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Biomedical subjects

J van der Ende

Publications and source records attributed to J van der Ende.

At least 19 recordsLinked to original sources

Perceived parental rearing of bipolar offspring.

OBJECTIVE: To explore the impact of growing up with a parent with a bipolar disorder. First, we compared parental rearing behavior perceived by young adult offspring of bipolar parents with parental rearing behavior perceived by same aged young adults from the general population. Secondly, we examined the associations between perceived parental rearing behavior and parental psychopathology and psychopathology in offspring. METHOD: Subjects were 129 offspring of 80 bipolar parents and their spouses and 1122 young adults from the general population. In offspring the Structured Clinical Interview for DSM-IV was used to assess DSM-IV diagnoses and the EMBU was used to assess perceived parental rearing in both groups. RESULTS: In general, offspring growing up in a family with a bipolar parent perceived their mothers as less rejecting, more emotionally warm and less overprotecting and their fathers as less emotionally warm and less overprotecting compared with young adults from the general population. Perceived rejection was related to psychopathology in offspring. CONCLUSION: Overall, parental rearing in families with a parent with a bipolar disorder is not more dysfunctional, as perceived by their offspring, than in families from the general population. Offspring with a bipolar disorder perceive their parents as more rejecting.

Adolescent↗

Parent-teacher disagreement regarding psychopathology in children: a risk factor for adverse outcome?

OBJECTIVE: To investigate if parent-teacher discrepancies in reports of behavioral/emotional problems in children predict poor outcome. METHOD: A total of 1154 4- to 12-year-old children from the general population were followed up. At the first assessment, parent and teacher ratings were obtained with the Child Behavior Checklist (CBCL) and Teacher's Report Form (TRF). Fourteen years later, DSM-IV diagnoses were assessed, and ratings of self-reported and parent-rated behavioral and emotional problems were obtained. RESULTS: CBCL and TRF scores predicted most of the outcomes, but in general, discrepancies between CBCL and TRF scores did not. There were some exceptions. For instance, higher parental vs. teacher ratings of aggressive behaviors increased the risk of suicide attempts/self-mutilation. CONCLUSION: Risk factors for self-mutilating behaviors may be supplemented with parent-reported aggressive behaviors that are not observed by the teachers. In general, whereas CBCL and TRF scale scores were useful predictors of outcome, parent-teacher discrepancies were not.

Adolescent↗

Phobic anxiety in 11 nations. Part I: Dimensional constancy of the five-factor model.

The Fear Survey Schedule-III (FSS-III) was administered to a total of 5491 students in Australia, East Germany, Great Britain, Greece, Guatemala, Hungary, Italy, Japan, Spain, Sweden, and Venezuela, and submitted to the multiple group method of confirmatory analysis (MGM) in order to determine the cross-national dimensional constancy of the five-factor model of self-assessed fears originally established in Dutch, British, and Canadian samples. The model comprises fears of bodily injury-illness-death, agoraphobic fears, social fears, fears of sexual and aggressive scenes, and harmless animals fears. Close correspondence between the factors was demonstrated across national samples. In each country, the corresponding scales were internally consistent, were intercorrelated at magnitudes comparable to those yielded in the original samples, and yielded (in 93% of the total number of 55 comparisons) sex differences in line with the usual finding (higher scores for females). In each country, the relatively largest sex differences were obtained on harmless animals fears. The organization of self-assessed fears is sufficiently similar across nations to warrant the use of the same weight matrix (scoring key) for the FSS-III in the different countries and to make cross-national comparisons feasible. This opens the way to further studies that attempt to predict (on an a priori basis) cross-national variations in fear levels with dimensions of national cultures.

Adolescent↗

Neighbourhood socioeconomic disadvantage and behavioural problems from late childhood into early adolescence.

STUDY OBJECTIVE: This study investigates whether neighbourhood socioeconomic disadvantage may contribute to child behavioural and emotional problems, beyond the effects of parental socioeconomic status. It also examines the influence of neighbourhood disadvantage on changes in the frequency of behavioural problems from late childhood into early adolescence. DESIGN AND SETTING: The study was conducted in a large community sample in Rotterdam, the Netherlands. An index of neighbourhood socioeconomic disadvantage was calculated for each of the city's 74 neighbourhoods. Multilevel regression analysis estimated effects of neighbourhood disadvantage and individual variables (parental socioeconomic status, child's gender, and age) on behavioural problems reported by children (Youth Self-Report) and parents (Child Behavior Checklist) and on changes in these scores over a two year follow up. PARTICIPANTS: A cohort of all children born in 1978 and living in Rotterdam. Of those eligible, 73% (n=2587) participated in the first measurement (T1), at 10-12 years; 71% of the T1 respondents participated again two years later (T2), at 12-14 years. MAIN RESULTS: Neighbourhood disadvantage was associated with higher Total, Internalising, and Externalising Problems, as assessed with both the Child Behavior Checklist and the Youth Self-Report, even after controlling for parental socioeconomic status. Neighbourhood disadvantage also seemed to contribute to increases in Total Problems over the follow up. CONCLUSIONS: Living in a disadvantaged neighbourhood is associated with greater behavioural problems and may lead to an exacerbation of problems as children move from childhood into adolescence. Public health interventions to improve child mental health must take the neighbourhood environment into account.

Adolescent↗

Normative studies with the Scale for Interpersonal Behaviour (SIB): II. US students. A cross-cultural comparison with Dutch data.

The Scale for Interpersonal Behaviour (SIB), a multidimensional, self-report measure of state assertiveness, was administered to a nationwide sample of 2375 undergraduates enrolled at 11 colleges and universities across the USA. The SIB was developed in the Netherlands for the independent assessment of both distress associated with self-assertion in a variety of social situations and the likelihood of engaging in a specific assertive response. This is done with four factorially-derived, first-order dimensions: (i) Display of negative feelings (Negative assertion); (ii) Expression of and dealing with personal limitations; (iii) Initiating assertiveness; and (iv) Praising others and the ability to deal with compliments/praise of others (Positive assertion). The present study was designed to determine the cross-national invariance of the original Dutch factors and the construct validity of the corresponding dimensions. It also set out to develop norms for a nationwide sample of US students. The results provide further support for the reliability, factorial and construct validity of the SIB. Compared to their Dutch equivalents, US students had meaningfully higher distress in assertiveness scores on all SIB scales (medium to large effect sizes), whereas differences on the performance scales reflected small effect sizes. The cross-national differences in distress scores were hypothesized to have originated from the American culture being more socially demanding with respect to interpersonal competence than the Dutch, and from the perceived threats and related cognitive appraisals that are associated with such demands.

Adolescent↗

Outcome of self-reported functional-somatic symptoms in a community sample of adolescents.

It is unclear if functional-somatic symptoms in adolescents increase the risk for future psychiatric disorders. Therefore, the outcome and continuity of adolescent self-reported functional-somatic symptoms in young adulthood were assessed. Self-reported data on functional-somatic symptoms from an ongoing epidemiological study in children started in 1983 were analyzed. Participants were adolescents aged 11-18 who filled out standardized questionnaires in 1989 and 1991 and who were reassessed in 1997 when they were young adults between ages 19 and 26. Outcome measures were research psychiatric diagnoses and self-reported functional-somatic symptoms in 1997. Functional-somatic symptoms were associated with other measures of psychopathology in adolescents. Adolescents with specific functional-somatic symptoms tended to report the same symptom along with other symptoms at follow-up. Adolescent self-reported functional-somatic symptoms did not increase the risk for future psychiatric disorders. Young adults with functional-somatic complaints were diagnosed more often than controls with depressive disorders and anxiety disorders, but not with antisocial personality disorders and substance use disorders. Adolescent self-reported functional-somatic symptoms were common and enduring but were not predictive for psychiatric disorders in young adulthood. Adolescents and young adults who complain of multiple functional-somatic complaints should be assessed for the presence of a psychiatric disorder particularly depression or anxiety.

Adolescent↗

Predictors of psychopathology in young adults referred to mental health services in childhood or adolescence.

BACKGROUND: For children referred to mental health services future functioning may be hampered. AIMS: To examine stability and prediction of behavioural and emotional problems from childhood into adulthood. METHOD: A referred sample (n = 789) aged 4-18 years was followed up after a mean of 10.5 years. Scores derived from the Child Behavior Checklist, Youth Self-Report and Teacher Report Form were related to equivalent scores for young adults from the Young Adult Self-Report and Young Adult Behavior Checklist. RESULTS: Correlations between first contact (T1) and follow-up (T2) scores were 0.12-0.53. Young adult psychopathology was predicted by corresponding T1 problem scores. Social problems and anxious/depressed scores were predictors of general problem behaviour. CONCLUSIONS: Problem behaviour of children and adolescents referred to outpatient mental health services is highly predictive of similar problem behaviour at young adulthood. Stability is higher for externalizing than for internalizing behaviour and for intra-informant than for inter-informant information. Stabilities are similar across gender. To obtain a comprehensive picture of the young adult's functioning, information from related adults may prove valuable.

Adolescent↗

The role of pubertal progress in the development of depression in early adolescence.

BACKGROUND: Lack of longitudinal studies on the relationship between pubertal progress and changes in depression during adolescence. METHODS: Changes in the Anxious/Depressed scores of the Child Behavior Checklist and Youth Self-Report were predicted from pubertal progress. Subjects were young adolescents from the Dutch general population, aged 10-12 years at T1 and 12-14 years at T2. From the 1327 parent reports, 207 showed a change that exceeded the cut-off for inclusion in the analyses. From the 1414 self-reports, 476 exceeded the cut-off. RESULTS: Apart from increase, decrease in depression was common. Pubertal progress was inversely related to the parent reports of boys' depression only. CONCLUSION: Self-perceptions of depressive symptoms change independently from pubertal progress, whereas changes observable to parents are inversely related to it in boys. LIMITATIONS: Progress was not measured across the whole pubertal development. CLINICAL RELEVANCE: One can expect parents to observe a decrease in boys' depression in the period when most pubertal progress is made. More attention should be paid to decreases in depressive symptomatology.

Adolescent↗

Continuity of psychopathology in youths referred to mental health services.

OBJECTIVE: To investigate the stability and predictive strength of behavioral and emotional problems in childhood and adolescence. METHOD: A referred sample (N = 1,652), aged 4 to 18 years at initial assessment, was followed up after a mean interval of 6.2 years. Problem scores derived from Child Behavior Checklist, Youth Self-Report, and Teacher's Report Form at initial assessment (T1) were related to scores on the same instruments at follow-up (T2). RESULTS: Correlations between T1 and corresponding T2 problem scores averaged 0.41 intrainformant (range 0.22-0.61) and 0.22 interinformant (range -0.09-0.57). Stabilities were similar across gender, and larger for Externalizing versus Internalizing scores, except on youths' self-reports. Psychopathology scores at follow-up were predicted by corresponding T1 scores. Girls were predicted to have higher T2 Somatic Complaints, Anxious/Depressed, Thought Problems, and Internalizing scores than boys. Children younger at intake were predicted to have higher scores than older children on T2 Social and Attention Problems. CONCLUSIONS: Findings indicate continuity of specific behavioral and emotional problems in clinically referred children and adolescents.

Adolescent↗

The prevalence of DSM-III-R diagnoses in a national sample of Dutch adolescents.

BACKGROUND: We estimated the 6-month prevalence of psychiatric disorders among Dutch adolescents, using standardized, internationally available, and replicable assessment procedures, and assessed sex differences and comorbidity of diagnoses. METHODS: In phase 1, the parent, self-report, and teacher versions of the Child Behavior Checklist screened a sample representative of 13- to 18-year-olds from the Dutch general population. In phase 2, the parent (P) and child (C) versions of the Diagnostic Interview Schedule for Children (DISC) provided DSM-III-R diagnoses for a selected subsample of 780 subjects. RESULTS: The prevalence of any disorder was 21.5% for the DISC-C and 21.8% for the DISC-P. There was little overlap between subjects identified as having a disorder by the DISC-P and the DISC-C; only 4% met the criteria for any disorder on both. The most common disorders were simple phobia, social phobia, and conduct disorder. The most frequent comorbid diagnoses were anxiety and mood disorders. CONCLUSIONS: Although prevalences of more than 21% for DISC-C- and DISC-P-derived diagnoses seem high, many adolescents with DSM-III-R diagnoses functioned quite well. The prevalence of any DSM-III-R diagnosis based on the DISC-C or DISC-P, in combination with the criterion for a definite case, was 7.9%.

Adolescent↗

Understanding childhood (problem) behaviors from a cultural perspective: comparison of problem behaviors and competencies in Turkish immigrant, Turkish and Dutch children.

Parents' reports of problem behaviors in 2,081 Dutch children, 3,127 Turkish children in Ankara and 833 Turkish immigrant children living in The Netherlands, aged 4-18 years, were compared. Dutch and Turkish versions of the Child Behavior Checklist (CBCL) were used. Immigrant children were scored higher than Dutch children on 6 of the 11 CBCL scales, most markedly on the Anxious/Depressed scale. Immigrant children were scored higher than Ankara children on five CBCL scales. However, these differences were much smaller than those found between immigrant and Dutch children. Furthermore, immigrant children's Total Problem scores did not differ from those for Ankara children. Turkish immigrant children have very similar patterns of parent-reported problem behaviors to children living in Turkey, although both groups of Turkish children showed higher levels of parent-reported problem behaviors than Dutch children. The higher scores for Turkish children on the Anxious/Depressed scale compared with their Dutch peers may be explained by cultural differences in parental perception of children's problem behaviors, as well as the threshold for reporting them, or by cultural differences in the prevalence of problems, for instance as the result of cross-cultural differences in child-rearing practice. More research is needed to test the degree to which Turkish immigrant parents tend to preserve their cultural characteristics and child-rearing practices in Dutch society.

Achievement↗

Factors associated with child mental health service use in the community.

OBJECTIVE: To determine the association of parent, family, and child factors with mental health services need and utilization. METHOD: Possible determinants of services need and utilization were assessed in a general population sample of 2,227 children aged 4 to 18 years. RESULTS: 3.5% of the total sample had been referred for mental health services within the past year. The most potent factors associated with service need and utilization were the child's problem behaviors (both internalizing and externalizing) and academic problems and family stress. Socioeconomic factors and the child's sex were not in itself associated with help-seeking factors. Parental psychopathology, life events, and family psychopathology lowered the parents' threshold for evaluating the child's behavior as problematic but did not increase the likelihood of referral. CONCLUSION: Referred children are more likely to live in families under stress than are children with the same level of problems who live in well-functioning families. Clinicians and researchers who make inferences from findings in clinical samples should realize, therefore, that children from problem families are overrepresented in their samples.

Adolescent↗

Ten-year time trends of psychopathology in Dutch children and adolescents: no evidence for strong trends.

The 10-year time trends in competencies and problem scores in children and adolescents were assessed. Children and adolescents randomly selected from the Dutch general population in 1983 were assessed with the Child Behavior Checklist and the Teacher's Report Form. Their problem scores and competence scores were compared with those obtained by the same method 10 years later. No significant differences were found between the 1983 and 1993 total problem scores obtained from parents or teachers. On the level of problem items and scales, a few differences indicating an increase in problems were found. However, the magnitude of these differences was very small. Our results did not provide evidence for a clear secular increase in malfunctioning of Dutch children and adolescents.

Adolescent↗

Parent, teacher and self-reports as predictors of signs of disturbance in adolescents: whose information carries the most weight?

We evaluated the ability of parents, teachers and self-reports to predict signs of maladjustment in 353 11- to 14-year-olds from the general population, over a 4-year time interval. Odds ratios were computed in order to test the ability of problem scales to predict later mental health referral and measures of parents' and children's own perceptions of the existence of major problems. Each informant made its own unique and indispensable contribution to the prediction of signs of maladjustment. Although teachers are often perceived as less able to assess internalizing problems than mothers and the children themselves, the present study showed that teachers' evaluations of internalizing problems are highly relevant if we take their ability to predict the subject's own perceptions of having problems as the criterion.

Adolescent↗

Phobic dimensions--II. Cross-national confirmation of the multidimensional structure underlying the Mobility Inventory (MI).

In a previous study (Cox, Swinson, Kuch & Reichman, Behaviour Research and Therapy, 31, 427-431, 1993), factor analyses of the responses of 177 Canadian panic disorder with agoraphobia patients to the 'When Accompanied' and 'When Alone' scales of the Mobility Inventory (Chambless, Caputo, Jasin, Gracely & Williams, Behaviour Research and Therapy, 23, 35-44, 1985) revealed three factors in each case: Fears of (1) Public places; (2) Enclosed spaces; and (3) Open spaces. Using two distinct methods of factorial analysis, evidence was found for the cross-national generalizability of the factor model when the responses of Dutch members of a society for individuals suffering from an anxiety disorder (N = 213) were contrasted with the original Canadian findings. Inventory items were distributed in a non-overlapping fashion across the corresponding three subscales. Psychometric properties of the subscales were encouraging, although some difficulties emerged when attempts were made at distinguishing Fears of Enclosed spaces from Fears of Open spaces. This was because of their correlational configurations with other measures. Scores on all scales varied with socioeconomic status (SES); Ss in lower SES groups had significantly higher agoraphobic avoidance scores than their equivalents in higher SES groups. Results of higher-order analysis, which included several state and trait measures of psychological functioning in addition to the Mobility Inventory, revealed two orthogonal, second-order factors which were interpreted as Agoraphobia and Neuroticism/Negative Affect vs Positive Affect. Implications for further studies are briefly outlined.

Adult↗

"Comorbidity" in an epidemiological sample: a longitudinal perspective.

Parents' CBCL ratings of problem behaviors in 1117 4- to 11-year-olds from the general population were obtained across a 6-year interval. Data were analyzed categorically as well as quantitatively. Positive association, or overlap, was found between the majority of CBCL problem scales. Most CBCL scales were able to predict non-corresponding scales across the 6-year interval. Children who were scored in the deviant range on one particular syndrome but low on another syndrome had a better prognosis than children who were scored high on both syndromes. Studies concerning the etiology or treatment of certain conditions should control for co-occurring conditions because they may influence the results in unknown ways.

Attention Deficit Disorder with Hyperactivity↗

Six-year stability of parent-reported problem behavior in an epidemiological sample.

An epidemiological sample of 936 Dutch children originally aged 4-11 years was assessed at 2-year intervals over a 6-year period. Parents completed the Child Behavior Checklist (CBCL) on all four occasions. Stability coefficients computed for eight CBCL syndromes, Internalizing and Externalizing dimensions, and total problems revealed considerable long-term stability. There was no significant difference in the 6-year stability of internalizing vs. externalizing scores. This finding was at odds with reports of considerably lower stability of internalizing behavior, and was consistent with findings suggesting that the stability of internalizing problems should not be underestimated. The magnitude and specificity of the long-term stability of internalizing and externalizing scores lends support to the validity of these behavioral dimensions as tapped by the CBCL. No significant sex or age differences in the stability of problem behaviors were found.

Age Factors↗

Six-year developmental course of internalizing and externalizing problem behaviors.

The 6-year developmental course of parent-reported problem behavior in an epidemiological sample of 936 children assessed with the Child Behavior Checklist at 2-year intervals was determined. Children who were scored in the deviant range of the total problem score at time 1 were nine times more likely to be scored deviant 6 years later than were children who were not deviant at time 1 (odds ratio 9.0). Of the deviant children at time 1, 33% were deviant at time 4. There was no difference in the persistence of externalizing versus internalizing problems. This underscores the notion that internalizing problems should not be disregarded. Although this study demonstrated moderate stability of problem behaviors across a 6-year interval, children's problem behaviors should not be regarded as static. Many children showed changes in their level of functioning across time. However, extreme changes were the exception rather than the rule.

Adolescent↗