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Assessment of Behavioral Disorders in Preschool-Aged Children

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Abstract

The preschool-aged clinical practice of child and adolescent psychiatrists is increasing as the awareness of very young children with social/emotional and/or behavioral problems continues to grow. As the referrals grow, so do the ways in which we assess these disturbances of behavior and regulation. This review attempts to highlight the most often used measures and to investigate developing tools and their current status.

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References

Papers of particular interest, published recently, have been highlighted as: •• Of major importance

  1. AACAP: Practice parameters for the psychiatric assessment of infants and toddlers (0-36 months). J Am Acad Child Adolesc Psychiatry 1997b, 36 (10): 21s–36s.

  2. Gleason MM, Egger HL, Emslie GJ, et al.,: Psychopharmacological treatment for very young children: contexts and guidelines. J Am Acad Child Adolesc Psychiatry 2007, 46(12): 1532–1572.

    Article  PubMed  Google Scholar 

  3. •• Egger HL. Psychiatric assessment of young children. Child Adolesc Psychiatric Clin N Am 2009, 18:559–80. This seminal article thoroughly covers the topic of early-childhood assessments by highlighting the important tenets of such an assessment and discussing various methodologies. In addition to discussing the essential components of a systematic evaluation, the author also discusses treatment planning and challenges inherent in evaluating young children.

    Article  Google Scholar 

  4. Wakschlag LS, Danis B: Characterizing early childhood disruptive behavior: enhancing developmental sensibility. In Handbook of Infant Mental Health, edn 3. Edited by Zeanah CH. New York: Guilford Press; 2009.

  5. Centers for Disease Control and Prevention, Child Development: Using Developmental Screening to Improve Children’s Health. Centers for Disease Control and Prevention, 2005. Available at http://www.cdc.gov.

  6. Campbell SB: Behavior problems in preschool children: a review of recent research. J Am Acad Child Adolesc Psychiatry 1995, 36:113–149.

    CAS  Google Scholar 

  7. McClellan JM, Bresnahan MA, Echeverria D, et al.: Approaches to psychiatric assessment in epidemiological studies of children. J Epidemiol Community Health 2009, 63(1): i4–14.

    Article  PubMed  Google Scholar 

  8. Gleason MM, Zeanah CH, Dickstein S: Recognizing young children in need of mental health assessment: development and preliminary validity of the early childhood screening assessment. Inf Mental Hlth J, 2010. 31(3): 335–357.

    Google Scholar 

  9. Lavigne JV, Gibbons Rd, Christoffel KK, et al.: Prevalence rates and correlates of psychiatric disorders among preschool children. J Am Acad Child Adolesc Psychiatry 1996, 35(2): 204–214.

    Article  PubMed  CAS  Google Scholar 

  10. Zero to Three. Diagnostic Classification: 0-3r: diagnostic classification of mental health and developmental disorders of infancy and early childhood: revised edition. Washington, DC: Zero to Three Press; 2005.

    Google Scholar 

  11. Bergman D: Screening for Behavioral Developmental Problems: Issues, Obstacles, and Opportunities for Change. National Academy for State Health Policy, 2004. Available at http://www.nahsp.org.

  12. Keenan K, Wakcshlag LS, Danis B, et al.: Further Evidence of the reliability and validity of DSM-IV odd and cd in preschool children. J Am Acad Child Adolesc Psychiatry 2007, 46(4): 457–468.

    Article  PubMed  Google Scholar 

  13. Lavigne JV, Gibbons Rd, Christoffel KK, et al.: Prevalence rates and correlates of psychiatric disorders among preschool children. J Am Acad Child Adolesc Psychiatry 1996, 35(2): 204–214.

    Article  PubMed  CAS  Google Scholar 

  14. Lavigne JV, Arend R, Rosenbaun D, et al.: Psychiatric disorders with onset in the preschool years: I. Stability of diagnoses. J Am Acad Child Adolesc Psychiatry 1998a, 37: 1246–54.

    Article  PubMed  CAS  Google Scholar 

  15. Keenan K, Wakschlag LS: More than the terrible twos: the nature and severity of disruptive behavior problems in clinic-referred preschool children. J Abnorm Child Psychol 2000, 28:33–46.

    Article  PubMed  CAS  Google Scholar 

  16. Egger HL, Angold, A: Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology. J Child Psychol Psychiatry 2006, 47(3/4): 313–337.

    Article  PubMed  Google Scholar 

  17. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. Text Revision. 4th edition. Washington, DC: American Psychiatric Press; 2000.

  18. Task Force on Research Diagnostic Criteria: Infancy and Preschool. Research diagnostic criteria for infants and preschool children: the process and empirical support. J Am Acad Child Adolesc Psychiatry 2003, 42:1504–12.

    Google Scholar 

  19. Zero to Three: Diagnostic Classification: 0-3: diagnostic classification of mental health and developmental disorders of infancy and early childhood. Arlington (VA): National Center for Clinical Infant Programs; 1994.

    Google Scholar 

  20. Emde RN. RDC-PA: a major step forward and some issues. J Am Acad Child Adolesc Psychiatry, 2003; 42:1513–6.

    Article  PubMed  Google Scholar 

  21. Achenbach T and Rescorla LA: Manual for the ASEBA preschool form, 2000. Burlington: University of Vermont.

    Google Scholar 

  22. McClellan JM and Werry JS: Introduction-Research Psychiatric Diagnositc Interviews for Children and Adolescents. J Am Acad Child Adolesc Psychiatry 2000, 39(1): 19–27.

    Article  PubMed  CAS  Google Scholar 

  23. Egger HL: Psychiatric assessment of young children. Child Adolesc Psychiatric Clin N Am 2009, 18:559–80.

    Article  Google Scholar 

  24. Gleason MM, Egger HL, Emslie GJ, et al.,: Psychopharmacological treatment for very young children: contexts and guidelines. J Am Acad Child Adolesc Psychiatry 2007, 46(12): 1532–1572.

    Article  PubMed  Google Scholar 

  25. Zeanah, CH Jr. Editor. Handbook of infant mental health. Second edition. New York: Guilford Press; 2000.

    Google Scholar 

  26. McClellan JM, Werry JS: Evidence-based treatment in child and adolescent psychiatry: an inventory. J Am Acad Child Adolesc Psychiatry 2003, 42 (12): 1388–1400.

    Article  PubMed  Google Scholar 

  27. Myers K and Winters NC: Ten-Year Review of Rating Scales. I: Overview of Scale Functioning, Pscyhometric Properties, and Selection. J Am Acad Child Adolesc Psychiatry 2002, 41(2):114–122.

    Article  PubMed  Google Scholar 

  28. Lord C, Risi S, Lambrecht L, et al.: The Autism Diagnostic Observation Schedule-Generic: A standard measure of social and communication deficits associated with the spectrum of autism. J Autism and Dev Disorders 2000, 30:205–223.

    Article  CAS  Google Scholar 

  29. Gotham K, Risi S, Dawson G, et al.: A replication of the Autism Diangnostic Observation Schedule (ADOS) revised algorithms. J Am Acad Child Adolesc Psychiatry 2008; 47: 142–151.

    Article  Google Scholar 

  30. McClellan JM, Bresnahan MA, Echeverria D, et al.: Approaches to psychiatric assessment in epidemiological studies of children. J Epidemiol Community Health 2009, 63(1): i4–14.

    Article  PubMed  Google Scholar 

  31. Gleason MM, Zeanah CH, Dickstein S: Recognizing young children in need of mental health assessment: development and preliminary validity of the early childhood screening assessment. Inf Mental Hlth J, 2010. 31(3): 335–357.

    Google Scholar 

  32. ASQ-SE; Squires J, Bricker D, Twombly E. The ASQ: SE user’s guide. 2002b. Baltimore, MD: Paul H. Brookes Publishing Co, Inc.

  33. Achenbach System of Empirically Based Assessment (ASEBA): CBCL 1.5 to 5. Available at http://www.aseba.org/preschool.html.

  34. Luby JL, Heffelfinger A, Koeing-McNaught Al, et al.,: The preschool feeling checklist: a brief and sensitive screening measure for depression in young children. J Am Acad Child Adolesc Psychiatry 2004a, 43:708–716.

    Article  PubMed  Google Scholar 

  35. Barkley RA and Murphy KR: Attention-deficit hyperactivity disorder: a clinical workbook. New York: Guilford; 1998.

    Google Scholar 

  36. Egger HL, Angold A: The Preschool Age Psychiatric Assessment (PAPA): a structured parent interview for diagnosing psychiatric disorders in preschool children. In Handbook of infant, toddler, and preschool mental health assessment. Edited by DelCarmen-Wiggins R, Carter AS. New York: Oxford University Press; 2004:223–44.

  37. World Health Organization. ICD-10: the ICD-10 classification of mental and behavioral disorders: clinical descriptions and diagnostic guidelines. Geneva, Switzerland: World Health Organization; 1992.

    Google Scholar 

  38. Egger HL, Erkanli A, Keeler G, et al.: The test–retest reliability of the Preschool Age Psychiatric Assessment (PAPA). J Am Acad Child Adolesc Psychiatry 2006, 54(5): 538–49.

    Article  Google Scholar 

  39. •• Scheeringa MS, Haslett N: The Reliability and Criterion Validity of the Diagnostic Infant and Preschool Assessment: A New Diagnostic Instrument for Young Children. Child Psychiatry Hum Dev 2010, 41: 299–312. This article describes the strong preliminary psychometric properties of a new tool that was created to assess very young children. This measurement was developed with awareness of differences in young child behavior and used developmentally sensitive diagnoses for said behaviors. It highlights a new diagnostic interview that may have great potential for benefits in clinical and research settings, based on further studies.

    Article  PubMed  Google Scholar 

  40. Keenan K, Wakschlag LS, Danis B: Kiddie-Disruptive Behavior Disorder Schedule (version 1.1). 2001. Available at kkeenan@yoda.bsd.uchicago.edu.

  41. Wakschlag LS, Hill C, Carter A, et al.: Observational assessment of preschool disruptive behavior Part I: reliability of the Disruptive Behavior Diagnostic Observation Schedule (DB-DOS). J Am Acad Child Adolesc Psychiatry 2008c, 47(6): 622–31.

    Article  PubMed  Google Scholar 

  42. Wakschlag LS, Hill C, Carter A, et al.: Observational assessment of preschool disruptive behavior Part II: validity of the Disruptive Behavior Diagnostic Observation Schedule (DB-DOS). J Am Acad Child Adolesc Psychiatry 2008d, 47(6): 632–41.

    Article  PubMed  Google Scholar 

  43. Crowell J and Feldman S: The effects of mothers’ internal working models of relationships and children’s behavioral and developmental status on mother–child interaction. Child Dev 1988, 59: 1273–1285.

    Article  PubMed  CAS  Google Scholar 

  44. Wakschlag LS, Danis B: Characterizing early childhood disruptive behavior disorder: enhancing developmental sensitivity. In Handbook of infant mental health,3rd edition. Edited by Zeanah CH. New York, Guilford Press, 2009.

  45. Njoroge W, Benton TD, Lewis M, Njoroge NM: What are infants learning about race? A look at a sample of infants from multiple racial groups. Infant Mental Health J 2009, 30(5): 549–567.

    Article  Google Scholar 

  46. Gadow KD, Sprafkin J, Nolan EE: DMM-IV Symptoms in Community and Clinic Preschool Children. J Am Acad Child Adolesc Psychiatry 2001, 40 (12): 1383–1392.

    Article  PubMed  CAS  Google Scholar 

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Disclosure

Dr. Njoroge has served on a board for A Home Within. Dr. Bernhart reported no potential conflicts of interest relevant to this article.

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Correspondence to Wanjiku F. M. Njoroge.

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Njoroge, W.F.M., Bernhart, K.P. Assessment of Behavioral Disorders in Preschool-Aged Children. Curr Psychiatry Rep 13, 84–92 (2011). https://doi.org/10.1007/s11920-011-0181-7

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