Annual research review: Conceptualising functional impairment in children and adolescents

Journal of Child Psychology and Psychiatry and Allied Disciplines

Volumn 53, Issue 5, 2012, Pages 454-468

  Rapee, Ronald M ^a   Bögels, Susan M ^b   Van Der Sluis, Cathy M ^b   Craske, Michelle G ^c   Ollendick, Thomas ^d  

^a MACQUARIE UNIVERSITY   (Australia)

^b UNIVERSITY OF AMSTERDAM   (Netherlands)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d VIRGINIA POLYTECHNIC INSTITUTE AND STATE UNIVERSITY   (United States)

Author keywords

Mental health; quality of life

Indexed keywords

ADOLESCENT; CHILD; CHILD PSYCHIATRY; CLASSIFICATION; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; HUMAN; INSTRUMENTATION; MENTAL DISEASE; METHODOLOGY; PATHOPHYSIOLOGY; REVIEW;

ADOLESCENT; ADOLESCENT PSYCHIATRY; CHILD; CHILD PSYCHIATRY; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; HUMANS; MENTAL DISORDERS;

EID: 84859711361     PISSN: 00219630     EISSN: 14697610     Source Type: Journal    
DOI: 10.1111/j.1469-7610.2011.02479.x     Document Type: Review

References (78)

1. Achenbach, T.M., &, Edelbrock, C.S., (1979). The child behavior profile: 2. Boys aged 12-16 and girls aged 6-11 and 12-16. Journal of Consulting and Clinical Psychology, 47, 223-233. (Pubitemid 9157270)
2. Allen, J.L., Lavallee, K.L., Herren, C., Ruhe, K., &, Schneider, S., (2010). DSM-IV criteria for childhood separation anxiety disorder: Informant, age, and sex differences. Journal of Anxiety Disorders, 24, 946-952.
3. American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd edn). Washington, DC: Author.
4. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th edn). Washington, DC: Author.
5. Amir, N., Freshman, M., &, Foa, E.B., (2000). Family distress and involvement in relatives of obsessive-compulsive disorder patients. Journal of Anxiety Disorders, 14, 209-217. (Pubitemid 30259296)
6. Andrews, G., &, Hobs, M.J., (2010). The effect of the draft DSM-5 criteria for GAD on prevalence and severity. Australian and New Zealand Journal of Psychiatry, 44, 784-790.
7. Angold, A., &, Costello, E.J., (2000). The Child and Adolescent Psychiatric Assessment (CAPA). Journal of the American Academy of Child and Adolescent Psychiatry, 39, 39-48. (Pubitemid 30029898)
8. Angold, A., Costello, E.J., Farmer, E.M.Z., Burns, B.J., &, Erkanli, A., (1999). Impaired but undiagnosed. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 129-137. (Pubitemid 29061928)
9. Angold, A., Erkanli, A., Silberg, J., Eaves, L., &, Costello, E., (2002). Depression scale scores in 8-17-year-olds: Effects of age and gender. Journal of Child Psychology and Psychiatry, 43, 1052-1063. (Pubitemid 36939281)
10. Bird, H.R., Canino, G.J., Davies, M., Ramirez, R., Chavez, L., Duarte, C., &, Shen, S., (2005). The Brief Impairment Scale (BIS): A multidimensional scale of functional impairment for children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 699-707. (Pubitemid 40875365)
11. Bird, H.R., Davies, M., Fisher, P., Narrow, W., Jensen, P., Hoven, C., Cohen, P., &, Duncan, M.K., (2000). How specific is specific impairment? Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1182-1189.
12. Bird, H.R., Yager, T.J., Staghezza, B., Gould, M.S., Canino, G., &, Rubio-Stipec, M., (1990). Impairment in the epidemiological measurement of childhood psychopathology in the community. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 796-803. (Pubitemid 20311717)
13. Bögels, S.M., Stein, M., Alden, L., Beidel, D., Clark, L., Pine, D., &, Voncken, M., (2010). Social anxiety disorder: Questions and answers for the DSM-V. Depression and Anxiety, 27, 168-189.
14. Bosquet, M., &, Egeland, B., (2006). The development and maintenance of anxiety symptoms from infancy through adolescence in a longitudinal sample. Development and Psychopathology, 18, 517-550.
15. Breslau, N., &, Alvarado, G.F., (2007). The clinical significance criterion in DSM-IV post traumatic stress disorder. Psychological Medicine, 37, 1437-1444. (Pubitemid 47581414)
16. Canino, G., Shrout, P.E., Rubio-Stipec, M., Bird, H.R., Bravo, M., Ramirez, R., ⋯ &, Martinez-Taboas A,. (2004). The DSM-IV rates of child and adolescent disorders in Puerto Rico. Archives of General Psychiatry, 61, 85-93.
17. Carlson, C.L., Tamm, L., &, Gaub, M., (1997). Gender differences in children with ADHD, ODD, and co-occuring ADHD/ODD identified in a school population. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1706-1714. (Pubitemid 27512325)
18. Carter, A.S., Wagmiller, R.J., Gray, S.A., McCarthy, K.J., Horwitz, S.M., &, Briggs-Gowan, M.J., (2010). Prevalence of DSM-IV disorder in a representative, healthy birth cohort at school entry: Sociodemographic risks and social adaptation. Journal of the American Academy of Child and Adolescent Psychiatry, 49, 686-698.
19. Chen, X., &, Tse, H.C.-H., (2008). Social functioning and adjustment in Canadian-born children with Chinese and European backgrounds. Developmental Psychology, 44, 1184-1189.
20. Chen, X., Zappulla, C., Coco, A.L., Schneider, B., Kaspar, V., De Oliveira, A.M., ⋯ &, DeSouza, A,. (2004). Self-perceptions of competence in Brazilian, Canadian, Chinese and Italian children: Relations with social and school adjustment. International Journal of Behavioral Development, 28, 129-138. (Pubitemid 38418126)
21. Costello, E., Angold, A., &, Keeler, G.P., (1999). Adolescent outcomes of childhood disorders: The consequences of severity and impairment. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 121-128. (Pubitemid 29061927)
22. Costello, E.J., Egger, H.L., &, Angold, A., (2005). The developmental epidemiology of anxiety disorders: Phenomenology, prevalence, and comorbidity. Child and Adolescent Psychiatric Clinics of North America, 14, 631-648. (Pubitemid 41323905)
23. Costello, E.J., &, Shugart, M.A., (1992). Above and below the threshold: Severity of psychiatric symptoms and functional impairment in a pediatric sample. Pediatrics, 90, 359-368.
24. Danckaerts, M., Sonuga-Barke, E.J., Banaschewski, T., Buitelaar, J., Dopfner, M., Hollis, C., ⋯ &, Coghill, D., (2010). The quality of life of children with attention deficit/hyperactivity disorder: A systematic review. European Child and Adolescent Psychiatry, 19, 83-105.
25. DeVries, M.W., (1984). Temperament and infant mortality among the Masai of East Africa. The American Journal of Psychiatry, 141, 1189-1194.
26. DSM-5 Impairment and Disability Assessment Study Group. (2011). Mental disorders: Separating symptoms and disabilities in DSM-5. Available from: [last accessed 19 August 2011].
27. Egger, H.L., &, Angold, A., (2006). Common emotional and behaviour disorders in preschool children: Presentation, nosology, and epidemiology. Journal of Child Psychology and Psychiatry, 47, 313-337. (Pubitemid 43356062)
28. Egger, H.L., Kondo, D., &, Angold, A., (2006). The epidemiology and diagnostic issues in preschool attention-deficit/hyperactivity disorder: A review. Infants and Young Children, 19, 109-122. (Pubitemid 44510368)
29. Ezpeleta, L., Keeler, G., Alaatin, E., Costello, E.J., &, Angold, A., (2001). Epidemiology of psychiatric disability in childhood and adolescence. Journal of Child Psychology and Psychiatry, 42, 901-914. (Pubitemid 33009372)
30. Frick, P.J., Lahey, B.J., Applegate, B., Kerdyck, L., Ollendick, T.H., Hynd, G.W., ⋯ &, Waldman, I., (1994). DSM-IV field trials for the disruptive behavior disorders: Symptom utility estimates. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 529-539. (Pubitemid 24133072)
31. Gaub, M., &, Carlson, A.L., (1997). Gender differences in ADHD: A meta-analysis and critical review. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1036-1045. (Pubitemid 27337654)
32. Gazelle, H., Olson Workman, J., &, Allan, W., (2010). Anxious solitude and clinical disorder in middle childhood: Bridging developmental and clinical approaches to childhood social anxiety. Journal of Abnormal Child Psychology, 38, 1-17.
33. Goodman, R., (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581-586. (Pubitemid 27341892)
34. Greene, R.W., Biederman, J., Faraone, S.V., Monuteaux, M.C., Mick, E., Dupre, E.,. &, Goring, J.G., (2001). Social impairment in girls with ADHD: Patterns, gender comparisons, and correlates. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 704-710. (Pubitemid 32473385)
35. Johnson, L., (2001). Does anxiety affect risk-taking behaviour? A study of children and their mothers. Unpublished research thesis, Macquarie University, Sydney.
36. Keenan, K., Wroblewski, K., Hipwell, A., Loeber, R., &, Stouthamer-Loeber, M., (2010). Age of onset, symptom threshold, and expansion of the nosology of conduct disorder for girls. Journal of Abnormal Psychology, 119, 689-698.
37. von Korff, M., Andrews, G., &, Devles, M., (2011). Assessing activity limitations and disability among adults. In, D. Regier, W. Narrow, E. Kuhl, &, D. Kupfer, (Eds.), The conceptual evolution of DSM-5 (pp. 163-188). Arlington, VA: American Psychiatric Publishing.
38. Kutash, K., Lynn, N., &, Burns, B.J., (2008). Child and adolescent measures of functional status. In, A.J. Rush Jr, M.B. First, &, D. Blacker, (Eds.), Handbook of psychiatric measures (Vol. 2, pp. 343-371). Arlington, VA: American Psychiatric Publishing.
39. Lahey, B.B., Applegate, B., McBurnett, K., Biederman, J., Greenhill, L., Hynd, G.W., ⋯ &, Shaffer, D., (1994). DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents. American Journal of Psychiatry, 151, 1673-1685. (Pubitemid 24337603)
40. Lavigne, J.V., LeBailly, S.A., Hopkins, J., Gouze, K.R., &, Binns, H.J., (2009). The prevalence of ADHD, ODD, depression, and anxiety in a community sample of 4-year-olds. Journal of Clinical Child and Adolescent Psychology, 38, 315-328.
41. Lerner, J.V., (1993). The influence of child temperamental characteristics on parent behaviors. In, T. Luster, &, L. Okagaki, (Eds.), Parenting: An ecological perspective (pp. 101-120). Hillsdale, New Jersey: Lawrence Erlbaum.
42. Lollar, D.J., (2008). Function, impairment, and long-term outcomes in children with ADHD and how to measure them. Psychiatric Annals, 38, 15-33.
43. Majdandžiä, M., de Vente, W., Feinberg, M.E., Aktar, E., &, Bögels, S.M., (in press). Bidirectional associations between coparenting relations and family member anxiety: A review and conceptual model. Child and Family Psychology Review.
44. McCabe, K.M., Lansing, A.E., Garland, A., &, Hough, R., (2002). Gender differences in psychopathology, functional impairment, and familial risk factors among adjudicated delinquents. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 860-867. (Pubitemid 38338102)
45. Merikangas, K.R., He, J.-p., Burstein, M., Swanson, S.A., Avenevoli, S., Cui, L.,. &, Swendsen, J,. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49, 980-989.
46. Merlo, L.J., Lehmkuhl, H.D., Geffken, G.R., &, Storch, E.A., (2009). Decreased family accommodation associated with improved therapy outcome in pediatric obsessive-compulsive disorder. Journal of Consulting and Clinical Psychology, 77, 355-360.
47. Narrow, W.E., &, Kuhl, E.A., (Eds.). (2011). Clinical significance and disorder thresholds in DSM-5: The role of disability and distress. Arlington, VA: Division of Research, American Psychiatric Association.
48. Nigg, J.T., (2006). Temperament and developmental psychopathology. Journal of Child Psychology and Psychiatry, 47, 395-422. (Pubitemid 43356065)
49. Pickles, A., Rowe, R., Simonoff, E., Foley, D.L., Rutter, M., &, Silberg, J., (2001). Child psychiatric symptoms and psychosocial impairment: Relationship and prognostic significance. The British Journal of Psychiatry, 179, 230-235. (Pubitemid 32844284)
50. Puig-Antich, J., Kaufman, J., Ryan, N.D., Williamson, D.E., Dahl, R.E., Lukens, E.,. &, Nelson, B., (1993). The psychosocial functioning and family environment of depressed adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 244-253. (Pubitemid 23099628)
51. Rapee, R.M., &, Coplan, R.J., (2010). Conceptual relations between anxiety disorder and fearful temperament. In, H. Gazelle, &, K.H. Rubin, (Eds.), Social anxiety in childhood: Bridging developmental and clinical perspectives. New directions for child and adolescent development (Vol. 127, pp. 17-31). San Francisco, CA: Jossey-Bass.
52. Rapee, R.M., Kim, J., Wang, J., Liu, X., Hofmann, S.G., Chen, J.,. &, Alden, L.E., (2011). Perceived impact of socially anxious behaviours on individuals' lives in Western and East Asian countries. Behavior Therapy, 42, 485-492.
53. Rapee, R.M., &, Spence, S.H., (2004). The etiology of social phobia: Empirical evidence and an initial model. Clinical Psychology Review, 24, 737-767. (Pubitemid 39388871)
54. Riley, A.W., Ensminger, M.E., Green, B., &, Kang, M., (1998). Social role functioning by adolescents with psychiatric disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 620-628. (Pubitemid 28268223)
55. Romano, E., Tremblay, R.E., Vitaro, F., Zoccolillo, M., &, Pagani, L., (2001). Prevalence of psychiatric diagnoses and the role of perceived impairment: Findings from an adolescent community sample. Journal of Child Psychology and Psychiatry, 42, 451-461. (Pubitemid 32509767)
56. Sanford, M.N., Offord, D.R., Boyle, M.H., Peace, A., &, Racine, Y.A., (1992). Ontario Child Health Study: Social and school impairments in children aged 6 to 16 years. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 60-67.
57. Schwab-Stone, M.E., Shaffer, D., Dulcan, M.K., Jensen, P.S., Fisher, P., Bird, H.R., ⋯ &, Rae, D.S., (1996). Criterion validity of the NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC 2.3). Journal of the American Academy of Child and Adolescent Psychiatry, 35, 878-888. (Pubitemid 26230921)
58. Shaffer, D., Fisher, P., Dulcan, M.K., Davies, M., Piacentini, J., Schwab-Stone, M.e., ⋯ &, Regier, D.A., (1996). The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC 2.3): Description, acceptability, prevalence rates, and performance in the MECA Study. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 865-877. (Pubitemid 26230920)
59. Shaffer, D., Gould, M.S., Brasic, J., Ambrosini, P., Fisher, P., Bird, H., &, Aluwahlia, S., (1983). A children's global assessment scale (CGAS). Archives of General Psychiatry, 40, 1228-1231. (Pubitemid 13015019)
60. Sheehan, D., Harnett-Sheehan, K., &, Raj, B., (1996). The measurement of disability. International Clinical Psychopharmacology, 11 (Suppl 3), 89-95. (Pubitemid 26373761)
61. Silverman, W.K., &, Albano, A.M., (1996). The anxiety disorders interview schedule for children-IV (child and parent versions). San Antonio, TX: Psychological Corporation.
62. Silverman, W.K., &, Ollendick, T.H., (2005). Evidence-based assessment of anxiety and its disorders in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 380-411. (Pubitemid 41355521)
63. Silverman, W.K., &, Ollendick, T.H., (2008). Assessment of child and adolescent anxiety disorders. In, J. Hunsley, &, E. Mash, (Eds.), A guide to assessments that work (pp. 181-206). New York: Oxford University Press.
64. Simonoff, E., Pickles, A., Meyer, J.M., Silberg, J.L., Maes, H.H., Loeber, R.,. &, Eaves, L.J., (1997). The Virginia Twin Study of Adolescent Behavioral Development: Influence of age, sex, and impairment on rates of disorder. Archives of General Psychiatry, 54, 801-808. (Pubitemid 27383305)
65. Spitzer, R.L., &, Wakefield, J.C., (1999). DSM-IV diagnostic criterion for clinical significance: Does it help solve the false positives problem? American Journal of Psychiatry, 156, 1856-1864.
66. Sterba, S., Egger, H., &, Angold, A., (2007). Diagnostic specificity and nonspecificity in the dimensions of preschool psychopathology. Journal of Child Psychology and Psychiatry, 48, 1005-1013. (Pubitemid 47525026)
67. Storch, E.A., Larson, M.J., Muroff, J., Caporino, N., Geller, D., Reid, J.M.,. &, Murphy, T.K., (2010). Predictors of functional impairment in pediatric obsessive-compulsive disorder. Journal of Anxiety Disorders, 24, 275-283.
68. Strickland, J., Keller, J., Lavigne, J.V., Gouze, K., Hopkins, J., &, Lebailly, S., (2011). The structure of psychopathology in a community sample of preschoolers. Journal of Abnormal Child Psychology, 39, 601-610.
69. Super, C.M., &, Harkness, S., (1982). The infant's niche in rural Kenya and metropolitan America. In, L.L. Adler, (Ed.), Cross-cultural research at issue (pp. 47-58). Sydney: Academic Press.
70. U.S. Department of Health and Human Services. (1993). Federal Register, 58, 29425.
71. Ustun, B., &, Kennedy, C., (2009). What is "functional impairment"? Disentangling disability from clinical significance. World Psychiatry, 8, 82-85.
72. Wakschlag, L.S., Biggs-Gowan, M.J., Carter, A.S., Hill, C., Danis, B., Keenan, K.,. &, Leventhal, B.L., (2007). A developmental framework for distinguishing disruptive behavior from normative misbehavior in preschool children. Journal of Child Psychology and Psychiatry, 48, 976-987. (Pubitemid 47525028)
73. Weisz, J.R., Suwanlert, S., Chaiyasit, W., Weiss, B., Walter, B.R., &, Anderson, W.W., (1988). Thai and American perspectives on over- and undercontrolled child behavior problems: Exploring the threshold model among parents, teachers, and psychologists. Journal of Consulting and Clinical Psychology, 56, 601-609.
74. Whiteside, S.P., (2009). Adapting the Sheenan Disability Scale to assess child and adolescent impairment related to childhood anxiety disorders. Journal of Clinical Child and Adolescent Psychology, 38, 721-730.
75. WHO. (2007). International classification of functioning, disability and health: Children & youth version. Geneva: Author.
76. Wilens, T.E., Biederman, J., Brown, S., Monuteaux, M., Prince, J., &, Spencer, T., (2002). Patterns of psychopathology and dysfucntion in clinically referred preschoolers. Developmental and Behavioral Pediatrics, 23, s31-s36. (Pubitemid 34211235)
77. Wille, N., Bettge, S., Wittchen, H.-U., &, Ravens-Sieberer, U., (2008). How impaired are children and adolescents by mental health problems? Results from the BELLA study. European Child and Adolescent Psychiatry, 17 (Suppl. 1), 42-51.
78. Winters, N.C., Collett, B.R., &, Myers, R.M., (2005). Ten-year review of rating scales, VII: Scales assessing functional impairment. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 309-338. (Pubitemid 40393270)