingness, and means and standard deviations of imputed data almost exactly matched unimputed means (Schafer, 1997). The data set with which the imputation was conducted consisted of 35 variables including key demographic variables (e.g., gender, ethnicity, site, SES, three perceived neighborhood context variables) and all indicators by informant (e.g., parent-reported CP scores at 5th grade). Interaction terms were created after imputation.

To determine the level of clinical impairment that is reflected by the elevation criteria, and for comparison to other samples, all construct scores were re-calculated according to conventional scoring procedures, the score reflecting +.5 SD was identified, and compared to published T-scores (except youth report of CP, for which published norms were not available). T-score equivalents for the elevated cut-off scores are as follows, by gender, measure, and reporter. For girls, the cut-off score for parent CP equaled a T-score of 60 in 5th grade and a T-score of 63 in 7th grade (CBCL); and for teacher CP, the T-scores equaled 67 for both time points (TRF). For boys, the cut-off score for parent CP equaled a T-score of 57 in 5th grade and a T-score of 58 in 7th grade (CBCL); and for teacher CP, the T-scores equaled 64 for both time points (TRF). For depressive symptoms from the RCDS, T-score equivalents were unavailable. However, prior data analysis with this sample demonstrated that 14 youth were in the clinical range on this measure (McCarty & Doyle, 2001).

Achenbach, T. M. (1991a). Integrative guide for the 1991 CBCL/4-18, YSR, and TRF profiles. Burlington, VT: University of Vermont, Department of Psychiatry.

Achenbach, T. M. (1991b). Manual for the child behavior checklist/4-18 and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry.

Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.

Anderson, J. C., Williams, S., McGee, R., & Silva, P. A. (1987). DSM-III disorders in preadolescent children. Archives of General Psychiatry, 44, 69–76.PubMed

Angold, A., & Costello, E. J. (1993). Depressive comorbidity in children and adolescents: Empirical, theoretical and methodological issues. American Journal of Psychiatry, 150, 1779–1791.PubMed

Angold, A., Costello, E. J., & Erkanli, A. (1999). Comorbidity. Journal of Child Psychology and Psychiatry, 40, 57–87.CrossRef

Angold, A., & Rutter, M. (1992). Effects of age and pubertal status on depression in a large clinical sample. Development and Psychopathology, 4, 5–28.

Biederman, J., Faraone, S., Mick, E., & Lelon, E. (1995). Psychiatric comorbidity among referred juveniles with major depression: Fact or artifact? Journal of the American Academy of Child and Adolescent Psychiatry, 34, 579–590.PubMedCrossRef

Bird, H. R., Canino, G., Rubio-Stipec, M., Gould, M. S., Ribera, J., Sesman, M., et al. (1988). Estimates of the prevalence of childhood maladjustment in a community survey in Puerto Rico: The use of combined measures. Archives of General Psychiatry, 45, 1120–1126.PubMed

Bird, H. R., Gould, M. S., & Staghezza, B. (1993). Patterns of diagnostic comorbidity in a community sample of children aged 9 through 16 years. Journal of American Academy of Child and Adolescent Psychiatry, 32, 361–368.CrossRef

Birmaher, B., Ryan, N. D., Williamson, D. E., Brent, D. A., Kaufman, J., Dahl, R. E., et al. (1996). Childhood and adolescent depression: A review of the past 10 years. Part I. Journal of American Academy of Child and Adolescent Psychiatry, 35, 1427–1439.CrossRef

Capaldi, D. M. (1991). Co-occurrence of conduct problems and depressive symptoms in early adolescent boys: I. Family factors and general adjustment at grade 6. Development and Psychopathology, 3, 277–300.

Capaldi, D. M. (1992). Co-occurrence of conduct problems and depressive symptoms in early adolescent boys: II. A 2-year follow-up at grade 8. Development and Psychopathology, 4, 125–144.

Capaldi, D. M., & Crosby, L. (1997). Observed and reported psychological and physical aggression in young, at-risk couples. Social Development, 6, 184–206.CrossRef

Capaldi, D. M., & Stoolmiller, M. (1999). Co-occurrence of conduct problems and depressive symptoms in early adolescent boys: III. Prediction to young-adult adjustment. Development and Psychopathology, 11, 59–84.PubMedCrossRef

Cohen, P., Cohen, J., Kasen, S., Velez, C. N., Hartmark, C., Johnson, J., et al. (1993). An epidemiological study of disorders in late childhood and adolescence—I. Age- and gender-specific prevalence. Journal of Child Psychology and Psychiatry, 34, 851–867.PubMed

Cole, D. A., & Carpentieri, S. (1990). Social status and the comorbidity of child depression and conduct disorder. Journal of Consulting and Clinical Psychology, 58, 748–757.PubMedCrossRef

Compas, B. E., & Hammen, C. L. (1994). Child and adolescent depression: Covariation and comorbidity in development. In R. J. Haggerty, L. R. Sherrod, N. Garmezy, & M. Rutter (Eds.), Stress, risk, and resilience in children and adolescents: Process, mechanisms, and intervention (pp. 225–267). New York: Cambridge University Press.

Compas, B. E., Oppedisano, G., Connor, J. K., Gerhardt, C. A., Hinden, B. R., Achenbach, T. M., et al. (1997). Gender differences in depressive symptoms in adolescences: Comparison of national samples of clinically referred and nonreferred youths. Journal of Consulting and Clinical Psychology, 65, 617–626.PubMedCrossRef

Conduct Problems Prevention Research Group. (1992). A developmental and clinical model for the prevention of conduct disorder: The Fast Track program. Development and Psychopathology, 4, 509–527.

Conduct Problems Prevention Research Group. (2000a). Merging universal and indicated prevention programs: The fast track model. Addictive Behaviors, 25, 913–927.CrossRef

Conduct Problems Prevention Research Group. (2000b). Social competence—teacher (Revised): Grade 4 technical report. Unpublished technical report.

Conduct Problems Prevention Research Group. (2000c). Teacher rating of student adjustment: Grade 6 technical report. Unpublished technical report.

Conduct Problems Prevention Research Group. (2000d). Things that you have done: Grade 5 technical report. Unpublished technical report.

Conduct Problems Prevention Research Group. (2001a). School adjustment—parent report: Grade 6 technical report. Unpublished technical report.

Costello, E. J., Angold, A., Burns, B. J., Stangl, D. K., Tweek, D. L., Erkanli, A., et al. (1996). The great smoky mountains study of youth: Goals, designs, methods, and prevalence of DSM-III-R disorders. Archives of General Psychiatry, 53, 1129–1136.PubMed

Dempster, A. P., Laird, N. M., & Rubin, D. B. (1977). Maximum likelihood from incomplete data via the EM algorithm (with discussion). Journal of the Royal Statistical Society, B 39, 1–38.

Dodge, K. A., & Coie, J. D. (1987). Social information processing factors in reactive and proactive aggression in children’s playgroups. Journal of Personality and Social Psychology, 53, 1146–1158.PubMedCrossRef

Eccles, J. S. (1999). The development of children ages 6 to 14. Future of Children, 9, 30–44.PubMedCrossRef

Elliott, D. S., Ageton, S. S., & Huizinga, D. (1985). Explaining delinquency and drug use. Beverly Hills, CA: Sage.

Esser, G., Schmidt, M. H., & Woerner, W. (1990). Epidemiology and course of psychiatric disorders in school-age children—results of a longitudinal study. Journal of Child Psychology and Psychiatry, 31, 243–263.PubMed

Fergusson, D. M., Lynskey, M. T., & Horwood, L. J. (1996). Origins of comorbidity between conduct and affective disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 451–460.PubMedCrossRef

Fleming, J. E., Offord, D. R., & Boyle, M. H. (1989). Prevalence of childhood and adolescent depression in the community Ontario child health study. British Journal of Psychiatry, 155, 647–654.PubMed

Frick, P. J. (1998). Conduct disorders and severe antisocial behavior. New York: Plenum Press.

Ge, X., Conger, R. D., & Elder, G. H. (2001). Pubertal transition, stressful life events, and the emergence of gender differences in adolescent depressive symptoms. Developmental Psychology, 37, 404–417.PubMedCrossRef

Gillham, J. E., Reivich, K. J., Jaycox, L. H., & Seligman, M. E. P. (1995). Prevention of depressive symptoms in schoolchildren: Two-year follow-up. Psychological Science, 6, 343–351.CrossRef

Gotlib, I. H., Lewinsohn, P. M., & Seeley, J. R. (1995). Symptoms versus a diagnosis of depression: Differences in psychosocial functioning. Journal of Consulting and Clinical Psychology, 63, 90–100.PubMedCrossRef

Graham, J. W., Cumsille, P. E., & Elek-Fisk, E. (2003). Methods for handling missing data. In J. A. Schinka & W. F. Velicer (Eds.), Comprehensive handbook of psychology, Vol. 2. Research methods in psychology (pp. 1–76). New York: Wiley.

Hammen, C., & Compas, B. E. (1994). Unmasking unmasked depression in children and adolescents: The problem of comorbidity. Clinical Psychology Review, 14, 585–603.CrossRef

Hammen, C., & Rudolph, K. D. (2003). Childhood mood disorders. In E. J. Mash & R.A. Barkley (Eds.), Child psychopathology (2nd ed., pp. 233–278). New York: Guilford Press.

Haslam, N. (2003). Categorical versus dimensional models of mental disorders: The taxometric evidence. Australian and New Zealand Journal of Psychiatry, 37, 696–704.PubMedCrossRef

Hankin, B. L., Fraley, R. C., Lahey, B. B., & Waldman, I. D. (2004). Is depression best viewed as a continuum or discrete category? A taxometric analysis of childhood and adolescent depression in a population-based sample. Journal of Abnormal Psychology, 114, 96–110.CrossRef

Hinshaw, S. P. (1992). Externalizing behavior problems and academic underachievement in childhood and adolescence: Causal relationships and underlying mechanisms. Psychological Bulletin, 111, 127–155.PubMedCrossRef

Hinshaw, S., Lahey, B., & Hart, E. (1993). Issues of taxonomy and comorbidity in the development of conduct disorder. Development and Psychopathology, 5, 31–49.

Hinshaw, S. P., & Lee, S. P. (2003). Conduct and oppositional defiant disorders. In E. J. Mash & R. A. Barkley (Eds.), Child psychopathology (2nd ed., pp. 144–198). New York: Guilford Press.

Hinshaw, S. P., & Park, T. (1999). Research problems and issues: Toward a more definitive science of disruptive behavior disorders. In H. C. Quay & A. E. Hogan (Eds.), Handbook of disruptive behavior disorders (pp. 593–620). New York: Kluwer Academic/Plenum Publishers.

Hinshaw, S. P., Simmel, C., & Heller, T. L. (1995). Multimethod assessment of covert antisocial behavior in children: Laboratory observations, adult ratings, and child self-report. Psychological Assessment, 7, 209–219.CrossRef

Hoffman, M. L., Powlishta, K. K., & White, K. J. (2004). An examination of gender differences in adolescent adjustment: The effect of competence on gender role differences in symptoms of psychothology. Sex Roles: A Journal of Research, 50, 795–810.CrossRef

Kashani, J. H., Beck, N. C., Hoeper, E. W., Fallahi, C., Corcoran, C. M., McAllister, H. A., et al. (1987). Psychiatric disorders in a community sample of adolescents. American Journal of Psychiatry, 144, 584–589.PubMed

Keenan, K., Loeber, R., Zhang, Q., Stouthamer-Loeber, M., & Van Kammen, W. B. (1995). The influence of deviant peers on the development of boy’s disruptive and delinquent behavior: A temporal analysis. Development and Psychopathology, 7, 715–726.CrossRef

Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., et al. (1994). Lifetime and 12-month prevalence of the DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8–19.PubMed

Kim, I. J., Ge, Z., Brody, G. H., Conger, R. D., Gibbons, F. X., & Simons, R. L. (2003). Parenting behaviors and the occurrence and co-occurrence of depressive symptoms and conduct problems among African-American children. Journal of Family Psychology, 17, 571–583.PubMedCrossRef

King, A. K., Ghaziuddin, N., McGovern, L., Brand, E., Hill, E., & Naylor, M. (1996). Predictors of comorbid alcohol and substance abuse in depressed adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 743–751.PubMedCrossRef

Kovacs, M., Paulauskas, S., Gatsonis, C., & Richards, C. (1988). Depressive disorders in childhood: III. A longitudinal study of comorbidity with and risk for conduct disorder. Journal of Affective Disorders, 15, 205–217.PubMedCrossRef

Lengua, L. J., Sadowski, C. A., Friedrich, W. N., & Fisher, J. (2001). Rationally and empirically derived dimensions of children’s symptomatology: Expert ratings and confirmatory factor analyses of the CBCL. Journal of Consulting and Clinical Psychology, 69, 683–698.PubMedCrossRef

Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1995). Adolescent psychopathology: III. The clinical consequences of comorbidity. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 510–519.PubMedCrossRef

Lochman, J. E., & Conduct Problems Prevention Research Group. (1995). Screening of child behavior problems for prevention programs at school entry. Journal of Consulting and Clinical Psychology, 63, 549–559.PubMedCrossRef

Loeber, R., & Keenan, K. (1994). Interaction between conduct disorder and its comorbid conditions: Effects of age and gender. Clinical Psychology Review, 14, 497–523.CrossRef

McCarty, C. M., & Doyle, S. R. (2001). About myself (Technical Report) [On-line]. Available: http://www.fasttrackproject.org/amy8tech.doc.

McConaughy, S. H., Achenbach, T. M., & Gent, C. L. (1988). Multiaxial empirically based assessment: Parent, teacher, observational, cognitive, and personality correlates of child behavior profiles for 6–11-year-old boys. Journal of Abnormal Child Psychology, 16, 485–509.PubMedCrossRef

Miller-Johnson, S., Lochman, J. E., Coie, J. D., Terry, R., & Hyman, C. (1998). Comorbidity of conduct and depressive problems at sixth grade: Substance use outcomes across adolescence. Journal of Abnormal Child Psychology, 26, 221–232.PubMedCrossRef

Moffit, T. E., & Caspi, A. (2001). Childhood predictors differentiate life-course persistent and adolescence-limited antisocial pathways among males and females. Development and Psychopathology, 13, 355–375.CrossRef

Nottelman, E. D., & Jensen, P. S. (1995). Comorbidity of disorders in children and adolescents: Developmental perspectives. In T. H. Ollendick & R. J. Prinz (Eds.), Advances in clinical child psychology (Vol. 17, pp. 109–155). New York: Plenum.

O’Donnell, J., Hawkins, J. D., & Abbott, R. D. (1995). Predicting serious delinquency and substance use among aggressive boys. Journal of Consulting and Clinical Psychology, 63, 529–537.PubMedCrossRef

Offord, D. R., Boyle, M. H., Szatmari, P., Rae-Grant, N., Links, P. S., Cadman, D. T., et al. (1987). Ontario child health study: II. Six-month prevalence of disorder and rates of services utilization. Archives of General Psychiatry, 44, 832–836.PubMed

Patterson, G. R., & Capaldi, D. M. (1990). A mediational model for boys’ depressed mood. In J. Rolf, A. S. Masten, D. Cicchetti, K. H. Nuechterlein, & S. Weintraub (Eds.), Risk and protective factors in the development of psychopathology (pp. 141–163). Cambridge: Cambridge University Press.

Resnick, M. D., Bearman, P. S., Blum, R. W., Bauman, K. E., Harris, K. M., Jones, J., et al. (1997). Protecting adolescents from harm: Findings from the National Longitudinal Study on adolescent health. Journal of the American Medical Association, 278, 823–832.PubMedCrossRef

Reynolds, W. M. (1989). Reynolds child depression scale: Professional manual. Odessa, FL: Psychological Assessment Resources.

Robins, L. N. (1986). The consequences of conduct disorder in girls. In D. Olweus, J. Block, & M. Radke-Yarrow (Eds.), Development of antisocial and prosocial behavior (pp. 385–414). Orlando, FL: Academic Press.

Roesner, R. W., & Eccles, J. S. (1998). Adolescents’ perceptions of middle school: Relation to longitudinal changes in academic and psychological adjustment. Journal of Research on Adolescence, 8, 123–158.CrossRef

Rohde, P., Lewinsohn, P. M., & Seeley, J. R. (1991). Comorbidity of unipolar depression: II. Comorbidity with other mental disorders in adolescents and adults. Journal of Abnormal Psychology, 100, 214–222.PubMedCrossRef

Rudolph, K. D., Hammen, C., & Burge, D. (1994). Interpersonal functioning and depressive symptoms in childhood: Addressing the issues of specificity and comorbidity. Journal of Abnormal Child Psychology, 22, 355–371.PubMedCrossRef

Ruscio, J., & Ruscio, A. M. (2000). Informing the continuity controversy: A taxometric analysis of depression. Journal of Abnormal Psychology, 109, 473–487.PubMedCrossRef

Sack, W. H., Beiser, M., Phillips, N., & Baker-Brown, G. (1993). Co-morbid symptoms of depression and conduct disorder in First Nations children: Some findings from the flower of two soils project. Culture, Medicine, and Psychiatry, 16, 471–486.

Sameroff, A. J. (1995). General systems theories and developmental psychopathology. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology, theory and methods. Wiley series on personality process (Vol. 1, pp. 659–695). New York: Wiley.

Schafer, J. L. (1997). Analysis of incomplete multivariate data. New York: Chapman & Hall.

Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86, 420–428.CrossRefPubMed

Silverthorn, P., & Frick, P. J. (1999). Developmental pathways to antisocial behavior: The delayed-onset pathway in girls. Development and Psychopathology, 11, 101–126.PubMedCrossRef

Sroufe, L. A., & Rutter, M. (1984). The domain of developmental psychopathology. Child Development, 55, 17–29.PubMedCrossRef

Stanger, C., & Lewis, M. (1993). Agreement among parents, teachers, and children on internalizing and externalizing behavior problems. Journal of Clinical Child Psychology, 22, 107–115.CrossRef

Verhulst, F. C., & Van Der Ende, J. (1993). “Comorbidity” in an epidemiological sample: A longitudinal perspective. Journal of Child Psychology and Psychiatry, 34, 767–783.PubMed

Weiss, B., Harris, V., Catron, T., & Han, S. S. (2003). Efficacy of the RECAP program for children with concurrent internalizing and externalizing problems. Journal of Consulting and Clinical Psychology, 71, 364–374.PubMedCrossRef

Zoccolillo, M. (1992). Co-occurrence of conduct disorder and its adult outcomes with depressive and anxiety disorders: A review. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 547–556.PubMed

Zoccolillo, M. (1993). Gender and the development of conduct disorder. Development and Psychopathology, 5, 65–78.CrossRef

Titel: Conduct Problems, Depressive Symptomatology and Their Co-Occurring Presentation in Childhood as Predictors of Adjustment in Early Adolescence
Auteurs: Erin M. Ingoldsby
Gwynne O. Kohl
Robert J. McMahon
Liliana Lengua
The Conduct Problems Prevention Research Group
Publicatiedatum: 01-10-2006
Uitgeverij: Kluwer Academic Publishers-Plenum Publishers
Gepubliceerd in: Research on Child and Adolescent Psychopathology / Uitgave 5/2006
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-006-9044-9

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