Assignment #1 - Option C Ali Brown

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Ali Brown

Dr. Mendonca

PSY 241

26 September 2024

Attkisson and Rosenblatt: The Prevalence of Psychopathology Among Children and Adolescents

In Attkisson and Rosenblatt’s study, The Prevalence of Psychopathology Among Children

and Adolescents, the purpose of the study was to analyze the prevalence of childhood disorders

among youth ages 1–18 through a spectacle of case studies and interviews. I chose this research

question as I am fascinated by abnormal psychology and hope to pursue a graduate degree in

forensic psychology. Attkisson and Rosenblatt’s hypothesis was an estimate of a 1-5%

prevalence rate of childhood psychiatric disorders.

The research methods that the authors selected were epidemiology and longitudinal

research design to assess psychiatric disorder prevalence rates among adolescents and children.

Epidemiology studies sought correlations between psychological behaviors and health factors. In

contrast, longitudinal studies analyze behavioral changes over time. The dependent variables

were measured through case ascertainments like behavior checklists, diagnostic criteria,

interviews, and impairment scores. The interview was measured via Rutter Schedule, which is an

interview and questionnaire that was formulated around Rutter’s criteria for psychiatric

disorders. The Rutter Schedule was a measure in this study that aided in narrowing down

prevalence rates in the results. The study consisted of two stages; the first stage serves as a

mental health screening for the participants, while the second stage evaluates

When selecting participants, the researchers ensured that the studies they utilized

displayed prevalence statistics of all psychiatric disorders in children. Additionally, the


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researchers considered how geographic demographics could impact the results and selected

samples from over 20 countries to reduce confounds. The samples were grouped into 4

categories: preschoolers, preadolescents, adolescents, and wider ranged ages. The mean sample

size of the first stage of the experiment was 1000 participants, whereas the mean sample size of

the second stage was 291 participants.

The methods of this study can be argued as generally inefficient due to the small sample

sizes and lack of research regarding the prevalence of diagnosis rates among children and

adolescents. One small advantage of the research methods in this study is the high variance

among all groups, which increases the reliability of this study and indicates that the independent

and dependent variables accurately measure the intended criteria. Additionally, the Rutter

Schedule Interview tool helps increase internal validity as it is a thorough and accredited

questionnaire for the time period. One disadvantage of this study is the relatively small testing

sample, which heavily reduces the external validity of the experiment, “For example, a

prevalence rate of 12% would yield only 120 cases in a sample of 1,000” (Attkisson, 1998).

Another conflict regarding the study's measures is that the sample size only tests between

different age groups, which limits the ability of these findings to be applicable over a child’s

developmental span. The final critique I have of this study is the lack of measures that effectively

measure severity; for instance, the authors stated that there were struggles operationalizing the

measure of severity.

The results of this study concluded that there is a 14.9% prevalence rate of childhood and

adolescent psychiatric disorders. I believe the statistics found by Attkisson and Rosenblatt to be

reasonable and accurate, as a lower rate can be explained by the lack of DSM criteria prior to the

1980s and consequently a lack of diagnoses. However, the range of 1% to 51% prevalence rates
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among age groups is quite questionable and poses concern for potential confounding variables.

These possible confounding variables could arise from demographic factors, psychological

criteria developing over long periods of time, and the small sample size. Despite these

limitations, I found this study to be quite interesting, as I was expecting the prevalence rates of

childhood psychiatric disorders to be lower given the societal beliefs towards mental illness

between the 1950s and 1980s.


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Citations

Roberts, R. E., Attkisson, C. C., & Rosenblatt, A. (1998). Prevalence of Psychopathology

Among Children and Adolescents. American Journal of Psychiatry, 155(6), 715–725.

https://doi.org/10.1176/ajp.155.6.715

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