Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESDSM-IV Disorders in Children With Borderline to Moderate Intellectual Disability. II: Child and Family Predictors
Section snippets
METHOD
The sample characteristics, procedure, and some of the instruments are described in Part I of the present study (Dekker and Koot, 2003). A brief summary follows as well as a description of additional instruments.
Predicting any DSM-IV Disorder
Most child factors predicted the presence of any DSM-IV disorder, except for the child's educational level, gender, and age. Parental psychopathology, referral to mental health care, and single parent family were the only family factors predicting DSM-IV disorder 1 year later. Age and gender moderated some associations (Table 2).
Children with problem behaviors, especially externalizing behaviors and self-absorbed behaviors, had the highest relative risk for DSM-IV disorder 1 year later. Almost
DISCUSSION
The results from this study showed that most included child factors and that some family factors predicted impairing psychiatric disorders in children with ID 1 year later. Inadequate daily living skills, chronic physical condition, social incompetence, negative life events, high physical complaints, parental psychopathology, and parental referral to mental health care were the strongest predictors of DSM-IV disorders. After correcting for T1 emotional/ behavioral problems, the first four
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