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Self-Reported Problem Behavior in Young Children With and Without a Dsm-Disorder in the General Population

Published online by Cambridge University Press:  16 December 2016

A.P. Ringoot ,
P.W. Jansen ,
J. Rijlaarsdam ,
P. So ,
V.W.V. Jaddoe ,
F.C. Verhulst  and
H. Tiemeier
A.P. Ringoot
Affiliation:
The Generation R Study Group, Rotterdam, The Netherlands Department of Child and Adolescent Psychiatry/Psychology, Erasmus University Medical Center, Rotterdam, The Netherlands Department of Clinical Psychology, Open University of the Netherlands, Heerlen, The Netherlands
P.W. Jansen
Affiliation:
Department of Child and Adolescent Psychiatry/Psychology, Erasmus University Medical Center, Rotterdam, The Netherlands Institute of Psychology, Erasmus University, Rotterdam, The Netherlands
J. Rijlaarsdam
Affiliation:
Faculty of Pedagogical Sciences, Leiden University, Leiden, The Netherlands
P. So
Affiliation:
Lucertis, Rotterdam, The Netherlands
V.W.V. Jaddoe
Affiliation:
The Generation R Study Group, Rotterdam, The Netherlands Department of Epidemiology, Erasmus University Medical Center, Rotterdam, The Netherlands Department of Pediatrics, Erasmus University Medical Center, Rotterdam, The Netherlands
F.C. Verhulst
Affiliation:
Department of Child and Adolescent Psychiatry/Psychology, Erasmus University Medical Center, Rotterdam, The Netherlands
H. Tiemeier*
Affiliation:
Department of Child and Adolescent Psychiatry/Psychology, Erasmus University Medical Center, Rotterdam, The Netherlands Department of Epidemiology, Erasmus University Medical Center, Rotterdam, The Netherlands Department of Psychiatry, Erasmus University Medical Center, Rotterdam, The Netherlands
*
* Corresponding author. at: Erasmus University Medical Center Rotterdam, Department of Child & Adolescent Psychiatry/Psychology, Room NA 2814, PO-BOX 2060, 3000 CB Rotterdam, The Netherlands. E-mail address:h.tiemeier@erasmusmc.nl (H. Tiemeier).
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Abstract

Background

Problem behavior of young children is generally not assessed with structured child interviews. This paper examined how information about problem behavior, obtained by structured interviews with six-year-old children, relates to DSM-disorders obtained from parents and to treatment referral.

Methods

In a population-based cohort, caregivers of 1084 young children (mean age 6.7 years) were interviewed with the DSM-based Diagnostic Interview Schedule-Young Child version (DISC-YC), and they scored the Child Behavior Checklist (CBCL). Children themselves were interviewed about problem behavior using the semi-structured Berkeley Puppet Interview (BPI). Information regarding treatment referral to mental health services was obtained by parent-reported questionnaire when children were on average eight years old.

Results

DSM-disorders and CBCL problems in the clinical range were cross-sectionally associated with higher levels of child self-reported problems. Associations were strongest in the externalizing domain (e.g. DISC-YC externalizing disorders with BPI externalizing scores: F(1, 416) = 19.39, P < 0.001; DISC-YC internalizing disorders with BPI internalizing scores: F(1, 312) = 3.75, P = 0.054). Moreover, higher BPI internalizing and externalizing problem scores predicted treatment referral two years later.

Conclusions

We conclude that systematically interviewing preschool and young elementary school-aged children should be an integral part of child assessment. This approach may contribute to a better understanding of child development and may predict future problems.

Keywords

ChildrenExternalizing problemsInternalizing problemsAssessmentBerkeley Puppet InterviewSelf-report
Type
Original article
Information
European Psychiatry , Volume 40 , February 2017 , pp. 110 - 115
Copyright
Copyright © Elsevier Masson SAS 2017

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