The DOI matches its Crossref record; 37 of the 40 references it cites were found in a registry or an index.
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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“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]
In the citing paper
“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]
In the citing paper
“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]
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
(1991) · Medical Entomology and Zoology · Cited by 8,071
Socioeconomic disadvantage and child development
McLoyd, V. C. (1998) · American Psychologist · doi:10.1037/0003-066x.53.2.185 · Cited by 3,763
Behavior Problems in Preschool Children: A Review of Recent Research
Campbell, S. B. (1995) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1995.tb01657.x · Cited by 1,356
Matas, L., Arend, R. A., & Sroufe, L. A. (1978) · Child Development · doi:10.2307/1128221 · Cited by 1,164
Multiple pathways to conscience for children with different temperaments: from toddlerhood to age 5.
Kochanska, G. (1997) · Developmental Psychology · doi:10.1037/0012-1649.33.2.228 · Cited by 646
Prevalence Rates and Correlates of Psychiatric Disorders among Preschool Children
Lavigne, J. V., Gibbons, R. D., Christoffel, K. K., Arend, R. A., Rosenbaum, D. L., Binns, H. J., DAWSON, N., SOBEL, H., & Isaacs, C. (1996) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199602000-00014 · Cited by 561
Schuhmann, E. M., Foote, R., Eyberg, S. M., Boggs, S. R., & Algina, J. J. (1998) · Journal of Clinical Child Psychology · doi:10.1207/s15374424jccp2701_4 · Cited by 462
Follow‐up of Hard‐to‐Manage Preschoolers: Adjustment at Age 9 and Predictors of Continuing Symptoms
Campbell, S. B. G., & Ewing, L. J. (1990) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1990.tb00831.x · Cited by 461
Crockenberg, S., & Litman, C. (1990) · Developmental Psychology · doi:10.1037/0012-1649.26.6.961 · Cited by 381
Research works printed but not linked: 8
- Achenbach, T. M. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington: University of Vermont Department of Psychiatry.
- Achenbach, T. M. (1997). What is normal? What is abnormal? Developmental perspectives on emotional and behavioral problems. In S. Luthar, J. Burack, D. Cichetti., & J. Weisz (Eds.), Developmental psychopathology: Perspectives on adjustment, risk and disorder (pp. 93-114). New York: Cambridge University Press.
- Crowell, J., & Fleischmann, M. (1993). Use of structured research assessments in clinical assessments of infants. In C. Zeanah (Ed.), Handbook of infant mental health (pp. 210-222). New York: Guilford Press.
- Elliot, C. (1983). Differential Abilities Scales: Introductory and technical handbook. New York: Psychological Corporation.
- Eyberg, S., & Boggs, S. R. (1989). Parent training for oppositional-defiant preschoolers. In C. E. Schaefer & J. M. Briesmeister (Eds.), Handbook of parent training: Parents as Co-therapists for children's behavior problems (pp. 105-132). New York: Wiley.
- Orvaschel, H., & Puig-Antich, J. (1995). Schedule for Affective Disorders and Schizophrenia for School-Age Children-Epidemiologic 5th Version. Ft. Lauderdale, FL: Nova University.
- Setterberg, S., Bird, H., Gould, M., Shaffer, D., & Fisher, P. (1992). Parent and interviewer versions of the Children's Global Assessment Scale. New York: Columbia University.
- Webster-Stratton, C. (1997). Early intervention for families of preschool children with conduct problems. In M. Guralnick (Ed.), The effectiveness of early intervention (pp. 429-454). Baltimore: Brookes.
Cited by
Sorted by citations
Subcommittee on Attention-Deficit/Hyperactivity Disorder, S. C. O. Q. I. A. M. (2011) · Pediatrics · doi:10.1542/peds.2011-2654 · Cited by 2,185
Egger, H. L., & Angold, A. (2006) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2006.01618.x · Cited by 1,575
Wolraich, M. L., Hagan, J. F., Allan, C., Chan, E., Davison, D., Earls, M., Evans, S. W., Flinn, S. K., Froehlich, T., Frost, J., et al. (2019) · Pediatrics · doi:10.1542/peds.2019-2528 · Cited by 1,562
Physical Aggression During Early Childhood: Trajectories and Predictors
Tremblay, R. E., Nagin, D. S., Séguin, J. R., Zoccolillo, M., Zelazo, P. D., Boivin, M., Pérusse, D., & Japel, C. (2004) · PEDIATRICS · doi:10.1542/peds.114.1.e43 · Cited by 1,106
DuPaul, G. J., McGoey, K. E., Eckert, T. L., & VanBrakle, J. D. (2001) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200105000-00009 · Cited by 744
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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