Article
Outcome, Prognosis, and Risk in a Longitudinal Follow-up Study

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Abstract

This study reports the results of a 4-year follow-up of a community sample of children who were ages 4 to 12 in 1983 at the first wave of data collection. Results on outcomes revealed that conduct disorder showed the greatest stability especially from late childhood to early adolescence. In multivariate analyses, both family dysfunction and problems getting along with others significantly predicted the persistence of one or more psychiatric disorders 4 years later, and low income predicted one or more psychiatric disorders among children free of disorder 4 years earlier. The implications of the results for the child psychiatric field, especially prevention, are discussed.

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    The authors are from the Child Epidemiology Unit, Department of Psychiatry, McMaster University, and the Child and Family Centre, Chedoke Division, Chedoke-McMaster Hospitals, Hamilton, Ontario.

    This work was supported by funds from the Ontario Ministry of Community and Social Services and the Ontario Ministry of Health.

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