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Correspondence between statistically derived behavior problem syndromes and child psychiatric diagnoses in a community sample

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Abstract

The correspondence between Diagnostic and Statistical Manual (3rd ed.) (DSM-III) diagnoses and statistically derived syndromes was examined within a community sample of children and adolescents in Puerto Rico. Specifically, the extent to which behavior dimensions, derived from the Child Behavior Checklist and the Youth Self-Report, corresponded to psychiatric diagnoses, derived from parent and child versions of the Diagnostic Interview Schedule for Children, was examined. The alternative approaches for assessing psychopathology in children and adolescents were compared against external validators. The results indicated a meaningful convergence between DSM-III diagnoses and statistical syndromes; however, a one-to-one correspondence did not emerge. Little evidence was found for “diagnostic thresholds.” There was no evidence of the superiority of either the statistically derived syndromes or the DSM-III diagnoses. The incorporation of a measure of impairment improved the validity of both approaches. Adding parental reports to the selfreports of adolescents yielded little gain in the validity of either the statistical or diagnostic approach. The implications for the definition and assessment of child and adolescent disorders are discussed.

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Reference

  • Achenbach, T. (1985).Assessment and taxonomy of child and adolescent psychopathology. Newbury Park, CA: Sage Publications.

    Google Scholar 

  • Achenbach, T. (1990/1991). “Comorbidity” in child and adolescent psychiatry: Categorical and quantitative perspectives.Journal of Child and Adolescent Psychopharmacology, 1, 271–278.

    Google Scholar 

  • Achenbach, T. M. (1991).Megrative guide for the 1991 CBCL/4-18, YSR and TRF Profiles. Burlington: University of Vermont, Department of Psychiatry.

    Google Scholar 

  • Achenbach, T., & Edelbrock, C. (1978). The classification of child and psychopathology: A review and analysis of empirical efforts.Psychological Bulletin, 85, 275–1301.

    Google Scholar 

  • Achenbach, T., & Edelbrock, C. (1983).Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Burlington: University of Vermont.

    Google Scholar 

  • Achenbach, T., & Edelbrock, C. (1986).Manual for the Youth Self-Report and Profile. Burlington: University of Vermont.

    Google Scholar 

  • Achenbach, T. M., & Edelbrock, C. (1987).Manual for the Youth Self-Report and Profile. Burlington, VT: University of Vermont Department of Psychiatry.

    Google Scholar 

  • Achenbach, T., Bird, H. R., Canino, G., Phares, V., Gould, M. S., & Rubio-Stipec, M. (1990). Epidemiological comparisons of Puerto Rican and U.S. Mainland children: Parent, teacher, and self-reports.Journal of the American Academy of Child and Adolescent Psychiatry, 29, 84–93.

    Google Scholar 

  • American Psychiatric Association (1980).Diagnostic and Statistical Manual of Mental Disorders (third edition). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • American Psychiatric Association (1987).Diagnostic and Statistical Manual of Mental Disorders (third edition-revised). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • American Psychiatric Association (in preparation).Diagnostic and Statistical Manual of Mental Disorders (fourth edition). Washington, DC: American Psychiatric Association.

  • Berkson, J. (1946). Limitations of the application of fourfold table analysis to hospital data.Biometrics Bulletin (nowBiometrics), 2, 47–53.

    Google Scholar 

  • Bird, H. R., Canino, G., Rubio-Stipec, M., Gould, M. S., Ribera, J., Sesman, M., Woodbury, M., Huertas-Goldman, S., Pagan, A., Sanchez-Lacay, A., & Moscoso, M. (1988). Estimates of the prevalence of childhood maladjustment in a community survey in Puerto Rico.Archives of General Psychiatry, 45, 1120–1126.

    Google Scholar 

  • Bird, H., Canino, G., Rubio-Stipec, M., & Ribera, J. (1987). Further measures of the psychometric properties of the Children's Global Assessment Scale (CGAS).Archives of General Psychiatry, 44, 821–824.

    Google Scholar 

  • Bird, H. R., Gould, M. S., & Staghezza, B. (1992). Aggregating data from multiple informants in child psychiatry epidemiological research.Journal of the American Academy of Child and Adolescent Psychiatry, 31, 78–85.

    Google Scholar 

  • Bird, H. R., Gould, M. S., Rubio-Stipec, M. Staghezza, B., & Canino, G. (1991). Screening for childhood psychopathology in the community using the Child Behavior Checklist.Journal of the American Academy of Child and Adolescent Psychiatry, 30, 116–123.

    Google Scholar 

  • Bird, H. R., Yager, T. J., Staghezza, B., Gould, M. S., Canino, G., & Rubio-Stipec, M. (1990). Impairment in the epidemiological measurement of childhood psychopathology in the community.Journal of the American Academy of Child and Adolescent Psychiatry, 29, 796–803.

    Google Scholar 

  • Brislin, R. W., Lonner, W., & Thorndike, R. (1973).Cross-cultural research methods. New York: Wiley.

    Google Scholar 

  • Canino, G. J., Bird, H. R., Rubio-Stipec, M., Woodbury, M. A., Ribera, J. C. Huertas, S. E., & Sesman, M. J. (1987). Reliability of child diagnosis in a Hispanic sample.Journal of the American Academy of Child and Adolescent Psychiatry, 26, 560–565.

    Google Scholar 

  • Cantwell, D. P., & Baker, L. (1988). Issues in the classification of child and adolescent psychopathology.Journal of the American Academy of Child & Adolescent Psychiatry, 27, 521–533.

    Google Scholar 

  • Coddington, R. D. (1972). The significance of life events as etiologic factors in the diseases of children. II. A study of a normal population.Journal of Psychosomatic Research, 16, 205–213.

    Google Scholar 

  • Costello, A. J., Edelbrock, C. S., Kalas, R., Kessler, M. K., & Klaric, S. A. (1982).NIMH Diagnostic Interview Schedule for Children, Bethesda, MD; National Institute of Mental Health.

    Google Scholar 

  • Edelbrock, C., & Achenbach, T. M. (1980). A typology of Child Behavior Profile patterns: Distribution and correlates in disturbed children aged 6 to 16.Journal of Abnormal Child Psychology, 8, 441–470.

    Google Scholar 

  • Edelbrock, C., & Costello, A. J. (1988). Convergence between statistically derived behavior problem syndromes and child psychiatric diagnoses.Journal of Abnormal Child Psychology, 16, 219–231.

    Google Scholar 

  • Endicott, J., Spitzer, R., Fleiss, J., & Cohen, J. (1976). The global assessment scale: A procedure for measuring overall severity of psychiatric disturbance.Archives of General Psychiatry, 33, 766–771.

    Google Scholar 

  • Gould, M. S., & Shaffer, D. (1985). Epidemiology and child psychiatry. In J. Cavenar (Ed.),Psychiatry. New York: Lippincott.

    Google Scholar 

  • Kish, L. (1965).Survey sampling. New York: Wiley.

    Google Scholar 

  • Rutter, M., & Shaffer, D. (1980). DSM-III. A step forward or back in terms of the classification of child psychiatric disorders.Journal of the American Academy of Child Psychiatry, 19, 371–394.

    Google Scholar 

  • Shaffer, D., & Bettes, B. (1991). Concepts of diagnostic classification in child psychiatry. In J. Wiener (Ed.),Textbook of Child and Adolescent Psychiatry. Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Shaffer, D., Campbell, M., Cantwell, D., Bradley, S., Carlson, G., Cohen, D., Denckla, M., Frances, A., Garfinkel, B., Klein, R., Pincus, H., Spitzer, R. L., Volkmar, F., & Widiger, T. (1989). Child and adolescent psychiatric disorders in DSM-IV: Issues facing the work group.Journal of the American Academy of Child and Adolescent Psychiatry, 25, 830–835.

    Google Scholar 

  • Shaffer, D., Gould, M. S., Brasic, J., Ambrosini, P., Fisher, P., Bird, H. R., & Aluwahlia, S. (1983). A Children's Global Assessment Scale (CGAS).Archives of General Psychiatry, 40, 1228–1231.

    Google Scholar 

  • Weinstein, S. R., Noam, G. G., Grimes, K., Stone, K., & Schwab-Stone, M. (1990). Convergence of DSM-III diagnoses and self-reported symptoms in child and adolescent inpatients.Journal of the American Academy of Child and Adolescent Psychiatry, 29, 627–634.

    Google Scholar 

  • World Health Organization (1978).Internal Classification of Diseases (ninth edition). Geneva: World Health Organization.

    Google Scholar 

  • World Health Organization (in preparation).The ICD-10 classifcation of mental and behavioral disorders: Diagnostic criteria for research. Geneva: World Health Organization.

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Author information

Authors and Affiliations

  1. Department of Psychiatry, Columbia University, 10032, New York, New York

    Madelyn S. Gould Ph.D. & Hector Bird

  2. School of Public Health, Columbia University, 10032, New York, New York

    Madelyn S. Gould Ph.D.

  3. New York State Psychiatric Institute, New York, New York

    Madelyn S. Gould Ph.D., Hector Bird & Beatrix Staghezza Jaramillo

Authors
  1. Madelyn S. Gould Ph.D.
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  2. Hector Bird
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  3. Beatrix Staghezza Jaramillo
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Additional information

This research was supported by grant MH 38821 from the National Institute of Mental Health.

The authors wish to acknowledge Glorisa Canino, Ph.D., and Maritza Rubio-Stipec, M.A., of the University of Puerto Rico, co-investigators in the epidemiologic project and to Barbara Bettes, Ph.D. for her contribution to preliminary analyses for this manuscripl. Portions of this paper were presented at the 38th Annual Meeting of the American Academy of Child and Adolescent Psychiatry, San Francisco, October 1991.

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Gould, M.S., Bird, H. & Jaramillo, B.S. Correspondence between statistically derived behavior problem syndromes and child psychiatric diagnoses in a community sample. J Abnorm Child Psychol 21, 287–313 (1993). https://doi.org/10.1007/BF00917536

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  • DOI: https://doi.org/10.1007/BF00917536

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