A psychiatric epidemiology survey of children in Puerto Rico aged 4 through 16 years was completed in May 1986. This survey utilized the same sampling frame as a previous epidemiologic survey of the adult population carried out one year before. A large proportion of the two samples includes a dyad for which diagnostic data is available on both a parent and a child in the same household. This affords a unique opportunity to study the relationship between parental and child disorder. The child study followed a two stage design in which the Child Behavior Checklist was used as a screening instrument on a probability sample representative of the child population of the entire island, with subsequent in depth diagnostic evaluation of the children who screened positive as well as a proportion of the negative screens. This second stage assessment included the administration and coding of the NIMH-DISC. The available data includes coded DISC's on all 386 children in the second stage sample, as well as variables that refer to a large number of possible risk factors of childhood psychopathology. The DISC data lends itself to the empirical derivation of continuous diagnostic measures that are likely to have greater predictive power than categorical diagnoses. We propose to carry out analyses on the existing data that had not been previously contemplated. These include the empirical derivation of continuous measures of psychopathology through factor analysis of the DISC data, further study of the association between parental and childhood disorder as well as of other risk factors of psychopathology through the use of multiple regression and path analysis, and a methodologic exploration of the epidemiologic measurement of """"""""caseness"""""""" in the community. The results of this research will be of scientific significance to the field of epidemiology, as well as of practical use, since they will provide empirical data useful in defining diagnostic categories and identifying risk factors of childhood psychopathology which will inform clinical psychiatry and the developers of nosological systems.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
2R01MH038821-06
Application #
3376952
Study Section
Epidemiologic and Services Research Review Committee (EPS)
Project Start
1987-04-01
Project End
1991-03-31
Budget Start
1989-05-01
Budget End
1990-03-31
Support Year
6
Fiscal Year
1989
Total Cost
Indirect Cost
Name
New York State Psychiatric Institute
Department
Type
DUNS #
167204994
City
New York
State
NY
Country
United States
Zip Code
10032
Gould, M S; Bird, H; Jaramillo, B S (1993) Correspondence between statistically derived behavior problem syndromes and child psychiatric diagnoses in a community sample. J Abnorm Child Psychol 21:287-313
Bird, H R; Gould, M S; Staghezza, B M (1993) Patterns of diagnostic comorbidity in a community sample of children aged 9 through 16 years. J Am Acad Child Adolesc Psychiatry 32:361-8
Bird, H R; Gould, M S; Staghezza, B (1992) Aggregating data from multiple informants in child psychiatry epidemiological research. J Am Acad Child Adolesc Psychiatry 31:78-85
Bauermeister, J J; Alegria, M; Bird, H R et al. (1992) Are attentional-hyperactivity deficits unidimensional or multidimensional syndromes? Empirical findings from a community survey. J Am Acad Child Adolesc Psychiatry 31:423-31
Rubio-Stipec, M; Bird, H; Canino, G et al. (1991) Children of alcoholic parents in the community. J Stud Alcohol 52:78-88
Bird, H R; Gould, M S; Rubio-Stipec, M et al. (1991) Screening for childhood psychopathology in the community using the Child Behavior Checklist. J Am Acad Child Adolesc Psychiatry 30:116-23
Achenbach, T M; Bird, H R; Canino, G et al. (1990) Epidemiological comparisons of Puerto Rican and U.S. mainland children: parent, teacher, and self-reports. J Am Acad Child Adolesc Psychiatry 29:84-93
Bird, H R; Yager, T J; Staghezza, B et al. (1990) Impairment in the epidemiological measurement of childhood psychopathology in the community. J Am Acad Child Adolesc Psychiatry 29:796-803
Rubio-Stipec, M; Bird, H; Canino, G et al. (1990) The internal consistency and concurrent validity of a Spanish translation of the Child Behavior Checklist. J Abnorm Child Psychol 18:393-406
Canino, G J; Bird, H R; Rubio-Stipec, M et al. (1990) Children of parents with psychiatric disorder in the community. J Am Acad Child Adolesc Psychiatry 29:398-406

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