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The continuity of psychopathology from early childhood to preadolescence

A prospective cohort study of 3–12-year-old children

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Abstract

Objective

To study the continuity of psychopathology from the age of 3–12 years.

Methods

In a population-based birth cohort, children’s emotional and behavioral problems were assessed at age 3 using the Child Behavior Checklist 2–3 (CBCL 2–3), and at age 12 by parents using the CBCL 11–18, and the Youth Self Report (YSR) completed by the children. Behavioral ratings were obtained from 800 subjects at both time points.

Results

externalizing problems at age 3 predicted both externalizing and internalizing problems among both genders in preadolescence. In girls, internalizing behavior at age 3 predicted parent-reported internalizing behavior, and associated negatively with externalizing behavior in self-reports at age 12. Aggressive behavior was found to be remarkably stable, and both aggressive and destructive behavior independently predicted a wide range of later externalizing and internalizing problems. Parent ratings of withdrawal showed stability from early childhood to preadolescence in both genders. Somatic complaints of 3-year-old girls independently predicted both externalizing and internalizing problems.

Conclusions

The results show the complexity of pathways in psychopathology from early childhood to preadolescence. In particular, aggressive and destructive behaviors in very early childhood predict later problems and necessitate early recognition and possible intervention at an early age. An instrument like the CBCL 2–3 is valuable in the early detection of children at risk of long-term problems.

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References

  1. Achenbach TM, Howell CT, McConaughy SH, Stanger C (1987) Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101:213–232

    Article  PubMed  CAS  Google Scholar 

  2. Achenbach TM (1991a) Manual for the child behavior checklist 4–18 and 1991 profile. University of Vermont, Department of Psychiatry, Burlington

    Google Scholar 

  3. Achenbach TM (1991b) Manual for the youth self report and 1991 profile. University of Vermont, Department of Psychiatry, Burlington

    Google Scholar 

  4. Achenbach TM, Howell CT, McConaughy SH, Stanger C (1995) Six-year predictors of problems in a national sample, III: transition to young adult syndromes. J Am Acad Child Adolesc Psychiatry 34:658–669

    Article  PubMed  CAS  Google Scholar 

  5. Anderson LM, Shinn C, Fullilove MT, Scrimshaw SC, Fielding JE, Normand J, Carande-Kulis VG (2003) The effectiveness of early childhood development programs: a systematic review. Am J Prev Med 24:32–48

    Article  PubMed  Google Scholar 

  6. Brestan EV, Eyberg SM (1998) Effective psychosocial treatments of conduct-disordered children and adolescents: 29 years, 82 studies, and 5272 kids. J Clin Child Psychiatry 27:180–189

    Article  CAS  Google Scholar 

  7. Campbell SB (1995) Behavior problems in preschool children. J Child Psychol Psychiatry 36:113–149

    PubMed  CAS  Google Scholar 

  8. Caspi A, Moffitt TE, Newman DI, Silva PA (1996) Behavioral observations at age 3 predict adult psychiatric disorders: longitudinal evidence from a birth cohort. Arch Gen Psychiatry 53:1033–1039

    PubMed  CAS  Google Scholar 

  9. Cohen P, Cohen J, Kasen S, Velez N, Hartmark C, Johnson J, Rojas M, Brook J, Streunung E (1993) An epidemiological study of disorders in late childhood and adolescence—I: age- and gender-specific prevalence. J Child Psychol Psychiatry 34:851–867

    PubMed  CAS  Google Scholar 

  10. Cohen P, Cohen J, Kasen S, Velez N, Hartmark C, Johnson J, Rojas M, Brook J, Streunung E (1993) An epidemiological study of disorders in late childhood and adolescence—II: persistence of disorders. J Child Psychol Psychiatry 34:869–877

    PubMed  CAS  Google Scholar 

  11. Costello EJ, Angold A, Keeler GP (1999) Adolescent outcomes of childhood disorders: the consequences of severity and impairment. J Am Acad Child Adolesc Psychiatry 38:121–128

    Article  PubMed  CAS  Google Scholar 

  12. Egeland B, Pianta R, Ogawa J (1996) Early behaviour problems: pathways to mental disorders in adolescence. Dev Psychopathol 8:735–749

    Article  Google Scholar 

  13. Egger H, Costello J, Erkanli A, Angold A (1999) Somatic complaints and psychopathology of children and adolescents: stomach aches, musculoskeletal pains, and headaches. J Am Acad Child Adolesc Psychiatry 38:852–860

    Article  PubMed  CAS  Google Scholar 

  14. Ferdinand RF, Verhulst FC (1995) Psychopathology from adolescence into young adulthood: an 8-year follow-up study. Am J Psychiatry 152:1586–1594

    PubMed  CAS  Google Scholar 

  15. Herjanic B, Reich W (1997) Development of a structured psychiatric interview for children: agreement between child and parent on individual symptoms. J Abnorm Child Psychol 25:21–31

    Article  PubMed  CAS  Google Scholar 

  16. Hofstra MB, van der Ende J, Verhulst FC (2000) Continuity and change of psychopathology from childhood into adulthood: a 14-year follow-up study. J Am Acad Child Adolesc Psychiatry 39:850–858

    Article  PubMed  CAS  Google Scholar 

  17. Hofstra MB, van der Ende J, Verhulst F (2002) Child and adolescent problems predict DSM-IV disorders in adulthood. A 14-year follow-up of Dutch epidemiological sample. J Am Acad Child Adolesc Psychiatry 41:182–189

    Article  PubMed  Google Scholar 

  18. Kagan J (1997) Temperament and the reactions to unfamiliarity. Child Dev 68:139–143

    Article  PubMed  CAS  Google Scholar 

  19. Kasius M, Ferdinand R, van den Berg H, Verhulst F (1997) Associations between different diagnostic approaches for child and adolescent psychopathology. J Child Psychol Psychiatry 38(6):625–632

    PubMed  CAS  Google Scholar 

  20. Keenan K, Shaw DS, Walsh B, Delliquadri E, Giovannelli J (1997) DSM-III-R disorders in preschool children from low-income families. J Am Acad Child Adolesc Psychiatry 36:620–627

    Article  PubMed  CAS  Google Scholar 

  21. Kim-Cohen J, Caspi A, Moffitt TE, Harrington HL, Milne BJ, Poulton R (2003) Prior juvenile diagnoses in adults with mental disorder. Arch Gen Psychiatry 60:709–717

    Article  PubMed  Google Scholar 

  22. Kolko D, Kadzin A (1993) Emotional/behavioural problems in clinic and non-clinic children: correspondence among child, parent and teacher reports. J Child Psychol Psychiatry 34:991–1006

    PubMed  CAS  Google Scholar 

  23. Koot H, van den Oord E, Verhulst F, Boomsma DI (1997) Behavioral and emotional problems in young pre-schoolers: cross-cultural testing of the validity of the Child Behavior Checklist 2/3. J Abnorm Child Psychol 25:183–196

    Article  PubMed  CAS  Google Scholar 

  24. Koskinen R, Meriläinen J, Gissler M, Virtanen M (1998) Finnish perinatal statistics 1996: statistical report. Stakes Helsinki, Helsinki, Finland

    Google Scholar 

  25. Kroes M, Kalff A, Steyaert J, Kessels A, Feron F, Hendriksen J, van Zeben T, Troost J, Jolles J, Vles J (2002) A longitudinal community study: do psychosocial risk factors and Child Behavior Checklist scores at 5 years of age predict psychiatric diagnoses at a later age? J Am Acad Child Adolesc Psychiatry 41:955–963

    Article  PubMed  Google Scholar 

  26. Lavigne JV, Arend R, Rosenbaum D, Binns HJ, Christoffel KK, Gibbons RD (1998) Psychiatric disorders with onset in the preschool years: II: correlates and predictors of stable case status. J Am Acad Child Adolesc Psychiatry 37:1255–1261

    Article  PubMed  CAS  Google Scholar 

  27. Mesman J, Bongers I, Koot (2001) Preschool developmental pathways to preadolescent internalizing and externalizing problems. J Child Psychol Psychiatry 42:679–689

    Article  PubMed  CAS  Google Scholar 

  28. Mesman J, Koot H (2000) Child-reported depression and anxiety in preadolescence: I. associations with parent- and teacher-reported problems. J Am Acad Child Adolesc Psychiatry 39:1371–1378

    Article  PubMed  CAS  Google Scholar 

  29. Mesman J, Koot H (2001) Early preschool predictors of preadolescent internalizing and externalizing DSM-IV diagnosis. J Am Acad Child Adolesc Psychiatry 40:1029–1036

    Article  PubMed  CAS  Google Scholar 

  30. Mesman J, Bongers I, Koot H (2001) Preschool developmental pathways to preadolescent internalizing and externalizing problems. J Child Psychol Psychiatry 42:679–689

    Article  PubMed  CAS  Google Scholar 

  31. Moffitt TE, Caspi A (2001) Childhood predictors differentiate life-course persistent and adolescence-limited antisocial pathways among males and females. Dev Psychopathol 13:355–375

    Article  PubMed  CAS  Google Scholar 

  32. Offord D, Boyle M, Racine Y (1992) Outcome, prognosis, and risk in a longitudinal follow-up study. J Am Acad Child Adolesc Psychiatry 31:916–923

    PubMed  CAS  Google Scholar 

  33. Pihlakoski L, Aromaa M, Sourander A, Rautava P, Helenius H, Sillanpää M (2004) Use of and need for professional help for emotional and behavioral problems among preadolescents. J Am Acad Child Adolesc Psychiatry 43:974–983

    Article  PubMed  Google Scholar 

  34. Rautava P, Sillanpää M (1989) The Finnish family competence study: knowledge of childbirth of nulliparous women seen at maternity health care clinics. J Epidemiol Community Health 43:253–260

    Article  PubMed  CAS  Google Scholar 

  35. Rose SL, Rose SA, Feldman J (1989) Stability of behaviour problems in very young children. Dev Psychopathol 1:5–19

    Google Scholar 

  36. Rubin K, Stewart L (1996) Social withdrawal. In: Mash E, Barkley R (eds), Child psychopathology. Guilford, New York, pp. 277–307

    Google Scholar 

  37. Rutter M (1989) Isle of Wight revisited: twenty-five years of child psychiatric epidemiology. J Am Acad Child Adolesc Psychiatry 28:633–653

    PubMed  CAS  Google Scholar 

  38. Simonoff E, Pickles A, Meyer J (1997) The Virginia twin study of adolescent behavioral development: influences of age, sex, and impairment on rates of disorder. Arch Gen Psychiatry 54:801–808

    PubMed  CAS  Google Scholar 

  39. Stanger C, Achenbach TM, Verhulst F (1997) Accelerated longitudinal comparisons of aggressive versus delinquent syndromes. Dev Psychopathol 9:43–58

    Article  PubMed  CAS  Google Scholar 

  40. Tremblay RE, Phil RO, Vitaro F, Dobkin PL (1994) Predicting early onset of male antisocial behavior from preschool behavior. Arch Gen Psychiatry 51:732–739

    PubMed  CAS  Google Scholar 

  41. van der Valk J, van den Oord E, Verhulst F, Boomsma D (2003) Genetic and environmental contributions to stability and change in children’s internalizing and externalizing problems. J Am Acad Child Adolesc Psychiatry 42:1212–1220

    PubMed  Google Scholar 

  42. Verhulst F, van der Ende J (1995) The eight-year stability of problem behavior in an epidemiological sample. Pediatr Res 38:612–617

    PubMed  CAS  Google Scholar 

  43. Webster-Stratton C, Taylor T (2001) Nipping early risk factors in the bud: preventing substance abuse, delinquency, and violence in adolescence through interventions targeted at young children (0–8 years). Prev Sci 2:165–192

    Article  PubMed  CAS  Google Scholar 

  44. Wu P, Hoven C, Bird H, Moore R, Cohen P, Alegria M, Dulcan M, Goodman S, Horwitz S, Lichtman J, Narrow W, Rae D, Regier D, Roper M (1999) Depressive and disruptive disorders and mental health utilization in children and adolescents. J Am Acad Child Adolesc Psychiatry 38:1081–1090

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgements

This study was financially supported by the Finnish Ministry of Social Affairs and Health; and the Turku University Foundation.

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Authors and Affiliations

  1. Dept. of Child Psychiatry, Turku University Hospital, P.O. Box 52, 20521, Turku, Finland

    Leena Pihlakoski & Andre Sourander

  2. Dept. of Public Health, Turku University, Turku, Finland

    Minna Aromaa & Matti Sillanpää

  3. Turku City Hospital, Turku, Finland

    Päivi Rautava

  4. Dept. of Biostatistics, Turku University, Turku, Finland

    Hans Helenius

Authors
  1. Leena Pihlakoski
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  2. Andre Sourander
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  3. Minna Aromaa
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  4. Päivi Rautava
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  5. Hans Helenius
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  6. Matti Sillanpää
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Correspondence to Leena Pihlakoski.

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Pihlakoski, L., Sourander, A., Aromaa, M. et al. The continuity of psychopathology from early childhood to preadolescence. Eur Child Adolesc Psychiatry 15, 409–417 (2006). https://doi.org/10.1007/s00787-006-0548-1

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