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In the absence of a gold standard

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Title In the absence of a gold standard
Period 09 / 2005 - 02 / 2010
Status Completed
Dissertation Yes
Research number OND1313351
Data Supplier Website BCN

Abstract

In research on child psychopathology often two broad domains of psychopathology are recognized. On the one hand the internalizing problems, like anxiety and depression. On the other externalizing problems, like aggression and delinquency. In many children however problems from both domains co-occur. Many questions can be asked regarding such co-occurrence. On the one hand questions on the causal factors that lead to co-occurrence. Do both problems result from a common factor? This could be genetic predisposition or problematic circumstances. Do problems from one domain cause problems from the other? For example delinquency might lead to depressive feelings. Apart from that there are methodological considerations. For example symptoms that are classified under both domains or biases in the way people judge the behavior of children. Many other questions can be asked regarding the consequences of co-occurrence. Do both domains develop independent, or do they influence each other? Will these children get treatment aimed at internalizing or externalizing problems? How do the co-occurring symptoms influence their interpersonal relations? Co-occurrence is an interesting, relevant and much debated topic in current psychopathology research. Although much progress has been made in the past decades, still many questions remain unanswered. The exact plan for my PhD is not yet complete, but my first article will be on consequences of co-occurrence for interpersonal relations and the can of help that is sought for these children.

Abstract (NL)

Wanneer is gedrag normaal? En wanneer is het afwijkend en moet iemand psychiatrisch behandeld worden? Veel psychiatrische diagnostische handboeken, waaronder de gezaghebbende DSM IV, maken dit onderscheid op basis van kunstmatige categorieën met arbitraire grenzen tussen gedragskenmerken. Promovendus Arjen Noordhof onderzocht mogelijkheden om normaal en afwijkend gedrag niet op basis van categorieën, maar op basis van dimensies te beschrijven. In de literatuur worden verschillende methoden gebruikt om informatie van meerdere informanten te combineren tot één diagnose. Bijvoorbeeld: rapportages van een kind zelf, en van ouders en van leraren over het gedrag van het betreffende kind. Noordhof bepleit een interpretatiemethode waarin verschillen niet worden gladgestreken , maar juist centraal staan in de rapportages die gebaseerd zijn op zowel onderzoek als praktijk. Deze methode leidt uiteindelijk niet tot één diagnose, maar tot een voorzichtige aanduiding van wat er aan de hand zou kunnen zijn.

Related organisations

Related people

Supervisor Prof.dr. A.J. Oldehinkel
Supervisor Prof.dr. J. Ormel
Doctoral/PhD student Dr. A. Noordhof

Classification

A74000 Mental health care
D23350 Psychiatry, clinical psychology
D23362 Pediatrics

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