The Structure of Psychopathology in a Community Sample of Preschoolers

被引:33
作者
Strickland, Jennifer [1 ]
Keller, Jennifer [2 ]
Lavigne, John V. [2 ,3 ,4 ,5 ]
Gouze, Karen [2 ,3 ,4 ,5 ]
Hopkins, Joyce [1 ]
LeBailly, Susan [4 ,5 ]
机构
[1] IIT, Coll Psychol, Chicago, IL 60616 USA
[2] Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA
[3] Childrens Mem Hosp, Dept Child & Adolescent Psychiat, Chicago, IL 60614 USA
[4] Childrens Mem Hosp, Mary Ann & J Milburn Smith Child Hlth Res Program, Chicago, IL 60614 USA
[5] Childrens Mem Hosp, Childrens Mem Res Ctr, Chicago, IL 60614 USA
关键词
Preschool children; DSM-IV; Nosology; Confirmatory factor analysis; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; PSYCHIATRIC-DISORDERS; ANXIETY SYMPTOMS; DEPRESSION; CHILDREN; ONSET; CHILDHOOD; ADHD; PREVALENCE; BEHAVIORS;
D O I
10.1007/s10802-011-9487-5
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Despite growing interest in the development of alternative diagnostic classification systems for psychopathology in young children, little is known about the adequacy of the DSM symptom structure for describing psychopathology in this population. This paper examines the fit of the DSM-IV emotional (ED) and disruptive behavior disorder (DD) symptom structure in a community sample of 796 4-year-old children. Using the parent-report Child Symptom Inventory (CSI), the best model fit for ED included separate factors for Social Phobia, Separation Anxiety Disorder, Generalized Anxiety Disorder, and Major Depressive Disorder. For DD, the best model included separate Attention Deficit Hyperactivity Disorder-Inattentive type (ADHD-I), Attention Deficit Hyperactivity Disorder-Hyperactive/Impulsive type (ADHD-HI), and Oppositional Defiant Disorder diagnoses. These findings support using DSM-IV nosology to classify EDs in a community sample of preschool children, and suggest differentiation of ADHD into ADHD-I and ADHD-HI.
引用
收藏
页码:601 / 610
页数:10
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