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Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology
Abstract
We review recent research on the presentation, nosology and epidemiology of behavioral and emotional psychiatric disorders in preschool children (children ages 2 through 5 years old), focusing on the five most common groups of childhood psychiatric disorders: attention deficit hyperactivity disorders, oppositional defiant and conduct disorders, anxiety disorders, and depressive disorders. We review the various approaches to classifying behavioral and emotional dysregulation in preschoolers and determining the boundaries between normative variation and clinically significant presentations. While highlighting the limitations of the current DSM‐IV diagnostic criteria for identifying preschool psychopathology and reviewing alternative diagnostic approaches, we also present evidence supporting the reliability and validity of developmentally appropriate criteria for diagnosing psychiatric disorders in children as young as two years old. Despite the relative lack of research on preschool psychopathology compared with studies of the epidemiology of psychiatric disorders in older children, the current evidence now shows quite convincingly that the rates of the common child psychiatric disorders and the patterns of comorbidity among them in preschoolers are similar to those seen in later childhood. We review the implications of these conclusions for research on the etiology, nosology, and development of early onset of psychiatric disorders, and for targeted treatment, early intervention and prevention with young children.
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“In pre-school aged children, SPs are associated with signi fi cant impairments across most domains of life, including, dif fi culties with education, family, social, and peer relationships (Egger & Angold, 2006; Rifkin et al., 2016; Towe-Goodman et al., 2014).”
From Specific Phobia in Young Children: Associations between the Origins of Fear and Clinical Expression of Phobia Symptoms. (2025) · cites this paper as Egger & Angold, 2006
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Self-citation
Metadata
- Authors
- Egger, H. L., & Angold, A.
- Affiliations
- Duke Medical Center (US)
- Corresponding author
- Egger, Helen Link
- ORCID
- Egger, Helen Link
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2006-02-22
- Volume
- 47
- Issue
- 3-4
- Pages
- 313-337
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- OpenAlex
- W2153372746
- Cited by
- 1,575
- References
- 269
- Citations by year
- 2026: 42 · 2025: 49 · 2024: 58 · 2023: 90 · 2022: 93 · 2021: 91 · 2020: 82 · 2019: 88 · 2018: 97 · 2017: 125 · 2016: 112 · 2015: 98 · 2014: 114 · 2013: 83 · 2012: 92
- FWCI
- 6.38
- Type
- journal article
- Language
- en
- Open access
- closed
- 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 › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Keywords
- preschool children, emotional and behavioral disorders, attention deficit hyperactivity disorder, oppositional defiant disorder, conduct disorder, childhood anxiety disorders, disease classification, DSM-IV diagnostic criteria, diagnostic validity, comorbidities, early intervention, prevention
- MeSH terms
- Anxiety Disorders, Mental Disorders, Child, Preschool, Humans, Stress Disorders, Post-Traumatic, Comorbidity, Prevalence, Mood Disorders
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