Preschoolers' Psychopathology Likely to Persist to Ages 6-9

By Bates, Betsy | Clinical Psychiatry News, March 2011 | Go to article overview
Save to active project

Preschoolers' Psychopathology Likely to Persist to Ages 6-9

Bates, Betsy, Clinical Psychiatry News

LOS ANGELES -- Preschool-aged children diagnosed with a psychiatric disorder have an increased likelihood of fulfilling criteria for a psychiatric disorder at ages 6-9, even after statistical adjustment for preschool pathology, according to 4-year follow-up data from a longitudinal study at Duke University.

About 3.3% of preschoolers were diagnosed with attention-deficit/hyperactivity disorder, 2.1% with depression, and 9.4% with anxiety disorders in studies at Duke that began in 2001.

At a 4-year follow-up of 307 children, those with a diagnosable psychiatric disorder in preschool had a 3.5-fold increased likelihood of being diagnosed with the same disorder and/or another during the early school years, when they were 6-9 years old.

Neither serious illnesses nor hospitalizations at ages 2-5 years were associated with subsequent development of a psychiatric disorder, but injuries to young children were associated with a later diagnosis of op-positional-defiant disorder (odds ratio, 3.3) and/or ADHD (OR, 3.8), Dr. Helen Link Egger reported.

The associations with traumatic medical events present a chicken-or-egg dilemma, since symptoms of op-positional-defiant disorder or ADHD may have been responsible for injury-prone behavior rather than triggering a traumatic response.

In some cases, "the symptoms were brewing and will emerge at a later age," Dr. Egger said.

When tracing the development of psychiatric disorders in young children, many factors come into play, including risk factors, illnesses and injuries that may have neurocognitive sequelae, and the role of parental functioning, said Dr. Egger, a psychiatrist who serves as clinical director of the Duke Preschool Psychiatric Clinic, Durham, N.C.

The Duke studies found that medical trauma is common in early childhood but that "the majority of the kids do OK," she said.

In the Duke Preschool Anxiety Study of 666 children aged 2-5 years, almost 14% had low birth weight, 12% spent time in the neonatal ICU, and 3% were diagnosed with a serious illness with a risk of death or chronic disability.

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
Loading One moment ...
Project items
Cite this article

Cited article

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited article

Preschoolers' Psychopathology Likely to Persist to Ages 6-9


Text size Smaller Larger
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

While we understand printed pages are helpful to our users, this limitation is necessary to help protect our publishers' copyrighted material and prevent its unlawful distribution. We are sorry for any inconvenience.
Full screen

matching results for page

Cited passage

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.

Are you sure you want to delete this highlight?