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Who Are the Comorbid Adolescents? Agreement Between Psychiatric Diagnosis, Youth, Parent, and Teacher Report

Who Are the Comorbid Adolescents? Agreement Between Psychiatric Diagnosis, Youth, Parent, and... The investigators examined the rates of psychiatric comorbidity for externalizing and internalizing behavior problems, using semistructured diagnostic interview and parent, teacher, and youth report on the Achenbach checklists. The study also evaluated the effects of conjunctive, compensatory, and disjunctive data combination strategies. Using the same data and identical diagnostic thresholds, between 5 and 74% of 189 youths presenting to an outpatient clinic were identified as having comorbid internalizing and externalizing problems. Parent report and semistructured interview indicated the highest comorbidity rates. Despite good cross-source agreement (rs .29–.58), there was very little agreement about which specific youths presented with comorbid internalizing and externalizing problems (kappas .14–.40). Results also indicate that single DSM-IV disorders, such as bipolar disorder, can manifest “comorbid” patterns of behavior problems on checklists. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Abnormal Child Psychology Springer Journals

Who Are the Comorbid Adolescents? Agreement Between Psychiatric Diagnosis, Youth, Parent, and Teacher Report

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References (87)

Publisher
Springer Journals
Copyright
Copyright © 2003 by Plenum Publishing Corporation
Subject
Psychology; Clinical Psychology; Developmental Psychology
ISSN
0091-0627
eISSN
1573-2835
DOI
10.1023/A:1023244512119
Publisher site
See Article on Publisher Site

Abstract

The investigators examined the rates of psychiatric comorbidity for externalizing and internalizing behavior problems, using semistructured diagnostic interview and parent, teacher, and youth report on the Achenbach checklists. The study also evaluated the effects of conjunctive, compensatory, and disjunctive data combination strategies. Using the same data and identical diagnostic thresholds, between 5 and 74% of 189 youths presenting to an outpatient clinic were identified as having comorbid internalizing and externalizing problems. Parent report and semistructured interview indicated the highest comorbidity rates. Despite good cross-source agreement (rs .29–.58), there was very little agreement about which specific youths presented with comorbid internalizing and externalizing problems (kappas .14–.40). Results also indicate that single DSM-IV disorders, such as bipolar disorder, can manifest “comorbid” patterns of behavior problems on checklists.

Journal

Journal of Abnormal Child PsychologySpringer Journals

Published: Oct 5, 2004

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