Co-occurring internalizing and externalizing psychopathology in childhood and adolescence: a network approach.
The network approach suggests that psychopathology arises from complex associations between symptoms and may offer insight into the mechanisms that underpin psychiatric comorbidities. The transition from childhood to adolescence is a key period in the development of psychopathology, yet has rarely b...
| Published in: | European Child & Adolescent Psychiatry Vol. 27; no. 11; pp. 1449 - 1458 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Nov2018
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=132399952&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 132399952 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Nov2018 vid: 27 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 132399952 132399952 132399952 10.1007/s00787-018-1128-x 132399952 ppf: 1449 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Co-occurring internalizing and externalizing psychopathology in childhood and adolescence: a network approach. aug: au: McElroy, Eoin Shevlin, Mark Murphy, Jamie McBride, Orla affil: School of Psychology and Psychology Research Institute, Ulster University, Magee Campus, Londonderry, Northern Ireland, UK sug: subj: Comorbidity Psychopathology Child Behavior Disorders Diagnosis Social Networks Human Child Adolescence Prospective Studies Parent-Child Relations DSM Methods Depression Diagnosis Anxiety Disorders Diagnosis Mental Disorders Diagnosed in Childhood Maternal Attitudes Child: 6-12 years Adolescent: 13-18 years ab: The network approach suggests that psychopathology arises from complex associations between symptoms and may offer insight into the mechanisms that underpin psychiatric comorbidities. The transition from childhood to adolescence is a key period in the development of psychopathology, yet has rarely been considered from a network perspective. As such, the present study examined the network structure of internalizing and externalizing psychopathology from middle childhood through adolescence using data from the Avon Longitudinal Study of Parents and Children (ALSPAC; n = 4405). Eight DSM-IV disorders were assessed using maternal reports when children were aged 7.5, 10.5 and 14 years. Weighted, undirected networks were estimated and the relative importance of each node was assessed using three common measures of node centrality; strength, betweenness, and closeness. A consistent network structure emerged at all three time points; nodes clustered together in two regions of space broadly reflecting the internalizing and externalizing spectra. Permutation tests supported structural invariance across this developmental period. These spectra were bridged by numerous disorder-level interactions, the most consistent of which was between depression and oppositional defiant disorder (ODD). Furthermore, inspection of the centrality indices indicated that generalised anxiety disorder and ODD were the most central disorders in the networks. These findings demonstrate that symptom/disorder-level interplay and reciprocal influence are plausible mechanisms for the association between internalizing and externalizing psychopathology in childhood/adolescence. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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