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Comorbidity
Abstract
We review recent research on the prevalence, causes, and effects of diagnostic comorbidity among the most common groups of child and adolescent psychiatric disorders; anxiety disorders, depressive disorders, attention deficit hyperactivity disorders, oppositional defiant and conduct disorders, and substance abuse. A meta‐analysis of representative general population studies provides estimates of the strength of associations between pairs of disorders with narrower confidence intervals than have previously been available. Current evidence convincingly eliminates methodological factors as a major cause of comorbidity. We review the implications of comorbidity for understanding the development of psychopathology and for nosology.
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“concurrent diagnoses in young people are pervasive and may well be “the norm” (Angold et al., 1999)”
From An Emotion Regulation and Impulse Control (ERIC) Intervention for Vulnerable Young People: A Multi-Sectoral Pilot Study (2021) · cites this paper as Angold et al., 1999
In the citing paper
“While this is expected for children with ADHD given the high rates of comorbidity with ODD (Angold et al., 1999), it may have introduced additional confounds that were not taken into account in this study.”
From Investigating functional brain network integrity using a traditional and novel categorical scheme for neurodevelopmental disorders (2019) · cites this paper as Angold et al., 1999
In the citing paper
“Pediatric ADHD commonly co-occurs with multiple psychiatric disorders including mood, anxiety and disruptive behavioral disorders [9,10].”
From Advances in understanding and treating ADHD (2011) · cites this paper as [9]
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Rice, F. J., & Thapar, A. (2009) · Springer eBooks · doi:10.1007/978-0-387-76727-7_26 · Cited by 21
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Fortin, L. (2003) · Journal of Educational Administration · doi:10.1108/09578230310504652 · Cited by 21
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Impairment in Children With and Without ADHD
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Waszczuk, M. A., Brown, H. M., Eley, T. C., & Lester, K. J. (2015) · PLoS ONE · doi:10.1371/journal.pone.0141535 · Cited by 26
A pilot randomized controlled trial of the e-couch anxiety and worry program in schools
Calear, A. L., Christensen, H. M., Brewer, J. L., Mackinnon, A. J., & Griffiths, K. M. (2016) · Internet Interventions · doi:10.1016/j.invent.2016.08.003 · Cited by 21
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Machado, A. C. D. H., Rafaela, D., Silva, T., Veigas, T. A., & Cerejeira, J. (2017) · Journal of Attention Disorders · doi:10.1177/1087054717744880 · Cited by 24
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Hall, K., Youssef, G., Simpson, A., Sloan, E., Graeme, L., Perry, N., Moulding, R., Baker, A. L., Beck, A. K., & Staiger, P. K. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.554100 · Cited by 17
de Zeeuw, E. L., van Beijsterveldt, C. E. M., Lubke, G. H., Glasner, T. J., & Boomsma, D. I. (2015) · Behavior Genetics · doi:10.1007/s10519-015-9712-z · Cited by 17
Sherman, J. A., Tonarely, N. A., & Ehrenreich-May, J. (2018) · Clinical Case Studies · doi:10.1177/1534650117753671 · Cited by 16
Comorbidity as an epidemiological construct
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Tesli, N., Jaholkowski, P., Haukvik, U. K., Jangmo, A., Haram, M., Rokicki, J., Friestad, C., Tielbeek, J. J., Næss, Ø., Skardhamar, T., et al. (2024) · Psychiatry Research · doi:10.1016/j.psychres.2023.115628 · Cited by 14
Choi, T. K., Worley, M. J., Trim, R. S., Howard, D., Brown, S. A., Hopfer, C. J., Hewitt, J. K., & Wall, T. L. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.02.036 · Cited by 12
Metadata
- Authors
- Angold, A., Costello, E. J., & Erkanli, A.
- Affiliations
- Duke Medical Center (US)
- ORCID
- Costello, E. Jane
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 1999-01
- Volume
- 40
- Issue
- 1
- Pages
- 57-87
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- OpenAlex
- W4213024146
- Cited by
- 1,872
- References
- 0
- Citations by year
- 2026: 29 · 2025: 50 · 2024: 32 · 2023: 60 · 2022: 57 · 2021: 98 · 2020: 79 · 2019: 60 · 2018: 71 · 2017: 87 · 2016: 98 · 2015: 97 · 2014: 111 · 2013: 105 · 2012: 116
- FWCI
- 29.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- child and adolescent psychiatric disorders, anxiety disorders, depressive disorders, attention deficit hyperactivity disorder, oppositional defiant disorder, conduct disorder, substance abuse, prevalence, disease classification, psychopathology development
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