Cristin-resultat-ID: 1065352
Sist endret: 13. februar 2018, 10:42
NVI-rapporteringsår: 2013
Resultat
Vitenskapelig artikkel
2014

Psychiatric disorders in preschoolers: the structure of DSM-IV symptoms and profiles of comorbidity

Bidragsytere:
  • Lars Wichstrøm og
  • Turid Suzanne Berg-Nielsen

Tidsskrift

European Child and Adolescent Psychiatry
ISSN 1018-8827
e-ISSN 1435-165X
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2014
Volum: 23
Hefte: 7
Sider: 551 - 562
Open Access

Importkilder

Scopus-ID: 2-s2.0-84904660098

Beskrivelse Beskrivelse

Tittel

Psychiatric disorders in preschoolers: the structure of DSM-IV symptoms and profiles of comorbidity

Sammendrag

Psychiatric disorders have been increasingly recognized in preschool children; at present, however, we know comparatively less about how well current diagnostic manuals capture the symptoms described in this age group and how comorbidity is patterned. Therefore, this study aimed to investigate whether the symptoms defined by the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) load on their respective disorders, examine whether individual symptoms exist that load particularly high or low on the disorder they allegedly define, and analyze how comorbidity clusters in individual children. Parents of a community sample of Norwegian 4-year-olds (N = 995) were interviewed using the Preschool Age Psychiatric Assessment. A confirmatory factor analysis (CFA) and a latent profile analysis (LPA) were performed on the symptoms of seven DSM disorders: attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder, conduct disorder, major depressive disorder (MDD), generalized anxiety disorder (GAD), social phobia, and separation anxiety disorder. The results showed that the CFA solution that closely resembled the disorders delineated in the DSM-IV fitted the data best. However, vegetative symptoms did not define preschool depression. The LPA identified nine symptom profiles among preschoolers, of which four showed evidence of psychopathology: comorbid MDD/GAD + ADHD combined type, comorbid MDD/GAD + ADHD hyperactive/impulsive type, separation anxiety only, and social phobia only. In conclusion, the symptoms observed in preschoolers fit the DSM-IV well, and comorbidity followed specific patterns.

Bidragsytere

Lars Wichstrøm

  • Tilknyttet:
    Forfatter
    ved Institutt for psykologi ved Norges teknisk-naturvitenskapelige universitet
  • Tilknyttet:
    Forfatter
    ved NTNU Samfunnsforskning AS
  • Tilknyttet:
    Forfatter
    ved PH - Avd. for barne- og ungdomspsykiatri ved St. Olavs Hospital HF

Turid Suzanne Berg-Nielsen

  • Tilknyttet:
    Forfatter
    ved RKBU Midt-Norge - Regionalt kunnskapssenter for barn og unge - psykisk helse og barnevern ved Norges teknisk-naturvitenskapelige universitet
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