Abstract
Although the comorbidity between conduct problems (CP) and depressive symptoms (DS) is associated with a host of negative outcomes, the factors, such as temperament, that might explain this comorbidity in school-aged boys and girls are poorly understood. This study compared elementary school children presenting co-occurring CP and DS to children with DS only, CP only, and those with low-level symptoms on temperament dimensions, and explored the moderating role of child sex in the associations. Participants are 487 children (M = 8.38 years, SD = 0.92, 52.2% girls) divided into four groups (CP + DS, DS only, CP only, control). Findings suggest that boys with CP and DS presented a lower level of fear than boys with DS and boys from the control group. They also presented higher levels of activity than boys with DS. Girls with CP and DS presented lower levels of fear than girls with DS, lower levels of approach and activity than girls with CP, and higher levels of shyness than girls from the control group. These findings suggest that temperament may discriminate children with comorbid CP and DS from those presenting only CP or DS.
Similar content being viewed by others
References
Achenbach TM, Rescorla LA (2001) Manual for the Achenbach system of empirically based assessment (ASEBA) school-age forms and profiles. University of Vermont, Research Center for Children, Youth & Families
American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5 edn. American Psychological Association
Angold A, Costello EJ (1999) Comorbidity. J Child Psychol Psychiatry Allied Disciplines 40(1):57. https://doi.org/10.1111/1469-7610.00424
Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Sage Publications, Inc
Beauchaine TP, Cicchetti D (2016) A new generation of comorbidity research in the era of neuroscience and research domain criteria. Dev Psychopathol 28(4pt1):891–894
Bradshaw CP, Schaeffer CM, Petras H, Ialongo N (2010) Predicting negative life outcomes from early aggressive-disruptive behavior trajectories: Gender differences in maladaptation across life domains. J Youth Adolesc 39(8):953–966. https://doi.org/10.1007/s10964-009-9442-8
Breton J-J, Bergeron L, Valla J-P, Berthiaume C, Gaudet N, Lambert J, St-Georges M, Houde L, Lépine S (1999) Quebec Child Mental Health Survey: Prevalence of DSM-III-R mental health disorders. J Child Psychol Psychiatry 40(3):375–384. https://doi.org/10.1111/1469-7610.00455
Brislin SJ, Martz ME, Joshi S, Duval ER, Gard A, Clark DA, Hyde LW, Hicks BM, Taxali A, Angstadt M, Rutherford S, Heitzeg MM, Sripada C (2021) Differentiated nomological networks of internalizing, externalizing, and the general factor of psychopathology (‘ p factor’) in emerging adolescence in the ABCD study. Psychol Med 1–11. https://doi.org/10.1017/S0033291720005103
Caspi A, Henry B, McGee RO, Moffitt TE, Silva PA (1995) Temperamental origins of child and adolescent behavior problems: from age three to age fifteen. Child Dev 66(1):55–68. https://doi.org/10.2307/1131190
Caspi A, Moffitt TE (2018) All for one and one for all: Mental disorders in one dimension. Am J Psychiatry 175(9):831–844. https://doi.org/10.1176/appi.ajp.2018.17121383
Chen R, Simons-Morton B (2009) Concurrent changes in conduct problems and depressive symptoms in early adolescents: a developmental person-centered approach. Dev Psychopathol 21(1):285–307. https://doi.org/10.1017/S0954579409000169
Cohen J (1988) Statistical power analysis for the behavioural sciences, Second edn. Lawrence Erlbaum
Colder CR, Mott JA, Berman AS (2002) The interactive effects of infant activity level and fear on growth trajectories of early childhood behavior problems. Dev Psychopathol 14(1):1–23. https://doi.org/10.1017/S0954579402001013
Commisso M, Temcheff C, Orri M, Poirier M, Lau M, Côté S, Vitaro F, Turecki G, Tremblay R, Geoffroy M-C (2021) Childhood externalizing, internalizing and comorbid problems: Distinguishing young adults who think about suicide from those who attempt suicide. Psychol Med 1–8. https://doi.org/10.1017/S0033291721002464
Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A (2003) Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry 60(8):837–844
Costello EJ, He J-P, Sampson NA, Kessler RC, Merikangas KR (2014) Services for adolescents with psychiatric disorders: 12-month data from the National Comorbidity Survey-Adolescent. Psychiatric Serv 65(3):359–366. https://doi.org/10.1176/appi.ps.201100518
Dekker MC, Ferdinand RF, van Lang NDJ, Bongers IL, van der Ende J, Verhulst FC (2007) Developmental trajectories of depressive symptoms from early childhood to late adolescence: Gender differences and adult outcome. J Child Psychol Psychiatry Allied Discip 48(7):657–666
Eisenberg N, Cumberland A, Spinrad TL, Fabes RA, Shepard SA, Reiser M, Murphy BC, Losoya SH, Guthrie IK (2001) The relations of regulation and emotionality to children’s externalizing and internalizing problem behavior. Child Dev 72(4):1112
Eisenberg N, Sadovsky A, Spinrad TL, Fabes RA, Losoya SH, Valiente C, Reiser M, Cumberland A, Shepard SA (2005) The relations of problem behavior status to children’s negative emotionality, effortful control, and impulsivity: Concurrent relations and prediction of change. Dev Psychol 41(1):193–211. https://doi.org/10.1037/0012-1649.41.1.193
Eisenberg N, Valiente C, Spinrad TL, Liew J, Zhou Q, Losoya SH, Reiser M, Cumberland A (2009) Longitudinal relations of children’s effortful control, impulsivity, and negative emotionality to their externalizing, internalizing, and co-occurring behavior problems. Dev Psychol 45(4):988–1008. https://doi.org/10.1037/a0016213
Else-Quest NM, Hyde JS, Goldsmith HH, Van Hulle CA (2006) Gender differences in temperament: a meta-analysis. Psychol Bull 132(1):33–72
Erskine HE, Baxter AJ, Patton G, Moffitt TE, Patel V, Whiteford HA, Scott JG (2017) The global coverage of prevalence data for mental disorders in children and adolescents. Epidemiol Psychiatric Sci 26(4):395–402. https://doi.org/10.1017/S2045796015001158
Ezpeleta L, Granero R, Doménech JM (2005) Differential contextual factors of comorbid conduct and depressive disorders in Spanish children. Eur Child Adolesc Psychiatry 14(5):282–291. https://doi.org/10.1007/s00787-005-0476-5
Ezpeleta L, Penelo E, Osa N, Navarro JB, Trepat E, de la Osa N (2019) Irritability and parenting practices as mediational variables between temperament and affective, anxiety, and oppositional defiant problems. Aggressive Behav 45(5):550–560. https://doi.org/10.1002/ab.21850
Forbes MK, Rapee RM, Camberis A-L, McMahon CA (2017) Unique associations between childhood temperament characteristics and subsequent psychopathology symptom trajectories from childhood to early adolescence. J Abnorm Child Psychol 45(6):1221–1233. https://doi.org/10.1007/s10802-016-0236-7
Frick PJ, Morris AS (2004) Temperament and developmental pathways to conduct problems. J Clin Child Adolesc Psychol 33(1):54–68. https://doi.org/10.1207/S15374424JCCP3301_6
Gartstein MA, Putnam SP, Rothbart MK (2012) Etiology of preschool behavior problems: Contributions of temperament attributes in early childhood. Infant Mental Health Journal 33(2):197–211. https://doi.org/10.1002/imhj.21312
Husky MM, Boyd A, Bitfoi A, Carta MG, Chan-Chee C, Goelitz D, Koç C, Lesinskiene S, Mihova Z, Otten R, Pez O, Shojaei T, Kovess-Masfety V (2018) Self-reported mental health in children ages 6–12 years across eight European countries. Eur Child Adolesc Psychiatry 27(6):785–795. https://doi.org/10.1007/s00787-017-1073-0
Institut canadien d’information sur la santé (2018) Normes canadiennes de codification pour la version 2018 de la CIM-10-CA et de la CCI. ICIS
Kerr DCR, Reinke WM, Eddy JM (2013) Trajectories of depressive symptoms and externalizing behaviors across adolescence: Associations with histories of suicide attempt and ideation in early adulthood. Suicide Life-Threat Behav 43(1):50–66. https://doi.org/10.1111/j.1943-278X.2012.00127.x
Kovess-Masfety V, Husky MM, Keyes K, Hamilton A, Pez O, Bitfoi A, Carta MG, Goelitz D, Kuijpers R, Otten R, Koç C, Lesinskiene S, Mihova Z (2016) Comparing the prevalence of mental health problems in children 6–11 across Europe. Soc Psychiatry Psychiatr Epidemiol 51(8):1093–1103. https://doi.org/10.1007/s00127-016-1253-0
Kretschmer T, Hickman M, Doerner R, Emond A, Lewis G, Macleod J, Maughan B, Munafò MR, Heron J (2014) Outcomes of childhood conduct problem trajectories in early adulthood: Findings from the ALSPAC study. Eur Child Adolesc Psychiatry 23(7):539–549. https://doi.org/10.1007/s00787-013-0488-5
Laceulle OM, Ormel J, Vollebergh WAM, Aken MAG, Nederhof E (2014) A test of the vulnerability model: Temperament and temperament change as predictors of future mental disorders - the TRAILS study. J Child Psychol Psychiatry 55(3):227–236. https://doi.org/10.1111/jcpp.12141
Lahey BB, Hake JK, Hariri AR, Applegate B, Zald DH, Rathouz PJ (2012) Is there a general factor of prevalent psychopathology during adulthood? J Abnorm Psychol 121(4):971–977. https://doi.org/10.1037/a0028355
Lau MA, Temcheff CE, Poirier M, Bégin V, Commisso M, Déry M (2021) School dropout: the role of childhood conduct problems and depressive symptoms. Psychol Sch 58(12):2313–2327
Lehto-Salo P, Närhi V, Ahonen T, Marttunen M (2009) Psychiatric comorbidity more common among adolescent females with CD/ODD than among males. Nord J Psychiatry 63(4):308–315. https://doi.org/10.1080/08039480902730615
Lemelin J-P, Poirier M, Le Corff Y, Toupin J, Dery M (2020) Validation de la version canadienne-française du Children’s Behavior Questionnaire – Short Form. Bull de psychologie Issue 567–568(3):167–180
Martín V, Granero R, Domènech JM, Ezpeleta L (2017) Factors related to the comorbidity between oppositional defiant disorder and anxiety disorders in preschool children. Anxiety Stress Coping 30(2):228–242. https://doi.org/10.1080/10615806.2016.1228897
Maughan B, Rowe R, Messer J, Goodman R, Meltzer H (2004) Conduct disorder and oppositional defiant disorder in a national sample: developmental epidemiology. J Child Psychol Psychiatry Allied Discip 45(3):609–621
McCarty CA, Wymbs BT, Mason WA, King KM, McCauley E, Baer J, Stoep V, A (2013) Early adolescent growth in depression and conduct problem symptoms as predictors of later substance use impairment. J Abnorm Child Psychol 41(7):1041–1051. https://doi.org/10.1007/s10802-013-9752-x
McCormick MP, Neuhaus R, Horn EP, O’Connor EE, White HI, Harding S, Cappella E, McClowry S (2019) Long-term effects of social–emotional learning on receipt of special education and grade retention: Evidence from a randomized trial of INSIGHTS.AERA Open, 5(3)
McDonough-Caplan H, Klein DN, Beauchaine TP (2018) Comorbidity and continuity of depression and conduct problems from elementary school to adolescence. J Abnorm Psychol 127(3):326–337. https://doi.org/10.1037/abn0000339
McElroy E, Shevlin M, Murphy J, McBride O (2018) Co-occurring internalizing and externalizing psychopathology in childhood and adolescence: a network approach. Eur Child Adolesc Psychiatry 27(11):1449–1457. https://doi.org/10.1007/s00787-018-1128-x
Muris P, Meesters C, Blijlevens P (2007) Self-reported reactive and regulative temperament in early adolescence: Relations to internalizing and externalizing problem behavior and “Big Three” personality factors. J Adolesc 30(6):1035–1049
Murray AL, Eisner M, Nagin D, Ribeaud D (2022) A multi-trajectory analysis of commonly co-occurring mental health issues across childhood and adolescence. Eur Child Adolesc Psychiatry 31(1):145–159. https://doi.org/10.1007/s00787-020-01679-1
O’Connor EE, Cappella E, McCormick MP, McClowry SG (2014) An examination of the efficacy of INSIGHTS in enhancing the academic and behavioral development of children in early grades. J Educ Psychol 106(4):1156–1169
Okado Y, Ewing E, Rowley C, Jones DE (2017) Trajectories of mental health–related service use among adolescents with histories of early externalizing problems. J Adolesc Health 61(2):198–204. https://doi.org/10.1016/j.jadohealth.2017.02.012
Oldehinkel AJ, Hartman CA, De Winter AF, Veenstra R, Ormel J (2004) Temperament profiles associated with internalizing and externalizing problems in preadolescence. Dev Psychopathol 16(2):421–440
Oldehinkel AJ, Hartman CA, Ferdinand RF, Verhulst FC, Ormel J (2007) Effortful control as modifier of the association between negative emotionality and adolescents’ mental health problems. Dev Psychopathol 19(2):523–539
Olino TM, Dougherty LR, Bufferd SJ, Carlson GA, Klein DN (2014) Testing models of psychopathology in preschool-aged children using a structured interview-based assessment. J Abnorm Child Psychol 42(7):1201–1211. https://doi.org/10.1007/s10802-014-9865-x
Ormel J, Oldehinkel AJ, Ferdinand RF, Hartman CA, De Winter AF, Veenstra R, Vollebergh W, Minderaa RB, Buitelaar JK, Verhulst FC (2005) Internalizing and externalizing problems in adolescence: General and dimension-specific effects of familial loadings and preadolescent temperament traits. Psychol Med 35(12):1825–1835
Orpinas P, Raczynski K, Peters JW, Colman L, Bandalos D (2015) Latent profile analysis of sixth graders based on teacher ratings: Association with school dropout. School Psychol Q 30(4):577–592. https://doi.org/10.1037/spq0000107
Poirier M, Déry M, Toupin J, Verlaan P, Lemelin J-P, Jagiellowicz J (2015) Correlates of conduct problems and depression comorbidity in elementary school boys and girls receiving special educational services. Psychol Sch 52(4):403–418
Poirier M, Déry M, Temcheff CE, Toupin J, Verlaan P, Lemelin J-P (2016) Longitudinal associations between conduct problems and depressive symptoms among girls and boys with early conduct problems. Eur Child Adolesc Psychiatry 25(7):743–754. https://doi.org/10.1007/s00787-015-0796-z
Poirier M, Temcheff CE, Déry M, Toupin J, Verlaan P, Lemelin J-P (2018) The role of academic skills in the evolution of conduct problems and depressive symptoms among children with and without early clinically significant conduct problems. J Early Adolescence. https://doi.org/10.1177/0272431618757679
Putnam SP, Rothbart MK (2006) Development of short and very short forms of the Children’s Behavior Questionnaire. J Pers Assess 87(1):102–112. https://doi.org/10.1207/s15327752jpa8701_09
Rettew DC, McKee L (2005) Temperament and its role in developmental psychopathology. Harv Rev Psychiatry 13(1):14–27
Riglin L, Thapar A, Shelton KH, Langley K, Frederickson N, Rice F (2016) Profiling depression in childhood and adolescence: the role of conduct problems. J Child Psychol Psychiatry Allied Discip 57(4):481–490. https://doi.org/10.1111/jcpp.12465
Rothbart MK (1989) Temperament and development. In: Kohnstamm GA, Bates JE, Rothbart MK (eds) Temperament in childhood. Wiley, pp 187–247
Rothbart MK, Bates JE (2006) Temperament. In: Eisenberg W, Damon W, Lerner RM (eds) Handbook of child psychology: Social, emotional, and personality development, vol 3, 6th edn. John Wiley & Sons Inc, pp 99–166
Rothbart MK, Derryberry D (1981) Development of individual differences in temperament. In: Lamb ME, Brown AL (eds) Advances in developmental psychology, vol 1. Erlbaum, pp 37–86
Rothbart MK (2011) Becoming who we are: temperament and personality in development. Guilford Press
Scheper F, Majdandžić M, Ven P, Jansen L, Doreleijers T, Schuengel C, Vries A, Scheper FY, van de Ven PM, Jansen LMC, Doreleijers TAH, de Vries ALC (2017) 12//). Temperament traits and psychopathology in young clinically referred children compared to a general population sample [journal article]. Child Psychiatry & Human Development 48(6):841–850. https://doi.org/10.1007/s10578-016-0708-6
Shiner RL, Buss KA, McClowry SG, Putnam SP, Saudino KJ, Zentner M (2012) What is temperament now? Assessing progress in temperament research on the twenty-fifth anniversary of Goldsmith. () Child Development Perspectives 6(4):436–444. https://doi.org/10.1111/j.1750-8606.2012.00254.x
Silk JS, Steinberg L, Sheffield Morris A, Morris AS (2003) Adolescents’ emotion regulation in daily life: Links to depressive symptoms and problem behavior. Child Dev 74(6):1869–1880. https://doi.org/10.1046/j.1467-8624.2003.00643.x
Slagt M, Dubas JS, Deković M, van Aken MAG (2016) Differences in sensitivity to parenting depending on child temperament: a meta-analysis. Psychol Bull 142(10):1068–1110. https://doi.org/10.1037/bul0000061
Stringaris A, Maughan B, Goodman R (2010) 05/01/). What’s in a disruptive disorder? Temperamental antecedents of oppositional defiant disorder: findings from the Avon Longitudinal Study. J Am Acad Child Adolesc Psychiatry 49(5):474–483
Stringaris A, Maughan B, Copeland WS, Costello EJ, Angold A (2013) Irritable mood as a symptom of depression in youth: Prevalence, developmental, and clinical correlates in the Great Smoky Mountains Study. J Am Acad Child Adolesc Psychiatry 52(8):831–840. https://doi.org/10.1016/j.jaac.2013.05.017
Van Der Giessen D, Branje S, Overbeek G, Frijns T, Van Lier PAC, Koot HM, Meeus W (2013) Co-occurrence of aggressive behavior and depressive symptoms in early adolescence: a longitudinal multi-informant study. Eur Rev Appl Psychol 63(4):193–201
Wang FL, Chassin L, Eisenberg N, Spinrad TL (2015) Effortful control predicts adolescent antisocial-aggressive behaviors and depressive symptoms: Co-occurrence and moderation by impulsivity. Child Dev 86(6):1812–1829. https://doi.org/10.1111/cdev.12406
Wang FL, Eisenberg N, Valiente C, Spinrad TL (2016) Role of temperament in early adolescent pure and co-occurring internalizing and externalizing problems using a bifactor model: Moderation by parenting and gender. Dev Psychopathol 28(4pt2):1487–1504
Wang FL, Galán CA, Lemery-Chalfant K, Wilson MN, Shaw DS (2020) Evidence for two genetically distinct pathways to co-occurring internalizing and externalizing problems in adolescence characterized by negative affectivity or behavioral inhibition. J Abnorm Psychol 129(6):633–645. https://doi.org/10.1037/abn0000525
Whalen DJ, Luby JL, Tilman R, Mike A, Barch D, Belden AC (2016) Latent class profiles of depressive symptoms from early to middle childhood: Predictors, outcomes, and gender effects. J Child Psychol Psychiatry 57(7):794–804. https://doi.org/10.1111/jcpp.12518
Windle M (1992) Temperament and social support in adolescence: Interrelations with depressive symptoms and delinquent behaviors. J Youth Adolesc 21(1):1–21
Wolff JC, Ollendick TH (2006) The comorbidity of conduct problems and depression in childhood and adolescence. Clin Child Fam Psychol Rev 9(3–4):201–220
Funding
This study was funded by the Canadian Institutes of Health Research (NRF 82694) and the Social Sciences and Humanities Research Council of Canada (SSHRC 37890). We thank the children, parents, and teachers who participated in the study.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethics declaration
All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Conflict of interest
The authors declare that they have no conflicts of interest.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Poirier, M., Lemelin, JP., Déry, M. et al. An examination of the relationship between conduct problems and depressive symptoms comorbidity and temperament among elementary school children. Child Psychiatry Hum Dev 55, 655–666 (2024). https://doi.org/10.1007/s10578-022-01421-9
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10578-022-01421-9