Comorbidity of Disorders in Children and Adolescents

Developmental Perspectives
  • Editha D. Nottelmann
  • Peter S. Jensen
Chapter
Part of the Advances in Clinical Child Psychology book series (ACCP, volume 17)

Abstract

Since the advent of the Diagnostic and Statistical Manual of Mental Disorders, Third Edition and Third Edition, Revised (DSM-III and DSM-III-R), clinicians and investigators have shown increasing interest in the significance of comorbid disorders in children and adolescents. Coincident with a sharpened focus on comorbidity, some investigators have developed detailed data on child and adolescent comorbid diagnoses in clinical and epidemiological studies (e.g., Bird, Gould, & Staghezza, 1993; Cohen, 1993; Pfeffer & Plutchik, 1989); and comorbidity has been the subject of recent reviews of child and adolescent disorders research (e.g., Biederman, New-corn, & Sprich, 1991; Zoccolillo, 1992). Accumulating evidence suggests that comorbidity is pervasive. Concerns about weaknesses of the nosological system are being advanced to account for the high rates of comorbidity in general (Achenbach, 1990/1991; Caron & Rutter, 1991; Pfeffer & Plutchik, 1989; Rutter, 1989), as well as for the co-occurrence of specific disorders (e.g., Biederman et al., 1991; Carlson, 1990). With respect to children and adolescents, these concerns intersect with developmental and methodological issues. For the advancement of knowledge about child and adolescent disorders, it is essential that comorbidity patterns be identified and examined, not only for their implications for prognosis and treatment, but also for evaluation of the classification system on which they are based.

Keywords

Conduct Disorder Oppositional Defiant Disorder Conduct Disorder Separation Anxiety Comorbid Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • Editha D. Nottelmann
    • 1
  • Peter S. Jensen
    • 1
  1. 1.National Institute of Mental HealthRockvilleUSA

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