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More than the Terrible Twos: The Nature and Severity of Behavior Problems in Clinic-Referred Preschool Children
Abstract
The primary goals of this study are to describe the nature and severity of disruptive behavior problems in clinic-referred preschoolers from low-income environments and to explore the validity of DSM-IV disruptive disorders for young children. We examine the relation between DSM-IV symptoms, standardized behavior checklists, and observational ratings as a means of exploring measurement validity in this age group. Seventy-nine clinic-referred preschoolers (ages 2 through 5 years) from low-income environments were assessed. To examine whether clinic-referred preschool children have symptoms that are consistent with DSM-IV disruptive behavior disorders, parents were administered a semistructured diagnostic interview, modified for developmentally appropriate usage. In addition, parents completed the Child Behavior Checklist (CBCL) and children's behavior problems were assessed with observational ratings during parent-child interaction. Nearly half of the sample met criteria for conduct disorder, and three quarters met criteria for oppositional defiant disorder. Preliminary evidence for the validity of DSM-IV disruptive disorders in preschool children was demonstrated through association with CBCL scores, behavior ratings, and significant levels of impairment. Future efforts aimed at validating these diagnoses in preschoolers and implications for prevention are discussed.
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The diagnostic criteria for ADHD (DSM-5) can be applied to preschool-aged children.
“There is evidence that the diagnostic criteria for ADHD can be applied to preschool-aged children.33–39”
From Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents (2019) · cites this paper as [36]
Some aggressive behaviors in childhood predict aggression in later life.
“Some aggressive behaviors in childhood predict aggression in later life; others are temporary and disappear at later ages, such as temper tantrums in toddlers [61] and adolescence-limited antisocial behavior [62].”
From An integrated analysis of genes and functional pathways for aggression in human and rodent models (2019) · cites this paper as [61]
Some aggressive behaviors in childhood are temporary and disappear at later ages, such as temper tantrums in toddlers and adolescence-limited antisocial behavior.
“Some aggressive behaviors in childhood predict aggression in later life; others are temporary and disappear at later ages, such as temper tantrums in toddlers [61] and adolescence-limited antisocial behavior [62].”
From An integrated analysis of genes and functional pathways for aggression in human and rodent models (2019) · cites this paper as [61]
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Metadata
- Authors
- Keenan, K., & Wakschlag, L. S.
- Affiliations
- University of Chicago (US)
- Venue
- Journal of Abnormal Child Psychology
- Published
- 2000-02
- Volume
- 28
- Issue
- 1
- Pages
- 33-46
- ISSN
- 0091-0627 (ISSN-L)
- 1573-2835
- OpenAlex
- W1607154925
- Cited by
- 341
- References
- 40
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 5 · 2023: 1 · 2022: 4 · 2021: 5 · 2020: 10 · 2019: 13 · 2018: 21 · 2017: 11 · 2016: 13 · 2015: 12 · 2014: 17 · 2013: 22 · 2012: 22
- FWCI
- 14.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Research on Child and Adolescent Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (K01MH001484)
- National Institute on Drug Abuse (K08-DA-0030-02)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- disruptive behavior disorders, preschool children, conduct disorder, oppositional defiant disorder, low-income children, clinic-referred children, Child Behavior Checklist, parent-child interaction, early childhood psychopathology
- MeSH terms
- Age Factors, Attention Deficit Disorder with Hyperactivity, Child, Child Behavior Disorders, Child, Preschool, Family, Female, Humans, Interview, Psychological, Male, Parent-Child Relations, Psychiatric Status Rating Scales, Referral and Consultation, Risk Factors, Severity of Illness Index, Sex Factors, Socioeconomic Factors
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