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

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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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Self-citation
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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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Comorbidity in Child Psychopathology: Concepts, Issues and Research Strategies

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