Joint developmental trajectories of internalizing and externalizing disorders between childhood and adolescence

Nivard, Michel G., Lubke, Gitta H., Dolan, Conor V., Evans, David M., St. Pourcain, Beate, Munafo, Marcus R. and Middeldorp, Christel M. (2016) Joint developmental trajectories of internalizing and externalizing disorders between childhood and adolescence. Development and Psychopathology, 1-10. doi:10.1017/S0954579416000572


Author Nivard, Michel G.
Lubke, Gitta H.
Dolan, Conor V.
Evans, David M.
St. Pourcain, Beate
Munafo, Marcus R.
Middeldorp, Christel M.
Title Joint developmental trajectories of internalizing and externalizing disorders between childhood and adolescence
Journal name Development and Psychopathology   Check publisher's open access policy
ISSN 1469-2198
0954-5794
Publication date 2016-07-18
Sub-type Article (original research)
DOI 10.1017/S0954579416000572
Open Access Status Not yet assessed
Start page 1
End page 10
Total pages 10
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Language eng
Abstract This study sought to identify trajectories of DSM-IV based internalizing (INT) and externalizing (EXT) problem scores across childhood and adolescence and to provide insight into the comorbidity by modeling the co-occurrence of INT and EXT trajectories. INT and EXT were measured repeatedly between age 7 and age 15 years in over 7,000 children and analyzed using growth mixture models. Five trajectories were identified for both INT and EXT, including very low, low, decreasing, and increasing trajectories. In addition, an adolescent onset trajectory was identified for INT and a stable high trajectory was identified for EXT. Multinomial regression showed that similar EXT and INT trajectories were associated. However, the adolescent onset INT trajectory was independent of high EXT trajectories, and persisting EXT was mainly associated with decreasing INT. Sex and early life environmental risk factors predicted EXT and, to a lesser extent, INT trajectories. The association between trajectories indicates the need to consider comorbidity when a child presents with INT or EXT disorders, particularly when symptoms start early. This is less necessary when INT symptoms start at adolescence. Future studies should investigate the etiology of co-occurring INT and EXT and the specific treatment needs of these severely affected children.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
UQ Diamantina Institute Publications
 
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