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Prevalence and stability of internalizing symptoms in children and adolescents: gender differences and associated factors
dc.contributor.author | Segura-Frontelo, Alberto | |
dc.contributor.author | Girela-Serrano, Braulio | |
dc.contributor.author | Gutiérrez-Rojas, Luis | |
dc.contributor.author | Porras-Segovia, Alejandro | |
dc.contributor.author | Peñuelas-Calvo, Inmaculada | |
dc.contributor.author | Spiers, Alex | |
dc.contributor.author | Baca-García, Enrique | |
dc.contributor.author | Barrigón, María Luisa | |
dc.contributor.author | Carballo, Juan José | |
dc.date.accessioned | 2025-04-23T19:43:00Z | |
dc.date.available | 2025-04-23T19:43:00Z | |
dc.date.issued | 2025 | |
dc.identifier.uri | http://repositorio.ucm.cl/handle/ucm/5983 | |
dc.description.abstract | This study investigates the prevalence, stability, and associated factors of internalizing symptoms in children and adolescents within a clinical setting. The sample included 299 patients aged 3–17 years from a Child and Adolescent Mental Health outpatient clinic, followed over one year. Internalizing symptoms were assessed using the parent-rated version of the Strengths and Difficulties Questionnaire (SDQ), completed at baseline and at one-year follow-up. Stability was evaluated using prospective consistency, retrospective consistency, kappa coefficient, and Spearman’s Rho correlations. Multivariate analyses were conducted to examine associated factors. Baseline prevalence of internalizing symptoms was 40% (95% CI: 33.4-44.8%), with moderate one-year stability (ρ = 0.48, 95% CI: 0.37-0.58). Key factors associated with internalizing symptoms at follow-up included: For girls, higher baseline SDQ emotional symptoms (OR = 2.12, p < 0.001), lower paternal education (OR = 9.70, p = 0.003), and lower SDQ hyperactivity/inattention scores (OR = 0.70, p = 0.016). For boys, comorbid externalizing symptoms (OR = 8.18, p < 0.001), maternal anxiety (OR = 2.35, p = 0.031), maternal unemployment (OR = 2.13, p = 0.043), and a sibling diagnosed with ADHD (OR = 0.10, p = 0.012). For children, peer problems (OR = 1.20, p = 0.02) and the absence of an externalizing diagnosis (OR = 0.33, p = 0.013). For adolescents, lower paternal education (OR = 5.99, p = 0.003), higher SDQ emotional symptoms scores (OR = 13.48, p < 0.001), and female gender. Gender and age differences in associated factors highlight the interplay of neurobiological and social influences. These findings underscore the importance of considering gender and age-specific factors when developing preventive and therapeutic interventions for internalizing symptoms in clinical populations. | es_CL |
dc.language.iso | en | es_CL |
dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Chile | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/cl/ | * |
dc.source | Journal of Child and Family Studies, 34, 490-501 | es_CL |
dc.subject | Children and adolescents | es_CL |
dc.subject | Internalising symptoms | es_CL |
dc.subject | Stability | es_CL |
dc.subject | Trajectories | es_CL |
dc.subject | Gender differences | es_CL |
dc.title | Prevalence and stability of internalizing symptoms in children and adolescents: gender differences and associated factors | es_CL |
dc.type | Article | es_CL |
dc.ucm.indexacion | Scopus | es_CL |
dc.ucm.indexacion | Isi | es_CL |
dc.ucm.uri | springerlink.ucm.elogim.com/article/10.1007/s10826-024-02987-9 | es_CL |
dc.ucm.doi | doi.org/10.1007/s10826-024-02987-9 | es_CL |
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