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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/26337

Title: The Difference between Ecological Context and Treatment Progress of Young Girls with Comorbid Externalizing and Internalizing Disorders and Young Girls with Only Externalizing Disorders
Authors: Webber, Jeanine Anne
Advisor: Stern, Susan
Department: Social Work
Keywords: comorbid externalizing and internalizing disorders
risk factors
treatment outcome
Issue Date: 23-Feb-2011
Abstract: Many children and their families who seek assistance for childhood behaviour disorders experience comorbid disorders, namely the presence of two or more disorders. Although comorbid disorders are recognized as a frequent clinical complication, minimal direction exists within the literature about the risk factors for comorbid conditions and how best to provide intervention services. In this study an ecological framework was used to compare the individual, family, and community environmental contexts of young girls who presented at intake at a children’s mental health centre with comorbid externalizing and internalizing disorders, and girls who presented at intake with externalizing disorders only. The treatment response to a cognitive-behavioural intervention for externalizing behaviour disorders was examined, by comparing externalizing scores over time between girls with comorbid externalizing and internalizing disorders and girls with externalizing disorders only. Additionally, internalizing scores over time for girls with comorbid disorders were examined. Results indicated that a history of abuse and a cluster of individual characteristics placed girls at higher risk to present with comorbid conditions. The results also indicated that girls with comorbid disorders experienced a reduction of both externalizing and internalizing symptoms. Only 1 in 7.4 girls, however, scored below the clinical range for both externalizing and internalizing disorders at the end of the treatment phase, in comparison to 1 in 5 girls scoring below the clinical range for externalizing disorders in the noncomorbid group.
URI: http://hdl.handle.net/1807/26337
Appears in Collections:Doctoral

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