Psychiatric disorders with onset in the preschool years: II. Correlates and predictors of stable case status

John V. Lavigne; Richard Arend; Diane Rosenbaum; Helen J. Binns; Katherine Kaufer Christoffel; Robert D. Gibbons

doi:10.1097/00004583-199812000-00008

Psychiatric disorders with onset in the preschool years: II. Correlates and predictors of stable case status

John V. Lavigne^*, Richard Arend, Diane Rosenbaum, Helen J. Binns, Katherine Kaufer Christoffel, Robert D. Gibbons

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

75 Scopus citations

Abstract

Objective: To examine the correlates and predictors of stability and change in psychiatric disorder occurring among preschool children in a nonpsychiatric, primary care pediatric sample. Method: Five hundred ten children aged 2 through 5 years were enrolled; 344 participated in a third wave of data collection 42 through 48 months later. Consensus diagnoses were assigned using best-estimate procedures; variables of maternal psychopathology, family climate, and life stresses were the correlates/predictors studied. Results: For children who were cases initially, family cohesion predicted diagnostic stability. Among initial noncases, those remaining noncases experienced increased family cohesion; for those who later became cases, family cohesion declined. Negative life events declined when children were consistently noncases. Children who were initially noncases but were cases at the two subsequent waves had the highest levels of maternal negative affect. Predictors at wave 1 for wave 2 case status included lower socioeconomic status, less family cohesiveness, and greater family inhibition/control. Wave 2 correlates of wave 2 status included older children and negative life events. Wave 2 predictors of wave 3 status included being older, while wave 3 correlates of wave 3 case status included older children and higher maternal negative affect. Conclusions: Family context contributes to the maintenance and onset of problems beginning in the preschool years.

Original language	English (US)
Pages (from-to)	1255-1261
Number of pages	7
Journal	Journal of the American Academy of Child and Adolescent Psychiatry
Volume	37
Issue number	12
DOIs	https://doi.org/10.1097/00004583-199812000-00008
State	Published - Dec 1998

Funding

Reviewed under and accepted by Michael S. Jellinek, M.D., Associate Editor. Accepted May 5, 1938. Drs. Lavigne, Arend, Rosenbaum, Binns, and Christoffel are with Children: Memorial Hospital and Northwestern University Medical School, Chicago. Dr. Gibbons is with the University of Illinois, Chicago. This study was supported by NIMH grant R01 MH46089. The authors gratefilly acknowledge participating members of the Pediatric Practice Research Group. Correspondence to Dr. Lavigne, Department of Child and Adolescent &hiairy (#lo), Children: Memorial Hospital, 2300 Children: Phm, Chicago, IL 60614.

Keywords

DSM-III-R diagnoses
Developmental psychopathology
Diagnostic stability
Preschool children's psychopathology

ASJC Scopus subject areas

Psychiatry and Mental health
Developmental and Educational Psychology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1097/00004583-199812000-00008

Cite this

@article{8c2d780c9ecf4fafb21c3f98de03a63d,

title = "Psychiatric disorders with onset in the preschool years: II. Correlates and predictors of stable case status",

abstract = "Objective: To examine the correlates and predictors of stability and change in psychiatric disorder occurring among preschool children in a nonpsychiatric, primary care pediatric sample. Method: Five hundred ten children aged 2 through 5 years were enrolled; 344 participated in a third wave of data collection 42 through 48 months later. Consensus diagnoses were assigned using best-estimate procedures; variables of maternal psychopathology, family climate, and life stresses were the correlates/predictors studied. Results: For children who were cases initially, family cohesion predicted diagnostic stability. Among initial noncases, those remaining noncases experienced increased family cohesion; for those who later became cases, family cohesion declined. Negative life events declined when children were consistently noncases. Children who were initially noncases but were cases at the two subsequent waves had the highest levels of maternal negative affect. Predictors at wave 1 for wave 2 case status included lower socioeconomic status, less family cohesiveness, and greater family inhibition/control. Wave 2 correlates of wave 2 status included older children and negative life events. Wave 2 predictors of wave 3 status included being older, while wave 3 correlates of wave 3 case status included older children and higher maternal negative affect. Conclusions: Family context contributes to the maintenance and onset of problems beginning in the preschool years.",

keywords = "DSM-III-R diagnoses, Developmental psychopathology, Diagnostic stability, Preschool children's psychopathology",

author = "Lavigne, {John V.} and Richard Arend and Diane Rosenbaum and Binns, {Helen J.} and Christoffel, {Katherine Kaufer} and Gibbons, {Robert D.}",

note = "Funding Information: Reviewed under and accepted by Michael S. Jellinek, M.D., Associate Editor. Accepted May 5, 1938. Drs. Lavigne, Arend, Rosenbaum, Binns, and Christoffel are with Children: Memorial Hospital and Northwestern University Medical School, Chicago. Dr. Gibbons is with the University of Illinois, Chicago. This study was supported by NIMH grant R01 MH46089. The authors gratefilly acknowledge participating members of the Pediatric Practice Research Group. Correspondence to Dr. Lavigne, Department of Child and Adolescent &hiairy (#lo), Children: Memorial Hospital, 2300 Children: Phm, Chicago, IL 60614.",

year = "1998",

month = dec,

doi = "10.1097/00004583-199812000-00008",

language = "English (US)",

volume = "37",

pages = "1255--1261",

journal = "Journal of the American Academy of Child and Adolescent Psychiatry",

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T1 - Psychiatric disorders with onset in the preschool years

T2 - II. Correlates and predictors of stable case status

AU - Lavigne, John V.

AU - Arend, Richard

AU - Rosenbaum, Diane

AU - Binns, Helen J.

AU - Christoffel, Katherine Kaufer

AU - Gibbons, Robert D.

N1 - Funding Information: Reviewed under and accepted by Michael S. Jellinek, M.D., Associate Editor. Accepted May 5, 1938. Drs. Lavigne, Arend, Rosenbaum, Binns, and Christoffel are with Children: Memorial Hospital and Northwestern University Medical School, Chicago. Dr. Gibbons is with the University of Illinois, Chicago. This study was supported by NIMH grant R01 MH46089. The authors gratefilly acknowledge participating members of the Pediatric Practice Research Group. Correspondence to Dr. Lavigne, Department of Child and Adolescent &hiairy (#lo), Children: Memorial Hospital, 2300 Children: Phm, Chicago, IL 60614.

PY - 1998/12

Y1 - 1998/12

N2 - Objective: To examine the correlates and predictors of stability and change in psychiatric disorder occurring among preschool children in a nonpsychiatric, primary care pediatric sample. Method: Five hundred ten children aged 2 through 5 years were enrolled; 344 participated in a third wave of data collection 42 through 48 months later. Consensus diagnoses were assigned using best-estimate procedures; variables of maternal psychopathology, family climate, and life stresses were the correlates/predictors studied. Results: For children who were cases initially, family cohesion predicted diagnostic stability. Among initial noncases, those remaining noncases experienced increased family cohesion; for those who later became cases, family cohesion declined. Negative life events declined when children were consistently noncases. Children who were initially noncases but were cases at the two subsequent waves had the highest levels of maternal negative affect. Predictors at wave 1 for wave 2 case status included lower socioeconomic status, less family cohesiveness, and greater family inhibition/control. Wave 2 correlates of wave 2 status included older children and negative life events. Wave 2 predictors of wave 3 status included being older, while wave 3 correlates of wave 3 case status included older children and higher maternal negative affect. Conclusions: Family context contributes to the maintenance and onset of problems beginning in the preschool years.

AB - Objective: To examine the correlates and predictors of stability and change in psychiatric disorder occurring among preschool children in a nonpsychiatric, primary care pediatric sample. Method: Five hundred ten children aged 2 through 5 years were enrolled; 344 participated in a third wave of data collection 42 through 48 months later. Consensus diagnoses were assigned using best-estimate procedures; variables of maternal psychopathology, family climate, and life stresses were the correlates/predictors studied. Results: For children who were cases initially, family cohesion predicted diagnostic stability. Among initial noncases, those remaining noncases experienced increased family cohesion; for those who later became cases, family cohesion declined. Negative life events declined when children were consistently noncases. Children who were initially noncases but were cases at the two subsequent waves had the highest levels of maternal negative affect. Predictors at wave 1 for wave 2 case status included lower socioeconomic status, less family cohesiveness, and greater family inhibition/control. Wave 2 correlates of wave 2 status included older children and negative life events. Wave 2 predictors of wave 3 status included being older, while wave 3 correlates of wave 3 case status included older children and higher maternal negative affect. Conclusions: Family context contributes to the maintenance and onset of problems beginning in the preschool years.

KW - DSM-III-R diagnoses

KW - Developmental psychopathology

KW - Diagnostic stability

KW - Preschool children's psychopathology

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ER -

Psychiatric disorders with onset in the preschool years: II. Correlates and predictors of stable case status

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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