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Psychopathology and adversities from early- to late-adolescence: a general population follow-up study with the CBCL DSM-Oriented Scales

Published online by Cambridge University Press:  11 April 2012

M. Nobile ,
P. Colombo ,
M. Bellina ,
M. Molteni ,
D. Simone ,
F. Nardocci ,
O. Carlet  and
M. Battaglia
M. Nobile*
Affiliation:
Department of Child Psychiatry, ‘Eugenio Medea’ Scientific Institute, Bosisio Parini, Italy
P. Colombo
Affiliation:
Department of Child Psychiatry, ‘Eugenio Medea’ Scientific Institute, Bosisio Parini, Italy
M. Bellina
Affiliation:
Department of Child Psychiatry, ‘Eugenio Medea’ Scientific Institute, Bosisio Parini, Italy
M. Molteni
Affiliation:
Department of Child Psychiatry, ‘Eugenio Medea’ Scientific Institute, Bosisio Parini, Italy
D. Simone
Affiliation:
Department of Child Psychiatry, ‘Eugenio Medea’ Scientific Institute, Bosisio Parini, Italy
F. Nardocci
Affiliation:
Department of Child Psychiatry, Azienda USL, Ravenna, Italy
O. Carlet
Affiliation:
Department of Child Psychiatry, ‘Eugenio Medea’ Scientific Institute, Conegliano, Italy
M. Battaglia
Affiliation:
Department of Child Psychiatry, ‘Eugenio Medea’ Scientific Institute, Bosisio Parini, Italy Centre for the Study of Behavioural Plasticity, Vita-Salute San Raffaele University, Milan, Italy Laval University & Institut universitaire en santé mentale de Québec, Canada
*
*Address for correspondence: Maria Nobile, M.D., Department of Child Psychiatry, ‘Eugenio Medea’ Scientific Institute, Via Don Luigi Monza 20, 23842 Bosisio Parini (LC), Italy. (Email: [email protected])
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Abstract

Aims.

Adolescence is a critical transition phase between childhood and adulthood, when the burden of mental disorder may still be prevented. The aim of this study was to evaluate the continuity and discontinuity of behavioural problems in adolescence while taking into account the multiple co-variation of psychopathological traits and the complex role of recent stressful life events (SLEs).

Methods.

This is a 5-year follow-up investigation of emotional and behavioural problems assessed by the newly developed Child Behavior Checklist (CBCL) DSM-Oriented Scales (DOSs) in 420 general population subjects aged 15–19 years.

Results.

The DOSs showed good stability, even when multiple co-variation was taken into account. Longitudinal data showed that homotypic evolution of psychopathology was to be expected in the first place. Equifinality and multifinality were also found. Oppositional Defiant Problems emerged to be polyvalent predictors of both internalizing and externalizing problems. Furthermore, Oppositional Defiant Problems predicted more SLEs, which in turn predicted more Depression, Anxiety and Oppositional Defiant Problems. Mediational analyses confirmed the role of SLEs in partially accounting for the continuity of Oppositional Defiant Problems and for the heterotypic progression towards Affective Problems.

Conclusions.

These data underscore early adolescence behavioural problems as an important focus for primary and secondary intervention.

Keywords

Adolescenceadversitiesbehaviour problemsCBCL DSM-Oriented Scalescontinuityoppositional defiant problemsstressful life events
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 22 , Issue 1 , March 2013 , pp. 63 - 73
Copyright
Copyright © Cambridge University Press 2012

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