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The relation betwee...
The relation between the age at diagnosis of problem behaviors related to aggression and distal outcomes in Swedish children
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- Campbell, Ian (author)
- Department of Psychology, University of Notre Dame, Notre Dame, USA
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- Lundström, Sebastian (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Gillbergcentrum,Centrum för etik, juridik och mental hälsa,Institute of Neuroscience and Physiology,Gillberg Neuropsychiatry Centre,Centre for Ethics, Law, and Mental Health
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- Larsson, Henrik, 1975- (author)
- Karolinska Institutet
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- Lichtenstein, Paul (author)
- Karolinska Institutet
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- Lubke, Gitta (author)
- Department of Psychology, University of Notre Dame, Notre Dame, USA
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(creator_code:org_t)
- 2018-11-10
- 2019
- English.
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In: European Child and Adolescent Psychiatry. - : Springer. - 1018-8827 .- 1435-165X. ; 28:7, s. 899-911
- Related links:
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https://urn.kb.se/re...
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Abstract
Subject headings
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- Severe childhood aggressive behaviors are known to predict negative outcomes later in life; however, little is known about the effect of when in childhood aggression problems are diagnosed. While an earlier first diagnosis of problematic aggressive behavior might be associated with increased severity and, thus, worse outcomes, it is also possible that an earlier diagnosis affords an earlier start of treatment programs or indicates that greater attention is being paid to behavioral problems, thus resulting in attenuation of the severity of childhood aggression's impact on distal outcomes. The current study analyzed data from the population-based Swedish Data Registries, which include data on all children formally diagnosed by the Swedish medical system with a wide range of aggression problems between ages 8 and 18 (N = 5816) during the years 1987-2013, along with a matched control. Time-to-event analyses investigated whether the age at time of diagnosis affects later life outcomes while controlling for relevant confounders. Results show that for both boys and girls, those with a later diagnosis had lower average incomes (regression coefficient b = - 0.055, p < 0.005) and a higher probability of having a criminal record (odds ratio 1.126, p < 0.005) than children with earlier diagnoses. The effect on suicide attempts was not significant after correcting for multiple testing (odds ratio 1.264, p = 0.016). Grade score was not significantly affected. The results warrant further research concerning the potential advantage of earlier diagnoses, especially concerning generalizability beyond the Swedish population.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Rättsmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Forensic Science (hsv//eng)
Keyword
- Childhood aggression
- Conduct disorder
- Swedish data registry
- Time-to-event analysis
Publication and Content Type
- ref (subject category)
- art (subject category)
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