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Cited by 1,051Child and Adolescent Psychosocial and Emotional DevelopmentMental Health Research TopicsPersonality Disorders and Psychopathology

Comorbidity in Child Psychopathology: Concepts, Issues and Research Strategies

Caron, Chantal, Rutter, Michael·1991·Journal of Child Psychology and Psychiatry
DOI 10.1111/j.1469-7610.1991.tb00350.x
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Abstract

Epidemiological data show that the co-occurrence of two or more supposedly separate child (and adult) psychiatric conditions far exceeds that expected by chance (clinic data cannot be used for this determination). The importance of comorbidity is shown and it is noted that it is not dealt with optimally in either DSM-III-R or ICD-9. Artifacts in the detection of comorbidity are considered in terms of referral and screening/surveillance biases. Apparent comorbidity may also arise from various nosological considerations; these include the use of categories where dimensions might be more appropriate, overlapping diagnostic criteria, artificial subdivision of syndromes, one disorder representing an early manifestation of the other, and one disorder being part of the other. Possible explanations of true comorbidity are discussed with respect to shared and overlapping risk factors, the comorbid pattern constituting a distinct meaningful syndrome, and one disorder creating an increased risk for the other. Some possible means of investigating each of these possibilities are noted.

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Crossref · 10.1111/j.1469-7610.1991.tb00350.x

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68 of 68 references verified0 citation errors · 0 not checkable

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Cites

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2 of the 70 references couldn’t be matched to a known paper.

Research works printed but not linked: 9

  1. American Psychiatric Association, 1987, Diagnostic and statistical manual of mental disorders (DSM‐III)
  2. Kashani J. H., 1987, Psychiatric disorders in a community sample of adolescents, American Journal of Psychiatry, 144, 584
  3. Robins L. N., 1990, Straight and devious pathways from childhood to adulthood, 182
  4. Rutter M., 1970, Education, health and behavior
  5. Shaffer D., 1985, Child and adolescent psychiatry: modern approaches, 465
  6. Strober M., A controlled family study of anorexia nervosa: evidence of familial aggregation and lack of shared transmission with affective disorders, International Journal of Eating Disorders.
  7. Taylor E., 1988, Assessment and diagnosis in child psychopathology, 377
  8. World Health Organization, 1990, Clinical Descriptions and Diagnostic Guidelines
  9. Yule W., 1985, Child and adolescent psychiatry: modern approaches, 444

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Authors
Caron, C., & Rutter, M.
Affiliations
Medical Research Council (GB)
Corresponding author
Caron, Chantal
ORCID
Rutter, Michael
Venue
Journal of Child Psychology and Psychiatry
Publisher
Wiley
Published
1991-11
Volume
32
Issue
7
Pages
1063-1080
ISSN
  • 0021-9630 (ISSN-L)
  • 1469-7610
DOI
10.1111/j.1469-7610.1991.tb00350.x
OpenAlex
W2120208194
Cited by
1,051
References
70
Citations by year
2026: 7 · 2025: 11 · 2024: 13 · 2023: 17 · 2022: 17 · 2021: 13 · 2020: 22 · 2019: 14 · 2018: 10 · 2017: 25 · 2016: 28 · 2015: 35 · 2014: 33 · 2013: 34 · 2012: 46
FWCI
6.62
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 5515 d)
Locations
  • Journal of Child Psychology and Psychiatry (publishedVersion)
  • PubMed (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
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
comorbidities, child psychopathology, psychiatric diagnosis, DSM-III-R, ICD-9, diagnostic criteria, referral bias, screening bias, disease classification, dimensional models, shared risk factors
MeSH terms
Adult, Age Factors, Mental Disorders, Child, Child Psychiatry, Humans, Research Design, Risk Factors, Comorbidity

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