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01-05-2009 | ORIGINAL CONTRIBUTION

Five-year predictive validity of DSM-IV conduct disorder research diagnosis in 4½–5-year-old children

Authors: Julia Kim-Cohen, PhD, Louise Arseneault, PhD, Rhiannon Newcombe, PhD, Felicity Adams, MSc, Heather Bolton, MSc, Lisa Cant, MSc, Kira Delgado, MSc, Jo Freeman, BA, Ania Golaszewski, BSc, Katerina Kelesidi, MSc, Charlotte Matthews, BSc, Nicky Mountain, BSc, Donna Oxley, MA, Susanne Watson, BSc, Helen Werts, BA, Avshalom Caspi, PhD, Terrie E. Moffitt, PhD

Published in: European Child & Adolescent Psychiatry | Issue 5/2009

Abstract

Objective

This longitudinal study of a non-referred, population-based sample tested the 5-year predictive validity of the DSM-IV conduct disorder (CD) research diagnosis in children 4½–5 years of age.

Method

In the E-Risk Study, a representative birth cohort of 2,232 children, mothers were interviewed and teachers completed mailed questionnaires to assess children’s past 6-month CD symptoms. A follow-up assessment was conducted when children were 10 years old.

Results

CD-diagnosed 5-year-olds were significantly more likely than controls to have behavioural and educational difficulties at age 10. Increased risk for age-10 educational difficulties persisted after controlling for age-5 IQ and ADHD diagnosis. Although the majority of CD-diagnosed 5-year-olds had no CD symptoms at age 10, findings suggest that these “remitted” children continued to experience behavioural and educational problems 5 years later despite their apparent remission from CD.

Conclusions

DSM-IV CD symptoms validly identify preschool-aged children who continue to have behavioural and educational problems in middle-childhood.

To illustrate, 1-week test–retest reliability of the CD diagnosis assessed by the Kiddie Disruptive Behavior Disorders Schedule, a structured clinical interview, in a clinic-referred sample of preschoolers was 0.73 [15], which is very good but falls short of perfect even over a few days.

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Title: Five-year predictive validity of DSM-IV conduct disorder research diagnosis in 4½–5-year-old children
Authors: Julia Kim-Cohen, PhD
Louise Arseneault, PhD
Rhiannon Newcombe, PhD
Felicity Adams, MSc
Heather Bolton, MSc
Lisa Cant, MSc
Kira Delgado, MSc
Jo Freeman, BA
Ania Golaszewski, BSc
Katerina Kelesidi, MSc
Charlotte Matthews, BSc
Nicky Mountain, BSc
Donna Oxley, MA
Susanne Watson, BSc
Helen Werts, BA
Avshalom Caspi, PhD
Terrie E. Moffitt, PhD
Publication date: 01-05-2009
Publisher: Steinkopff-Verlag
Published in: European Child & Adolescent Psychiatry / Issue 5/2009
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-008-0729-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Five-year predictive validity of DSM-IV conduct disorder research diagnosis in 4½–5-year-old children

Abstract

Objective

Method

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Method

Results

Conclusions

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