Online citations, reference lists, and bibliographies.
← Back to Search

Child Psychiatric Symptoms And Psychosocial Impairment: Relationship And Prognostic Significance

Andrew Pickles, Richard Rowe, Emily Simonoff, Debra Foley, Michael Rutter, Judy Silberg

Save to my Library
Download PDF
Analyze on Scholarcy Visualize in Litmaps
Reduce the time it takes to create your bibliography by a factor of 10 by using the world’s favourite reference manager
Time to take this seriously.
Get Citationsy
BackgroundRelatively little is known about the relationships between psychiatric symptoms, diagnosis and psychosocial impairment.AimsTo examine these contemporaneous relationships and prognostic significance in a large general population sample.MethodSymptoms of major depression, conduct and oppositional defiant disorders were assessed by interview in two waves of the Virginia Twin Study of Adolescent behavioural Development (2800 children aged 8–16 years).ResultsManychildren below the DSM–III–R diagnostic threshold, especially for depression, had symptom-related impairment, whereas many children reaching the symptom threshold for conduct and oppositional defiant disorders were little impaired. Impairment score was linearly related to symptom count, with no evidence of any additional impairment at the diagnostic threshold. For depression, only symptoms predicted later symptoms and diagnosis. For conduct and oppositional defiant disorders, impairment was additionally predictive of later symptoms and diagnosis.ConclusionsImpairment, in addition to symptoms, is important for both nosology and prognosis.