David M Fergusson1, Joseph M Boden, L John Horwood. 1. Christchurch Health and Development Study, University of Otago, Christchurch School of Medicine and Health Sciences, Christchurch, New Zealand. dm.fergusson@otago.ac.nz
Abstract
BACKGROUND: There is considerable evidence suggesting that many children show conduct problems that are specific to a given context (home; school). What is less well understood is the extent to which children with situation-specific conduct problems show similar outcomes to those with generalised conduct problems. METHODS: Data were gathered as part of the Christchurch Health and Development Study, a 25-year longitudinal study of a birth cohort of New Zealand children. Information was obtained on: (a) conduct problems during the period 7-9 years; (b) criminal offending during the period 16-25 years; (c) measures of DSM-IV mental disorders and suicidal behaviour over the interval 16-25 years; (d) measures of DSM-IV substance dependence over the interval 16-25 years; and (e) measures of relationship, pregnancy, and parenthood outcomes during the period 16-25 years. RESULTS: Latent-class modelling suggested three distinct groups of children with conduct problems: those with mother reports; those with teacher reports; and those with both mother and teacher reports. Both situation-specific and generalised conduct disorder were associated with increased risk of criminal offending, mental health disorders, substance dependence, and relationship and parenthood issues in late adolescence and early adulthood. CONCLUSIONS: There is a need for recognition of the significance of situation-specific conduct problems in both developmental theory and in the treatment of childhood conduct disorders. A focus only on those children with generalised conduct problems is likely to overlook the features and needs of children whose conduct problems are confined to a specific context.
BACKGROUND: There is considerable evidence suggesting that many children show conduct problems that are specific to a given context (home; school). What is less well understood is the extent to which children with situation-specific conduct problems show similar outcomes to those with generalised conduct problems. METHODS: Data were gathered as part of the Christchurch Health and Development Study, a 25-year longitudinal study of a birth cohort of New Zealand children. Information was obtained on: (a) conduct problems during the period 7-9 years; (b) criminal offending during the period 16-25 years; (c) measures of DSM-IV mental disorders and suicidal behaviour over the interval 16-25 years; (d) measures of DSM-IV substance dependence over the interval 16-25 years; and (e) measures of relationship, pregnancy, and parenthood outcomes during the period 16-25 years. RESULTS: Latent-class modelling suggested three distinct groups of children with conduct problems: those with mother reports; those with teacher reports; and those with both mother and teacher reports. Both situation-specific and generalised conduct disorder were associated with increased risk of criminal offending, mental health disorders, substance dependence, and relationship and parenthood issues in late adolescence and early adulthood. CONCLUSIONS: There is a need for recognition of the significance of situation-specific conduct problems in both developmental theory and in the treatment of childhood conduct disorders. A focus only on those children with generalised conduct problems is likely to overlook the features and needs of children whose conduct problems are confined to a specific context.
Authors: Melanie A Dirks; Andres De Los Reyes; Margaret Briggs-Gowan; David Cella; Lauren S Wakschlag Journal: J Child Psychol Psychiatry Date: 2012-02-24 Impact factor: 8.982
Authors: Jennifer Gaudie; Francis Mitrou; David Lawrence; Fiona J Stanley; Sven R Silburn; Stephen R Zubrick Journal: BMC Public Health Date: 2010-02-11 Impact factor: 3.295