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The predictors of persistent DSM-IV disorders in 3-year follow-ups of the British Child and Adolescent Mental Health Surveys 1999 and 2004

Published online by Cambridge University Press:  20 December 2016

T. Ford ,
F. Macdiarmid ,
A. E. Russell ,
D. Racey  and
R. Goodman
T. Ford*
Affiliation:
University of Exeter Medical School, Exeter, Devon, UK
F. Macdiarmid
Affiliation:
King's College London, Institute of Psychiatry, London, UK
A. E. Russell
Affiliation:
University of Exeter Medical School, Exeter, Devon, UK
D. Racey
Affiliation:
University of Exeter Medical School, Exeter, Devon, UK
R. Goodman
Affiliation:
King's College London, Institute of Psychiatry, London, UK
*
*Address for correspondence: T. Ford, M.B.B.S., F.R.C.Psych., M.Sc., Ph.D., University of Exeter Medical School, 2.05c South Cloisters, St Luke's Campus, Magdalen Road, Exeter, Devon EX1 2LU, UK. (Email: [email protected])
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Abstract

Background

The identification of the factors that influence the persistence of psychiatric disorder may assist practitioners to focus on young people who are particularly prone to poor outcomes, but population-based samples of sufficient size are rare.

Method

This secondary analysis combined data from two large, population-based cross-sectional surveys in Great Britain (1999 and 2004) and their respective follow-ups (2002 and 2007), to study homotypic persistence among the 998 school-age children with psychiatric disorder at baseline. Psychiatric disorder was measured using the Development and Well-Being Assessment applying DSM-IV criteria. Factors relating to the child, family, and the severity and type of psychopathology at baseline were analysed using logistic regression.

Results

Approximately 50% of children with at least one psychiatric disorder were assigned the same diagnostic grouping at 3-year follow-up. Persistent attention-deficit/hyperactivity disorder and anxiety were predicted by poor peer relationship scores. Persistent conduct disorder was predicted by intellectual disability, rented housing, large family size, poor family function and by severer baseline psychopathology scores.

Conclusions

Homotypic persistence was predicted by different factors for different groups of psychiatric disorders. Experimental research in clinical samples should explore whether these factors also influence response to interventions.

Keywords

Anxietyattention-deficit/hyperactivity disorderconduct disorderdepressionpsychiatric disorders
Type
Original Articles
Information
Psychological Medicine , Volume 47 , Issue 6 , April 2017 , pp. 1126 - 1137
Copyright
Copyright © Cambridge University Press 2016 

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