Rates and cooccurrence of internalizing and externalizing syndromes were examined in a sample of 1,520 low-income urban early adolescents. Results indicate higher rates of clinically elevated internalizing and externalizing symptoms in this sample relative to normative data. In particular, both boys and girls were more likely to score in the clinical range on the broad-band internalizing and externalizing subscales of the Youth SelfReport and on the anxious-depressed, withdrawn, somatic, delinquency, and aggression narrow-band subscales. Girls reported higher rates of internalizing symptoms on the broad-band internalizing subscale and on narrow-band anxious-depressed, withdrawn, and somatic complaints subscales. Contrary to expected, boys did not report higher rates of externalizing symptoms on any of the externalizing subscales. Results of bidirectional comorbidity analyses indicate that cooccurrence of aggressive with somatic symptoms and cooccurrence of aggressive with delinquency symptoms were significantly more common in this sample than in normative samples.A central focus of research in developmental psychopathology is identification of sources of risk for psychological distress and disorder across the life span. A consistent finding emanating from this research is that specific 613
The current study used confirmatory factor analysis (CFA) to compare the fit of 2 factor structures for the Children's Depression Inventory (CDI) in an urban community sample of low-income youth. Results suggest that the 6-factor model developed by Craighead and colleagues (1998) was a strong fit to the pattern of symptoms reported by low-income urban youth and was a superior fit with these data than the original 5-factor model of the CDI (Kovacs, 1992). Additionally, results indicated that all 6 factors from the Craighead model contributed to the measurement of depression, including School Problems and Externalizing Problems especially for older adolescents. This pattern of findings may reflect distinct contextual influences of urban poverty on the manifestation and measurement of depression in youth.
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