Christa Winkler Metzke

The Generalizability of the Youth Self-Report Syndrome Structure in 23 Societies.

As a basis for theories of psychopathology, clinical psychology and related disciplines need sound taxonomies that are generalizable across diverse populations. To test the generalizability of a statistically derived 8-syndrome taxonomic model for youth psychopathology, confirmatory factor analyses (CFAs) were performed on the Youth Self-Report (T. M. Achenbach & L. A. Rescorla, 2001) completed by 30,243 youths 11-18 years old from 23 societies. The 8-syndrome taxonomic model met criteria for good fit to the data from each society. This was consistent with findings for the parent-completed Child Behavior Checklist (Achenbach & Rescorla, 2001) and the teacher-completed Teachers Report Form (Achenbach & Rescorla, 2001) from many societies. Separate CFAs by gender and age group supported the 8-syndrome model for boys and girls and for younger and older youths within individual societies. The findings provide initial support for the taxonomic generalizability of the 8-syndrome model across very diverse societies, both genders, and 2 age groups.

Prevalence of child and adolescent psychiatric disorders: the Zürich Epidemiological Study

Psychiatric disorders were studied in an epidemiological and representative sample of 1964 pupils attending the first to ninth grade in various types of schools in the Canton of Zürich, Switzerland. Using a two‐stage procedure, parents were asked to respond to a standardized behaviour problem checklist in the screening phase. In the second stage, structured interviews were performed with 399 parents representing both screen positive and control children. DSM‐III‐R diagnoses were derived from the interviews. The total prevalence figure for any disorder amounted to 22.5%. Prevalence rates were influenced by the multi‐screen procedure. Among various correlates, sex, nationality, age and residence were to some extent significant. Comorbid disorders were present in 12.5% of the subjects.

Cross-Informant Agreement Between Parent-Reported and Adolescent Self-Reported Problems in 25 Societies

We used population sample data from 25 societies to answer the following questions: (a) How consistently across societies do adolescents report more problems than their parents report about them? (b) Do levels of parent–adolescent agreement vary among societies for different kinds of problems? (c) How well do parents and adolescents in different societies agree on problem item ratings? (d) How much do parent–adolescent dyads within each society vary in agreement on item ratings? (e) How well do parent–adolescent dyads within each society agree on the adolescents deviance status? We used five methods to test cross-informant agreement for ratings obtained from 27,861 adolescents ages 11 to 18 and their parents. Youth Self-Report (YSR) mean scores were significantly higher than Child Behavior Checklist (CBCL) mean scores for all problem scales in almost all societies, but the magnitude of the YSR–CBCL discrepancy varied across societies. Cross-informant correlations for problem scale scores varied more across societies than across types of problems. Across societies, parents and adolescents tended to rate the same items as low, medium, or high, but within-dyad parent–adolescent item agreement varied widely in every society. In all societies, both parental noncorroboration of self-reported deviance and adolescent noncorroboration of parent-reported deviance were common. Results indicated many multicultural consistencies but also some important differences in parent–adolescent cross-informant agreement. Our findings provide valuable normative baselines against which to compare multicultural findings for clinical samples.

Risk, Compensatory, Vulnerability, and Protective Factors Influencing Mental Health in Adolescence

The aim of the study was to elucidate the relative contribution to and function of general risk factors for mental disorders as well as compensatory, vulnerability, and protective factors in a general population sample of preadolescent and adolescent students. Data were collected in a representative sample of 1,110 (10 to 17 year-old) subjects of a school-based quota sample in the Canton of Zurich, Switzerland. The factors under study were assessed using questionnaires. The Youth Self Report (YSR) was used as an indicator of emotional and behavioral abnormalities. Further questionnaires were concerned with life events, coping strategies, self-esteem, self-awareness, parental child-rearing behaviors, the school environment, and the social network. General risk factors for both sexes included increased self-awareness, avoidance behavior, perceived rejection by the parents, competitive behavior among classmates, and controlling behavior of the teachers. General compensatory factors included self-esteem and acceptance by the parents. Performance stress served as a risk factor for internalizing disorders in both sexes; for externalizing disorders it was a risk factor in girls and a vulnerability factor in boys. Active coping and peer acceptance were protective factors for internalizing disorders and peer acceptance was also a compensatory factor for externalizing disorders. In addition, some gender-specific interactions were identified.

Adolescent coping with everyday stressors: A seven-nation study of youth from central, eastern, southern, and northern Europe

The present study compares problem-specific coping strategies and coping styles of European adolescents from seven nations. The sample consisted of 3031 adolescent participants, aged 11 to 20, from Croatia, the Czech Republic, Germany, Italy, Norway, Portugal, and Switzerland. The adolescents completed the Coping Across Situations Questionnaire (CASQ) by indicating which coping strategies (from 20 alternatives) they usually employed in dealing with age-specific problems (covering 8 different domains). The strategies can be collapsed to three coping styles: active coping, internal coping, and withdrawal. Results show that adolescents from all seven nations predominantly employed functional forms of coping, i.e., active coping and internal coping. In addition, the pattern of frequently and rarely applied coping strategies was similar across cultures. Differences in coping style were revealed for some, but not all problem domains, suggesting that cross-cultural similarity in coping exists for specific stressors. Problem-specific analyses helped to clarify where cultural influence is most distinct. Whereas cultural diversity was highest for coping with job-related problems, coping with self- and future-related problems was highly similar among adolescents from all the nations. Despite the considerable traditional, educational, and economic differences among the cultures investigated, the similarities in coping behaviour were impressive. Explanations for cultural universals and differences in adolescent coping are discussed.

Behavioural phenotype in foetal alcohol syndrome and foetal alcohol effects

A sample of 12 children (seven males, five females; mean age 6 years 7 months, SD 2 years 6 months, range 2 years 4 months to 12 years 1 month) with moderate‐to‐severe foetal alcohol syndrome (FAS) and another sample of 26 children (12 males, 14 females; mean age of 6 years 2 months SD 2 years 10 months, range 2 years 6 months to 12 years 8 months) with mild FAS or foetal alcohol effects (FAE) as well as a sample of 15 age‐ and sex‐matched control children with unspecific intellectual disability were compared using the Developmental Behaviour Checklist (DBC). There were significant differences (p=0.01) between the groups on five of six subscales of the DBC with controls scoring lower on the disruptive, self‐absorbed, anxiety, antisocial behaviour, and communication disturbance scales. The DBC profiles of the two foetal alcohol exposed groups did not differ from each other. It is concluded that quantitative behaviour measurement provides insights into specific behavioural phenotypes of FAS/FAE.

Eltern und Kinder: Der Zürcher Kurzfragebogen zum Erziehungsverhalten (ZKE)

Zusammenfassung. Im Beitrag wird der “Zurcher Kurzfragebogen zur Erfassung des Erziehungsverhaltens“ (ZKE) von Muttern und Vatern aus Sicht der Kinder an einer Stichprobe (N = 877) 11- bis 17jahriger schweizerischer Schulerinnen und Schuler aus dem Kanton Zurich uberpruft. Der Fragebogen erfast in reliabler und valider Weise die Dimensionen “Warme und Unterstutzung“, “Psychologischer Druck“ und “Regeln und Kontrolle“. Im Einklang mit der Forschungsliteratur zur familiaren Sozialisation korrespondierte ein hohes Mas an elterlicher Unterstutzung mit positiven Entwicklungsergebnissen wie einem hoheren Selbstwert, einer hoheren Neigung zu aktiven Bewaltigungsstrategien und einer geringeren Belastung mit externalisierenden und internalisierenden Symptomen. Ein hohes Mas an psychologischem Druck hingegen ging mit einem geringeren Selbstwert, einer starkeren Tendenz zu vermeidendem Coping und einer hoheren Symptombelastung einher. Mit Hilfe der drei Skalen lassen sich daruber hinaus multidimensionale Erziehungst...

Frequency and correlates of substance use among preadolescents and adolescents in a Swiss epidemiological study.

Alcohol use and nicotine use were investigated in a representative sample of 1110 study participants aged 10 to 17 years. In addition to questions on substance use, the participants responded to questionnaires covering behavior and emotions, life events, self-related cognitions, coping capacities, perceived parental behavior, perceived school environment, and the social network. The gender gap in substance used tended to close with increasing age. Parental substance use served as a model for substance use in the participants. Substance users had more abnormal scores on almost all variables as compared to abstaining controls. Lack of acceptance and control, pressure to achieve at school, and life events significantly predicted substance use. The latter served as a moderating risk variable for delinquent behavior under stress.

Adolescent Self-Rated Depressive Symptoms in a Swiss Epidemiological Study

The correlates of self-rated depressive symptoms were examined in an epidemiological sample of Swiss adolescents. Subjects, aged 12 to 17 years, were assessed using the Center for Epidemiological Studies Depression Scale, a Life Event Scale, scales measuring self-related cognitions, coping capacities, perceived parental behavior, school environment, and social network. Based on the distribution of the depression scores, 3 subsamples of nondepressed, moderately depressed, and severely depressed subjects were formed. The severely depressed group was clearly differentiated from the other two groups by almost all scales, with a special relevance of negative self-esteem and the impact of life events. The results of this epidemiological study indicate that various factors reflecting personality, life-events, and the psychosocial environment relate to adolescent depression.

Differentiating the behavioural profile in autism and mental retardation and testing of a screener

In order to differentiate the behavioural profiles in autism and mental retardation and to cross-validate a behavioural autism screen, 84 subjects with autism (64 males and 20 females) with a mean age of 10 years selected from a Swiss national survey were compared to a control group of 84 subjects matched by age and gender with mental retardation, but without autistic features. The behavioural profile was assessed using the Developmental Behaviour Checklist (DBC). The behavioural profile in autism, in contrast to mental retardation, was marked by higher scores in the domains of disruptive, self-absorbed, communication disturbed, anxious and autistic behaviour, and a higher total DBC score. Furthermore, a higher vulnerability for behavioural abnormalities became evident for females with autism. A recently proposed DBC-Autism Screen was cross-validated, and a slight extension of the screen led to even higher correct classification rates. It was concluded that the DBC is a suitable instrument for the assessment of the behavioural profile and for screening in autism.