Our knowledge about psychiatric diagnoses and symptomatology among preschool and early grammar school-age children is very limited both generally and, specifically, with regard to the manner in which such problems present in primary care pediatric settings. We are currently conducting an NIMH-sponsored study (to be completed in 8/91) to examine the pediatrician's ability to identify behavioral/emotional problems among preschool children, ages 2-5 years. As part of this study, a group of 513 preschool children are being seen for a thorough evaluation of their emotional and intellectual functioning, and a consensus DSMIII-R diagnosis is assigned. We are proposing to conduct a five-year longitudinal study of this group of children (with the first year funded through the currently- funded grant and funding being sought for the next 4 years). Of the 513 children eligible for the longitudinal study, approximately 250 (40-45%) are expected to receive a psychiatric diagnosis. In the proposed longitudinal study, both children with and without a psychiatric diagnosis will be followed and seen annually for a reevaluation. The results of the study will allow us to examine: 1) the stability of psychiatric diagnoses and behavior/emotional problems of preschoolers followed in pediatric practices from preschool through early grammar school; 2) patterns of health care utilization prospectively, among children with and without a psychiatric diagnosis, including those either accurately or inaccurately diagnosed by their pediatricians at the time of the initial evaluation; 3) the relationship between sociodemographic and familial risk factors and a) changes in psychiatric status and symptomatology among preschoolers, and b) health care utilization among preschool-age and early grammar school-age children. An important, secondary product of the study will be the development of the software designed to conduct the random regression analyses necessary for appropriate analyses of such longitudinal data.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
2R01MH046089-03
Application #
2246912
Study Section
Epidemiologic and Services Research Review Committee (EPS)
Project Start
1989-09-30
Project End
1997-03-31
Budget Start
1992-04-01
Budget End
1993-03-31
Support Year
3
Fiscal Year
1992
Total Cost
Indirect Cost
Name
Children's Memorial Hospital (Chicago)
Department
Type
DUNS #
City
Chicago
State
IL
Country
United States
Zip Code
60611
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Gibbons, R D; Lavigne, J V (1998) Emergence of childhood psychiatric disorders: a multivariate probit analysis. Stat Med 17:2487-99
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Lavigne, J V; Arend, R; Rosenbaum, D et al. (1998) Psychiatric disorders with onset in the preschool years: II. Correlates and predictors of stable case status. J Am Acad Child Adolesc Psychiatry 37:1255-61
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Lavigne, J V; Arend, R; Rosenbaum, D et al. (1994) Interrater reliability of the DSM-III-R with preschool children. J Abnorm Child Psychol 22:679-90
Lavigne, J V; Binns, H J; Christoffel, K K et al. (1993) Behavioral and emotional problems among preschool children in pediatric primary care: prevalence and pediatricians' recognition. Pediatric Practice Research Group. Pediatrics 91:649-55