Who Is at Greatest Risk of Adverse Long-Term Outcomes? The Finnish from a Boy to a Man Study

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Autor/inn/en	Sourander, Andre; Jensen, Peter; Davies, Mark; Niemela, Solja; Elonheimo, Henrik; Ristkari, Terja; Helenius, Hans; Sillanmaki, Lauri; Piha, Jorma; Kumpulainen, Kirsti; Tamminen, Tuula; Moilanen, Irma; Almqvist, Fredrik
Titel	Who Is at Greatest Risk of Adverse Long-Term Outcomes? The Finnish from a Boy to a Man Study
Quelle	In: Journal of the American Academy of Child & Adolescent Psychiatry, 46 (2007) 9, S.1148 (14 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-8567
Schlagwörter	Emotional Problems; Intervention; Emotional Disturbances; Criminals; Late Adolescents; Psychopathology; Children; Young Adults; Classification; At Risk Persons; Foreign Countries; Males; Correlation; Developmental Stages; Child Development; Behavior Disorders; Psychological Patterns; Crime; Self Disclosure (Individuals); Family Environment; Age Differences; Aggression; Longitudinal Studies; Finland + Suchen Sie Ihr Suchwort? Gefühlsstörung; Straftäter; Halbstarker; Psychopathologie; Child; Kind; Kinder; Young adult; Junger Erwachsener; Classification system; Klassifikation; Klassifikationssystem; Risikogruppe; Ausland; Male; Männliches Geschlecht; Korrelation; Kindesentwicklung; Crimes; Delict; Delicts; Delikt; Familienmilieu; Age; Difference; Age difference; Altersunterschied; Longitudinal study; Longitudinal method; Longitudinal methods; Längsschnittuntersuchung; Finnland
Abstract	Objective: To study associations between comorbid psychopathology and long-term outcomes in a large birth cohort sample from age 8 to early adulthood. Method: The sample included long-term outcome data on 2,556 Finnish boys born in 1981. The aim was to study the impact of early childhood psychopathology types (externalizing versus internalizing versus both) and informant sources (self-report versus parent/teacher reports) on young adult outcomes, based on data from a military registry of psychiatric diagnosis, a police registry on criminal and drug offenses, and self-reported problems in late adolescence and early adulthood. Results: Children with combined conduct and internalizing problems at age 8 had the worst outcomes and highest risk of subsequent psychiatric disorders, criminal offenses, and self-reported problems at follow-up, with 62% of these boys manifesting psychiatric disorders, committing criminal offenses, or both at follow-up. Although these children included only 4% of the sample, they were responsible for 26% of all criminal offenses at follow-up. In contrast, children with conduct problems without internalizing problems and those with attention problems had much less severe but nonetheless elevated levels of risk of antisocial personality disorder and criminal offenses. Long-term outcomes for these two groups were substantially better than for children with combined conduct and internalizing problems. Children with "pure" emotional problems had an elevated risk only of similar emotional problems at follow-up. Conclusions: The subjective suffering and long-term burden to society is especially high among children with comorbid conduct and internalizing problems in childhood. A major challenge for child and adolescent psychiatric, education, and social services is to develop effective intervention strategies focusing on these children. Additional longitudinal epidemiological studies of this comorbidity group are needed, and, if replicated, such findings will have important implications for future diagnostic classification systems (DSM-V). (Contains 2 tables.) [This study was supported by the Sigrid Juselius Foundation, Yrjo Jahnsson Foundation, and Signe and Arne Gyllenberg Foundation.] (Author).
Anmerkungen	Lippincott Williams & Wilkins. P.O. Box 1600, Hagerstown, MD 21741. Tel: 800-638-3030; Tel: 301-223-2300; Fax: 301-223-2400; Web site: http://www.lww.com/product/?0890-8567
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10