The International Perspectives on Internalizing Disorders in Children and Adolescents

67

Abstract

This paper reviews the experiences of researchers from Western and Eastern countries, including the USA, Germany, Canada, the United Kingdom, China, and others, in studying internalized disorders in children and adolescents. The diversity of countries with different public health systems in the review broadened the perspective on a diagnostic paradigm based on the transdiagnostic model of mental disorder classification. The paper examines various approaches to conceptualizing internalizing disorders in overseas research. It introduces the concept of "internalized disorders" and contrasts it with "externalized disorders", with a focus on the symptoms, diagnosis, and interventions for internalized disorders in childhood and adolescence. It also presents data on the epidemiology and aetiology of internalized disorders, analyzing their prevalence in populations, which vary by age, gender, and region of residence. The paper also includes a discussion on the comorbidity of internalized disorders in children and adolescents. This scope of information provides a comprehensive understanding of the essence of "internalized disorders" and their key characteristics, creating a foundation for developing effective diagnostic and therapeutic strategies in national psychological practice.

General Information

Keywords: internalizing disorders, externalizing disorders, risk factors, children and adolescents, сcomorbidity

Journal rubric: Medical Psychology

Article type: review article

DOI: https://doi.org/10.17759/jmfp.2024130209

Funding. This work was supported by the «Sirius University of Science and Technology». Address: Olimpiyskiy ave. b.1, Sirius, Krasnodar region, Russia, 354340.

Received: 03.05.2024

Accepted:

For citation: Karpova N.V. The International Perspectives on Internalizing Disorders in Children and Adolescents [Elektronnyi resurs]. Sovremennaia zarubezhnaia psikhologiia = Journal of Modern Foreign Psychology, 2024. Vol. 13, no. 2, pp. 92–101. DOI: 10.17759/jmfp.2024130209. (In Russ., аbstr. in Engl.)

References

  1. Kasyanov E.D., Mazo G.E., Kibitov A.O. V poiskakh “nasledstvennykh” form depressii: klinicheskie, geneticheskie i biologicheskie podkhody [In search of “Hereditary” forms of depression: clinical, genetic and biological approaches] [Electronic resource]. Sotsial'naya i klinicheskaya psikhiatriya = Social and clinical psychiatry, 2018. Vol. 28, no. 1, pp. 74—82. URL: https://elibrary.ru/item.asp?id=35411959 (Accessed 27.06.2024) (In Russ.).
  2. King K., Feil M., Halvorson M., Kosterman R., Bailey J., Hawkins J. A trait-like propensity to experience internalizing symptoms is associated with problem alcohol involvement across adulthood, but not adolescence. Psychology of addictive behaviors: journal of the Society of Psychologists in Addictive Behaviors, 2020. Vol. 34, no. 7, pp. 756—771. DOI:10.1037/adb0000589
  3. Achenbach T.M. Manual for the Child Behavior Checklist/4—18 and 1991 Profile. Vermont: University of Vermont, Department of Psychiatry, 1991. 288 p.
  4. Scott L., Victor S., Kaufman E., Beeney J., Byrd A., Vine V., Pilkonis P., Stepp S. Affective Dynamics Across Internalizing and Externalizing Dimensions of Psychopathology. Clinical Psychological Science, 2020. Vol. 8, no. 3, pp. 412—427. DOI:10.1177/2167702619898802
  5. Fernandes G.S., Lewis G., Hammerton G., Abeysekera K., Mahedy L., Edwards A., Lewis G., Hickman M., Heron J. Alcohol consumption and internalising disorders in young adults of ALSPAC: a population-based study. Journal of Epidemiology and Community Health, 2020. Vol. 74, no. 12, pp. 1023—1027. DOI:10.1136/jech-2020-213922
  6. Andrews G. Internalizing disorders: The whole is greater than the sum of the parts. World Psychiatry, 2018. Vol. 17, no. 3, pp. 302—303. DOI:10.1002/wps.20564
  7. Colmsee I.-S. O., Hank P., Bošnjak M. Low self-esteem as a risk factor for eating disorders: A meta-analysis. Zeitschrift für Psychologie, 2021. Vol. 229, no. 1, pp. 48—69. DOI:10.1027/2151-2604/a000433
  8. Yu G., Liu Z., Wu X. et al. Common and disorder-specific cortical thickness alterations in internalizing, externalizing and thought disorders during early adolescence: an Adolescent Brain and Cognitive Development study. Journal of Psychiatry & Neuroscience, 2023. Vol. 48, no. 5, pp. E345—E356. DOI:10.1503/jpn.220202
  9. Miliauskas C.R., Faus D.P., da Cruz V.L., do Nascimento Vallaperde J.G.R., Junger W., Lopes C.S. Community violence and internalizing mental health symptoms in adolescents: A systematic review. BMC Psychiatry, 2022. Vol. 22, article ID 253. 23 p. DOI:10.1186/s12888-022-03873-8
  10. Dol M., Reed M., Ferro M. Internalizing—Externalizing Comorbidity and Impaired Functioning in Children. Children, 2022. Vol. 9(10), article ID 1547. 9 p. DOI:10.3390/children9101547
  11. Generalized anxiety disorder in China: prevalence, sociodemographic correlates, comorbidity, and suicide attempts / X. Ma, Y.-T. Xiang, Z.-J. Cai [et al.] // Perspectives in Psychiatric Care. 2009. Vol. 45, no. 2, pp. 119—127. DOI:10.1111/j.1744-6163.2009.00212.x
  12. Torvik F.A., Gjerde L.C., Røysamb E., Tambs K., Kendler K.S., Czajkowski N.O., Knudsen G.P., Reichborn-Kjennerud T., Ørstavik R.E. Genetic and environmental contributions to the relationship between internalizing disorders and sick leave granted for mental and somatic disorders. Twin Research and Human Genetics: The Official Journal of the International Society for Twin Studies, 2014. Vol. 17, no. 4, pp. 225—235. DOI:10.1017/thg.2014.27
  13. Hettema J., Bourdon J., Sawyers C., Verhulst B., Brotman M., Leibenluft E., Pine D., Roberson-Nay R. Genetic and environmental risk structure of internalizing psychopathology in youth. Depression and Anxiety, 2020. Vol. 37, no.6, pp. 540—548. DOI:10.1002/da.23024
  14. Hughes E.K., Gullone E. Internalizing symptoms and disorders in families of adolescents: a review of family systems literature. Clinical Psychology Review, 2008. Vol. 28, no. 1, pp. 92—117. DOI:10.1016/j.cpr.2007.04.002
  15. Babicka-Wirkus A., Kozłowski P., Wirkus Ł., Stasiak K. Internalizing and Externalizing Disorder Levels among Adolescents: Data from Poland. International Journal of Environmental Research and Public Health, 2023. Vol. 20, no. 3, article ID 2752. 17 p. DOI:10.3390/ijerph20032752
  16. Raj N., Verthein U., Grundmann J. et al. Internalizing and externalizing subtypes in female patients with co-occurring post-traumatic stress disorder and substance use disorders. Journal of substance abuse treatment, 2021. Vol. 121, article ID 108198. 8 p. DOI:10.1016/j.jsat.2020.108198
  17. Pfluger V., Rohner S., Eising C., Maercker A., Thoma M. Internalizing Mental Health Disorders and Emotion Regulation: A Comparative and Mediational Study of Older Adults With and Without a History of Complex Trauma Exposure. Frontiers in Psychology, 2022. Vol. 13, article ID 820345. 13 p. DOI:10.3389/fpsyg.2022.820345
  18. Doering S., Larsson H., Halldner L., Gillberg C., Kuja‑Halkola R., Lundström S. Internalizing symptoms in adolescence are modestly affected by symptoms of anxiety, depression, and neurodevelopmental disorders in childhood. BMC psychiatry, 2022. Vol. 22, article ID 233. 8 p. DOI:10.1186/s12888-022-03875-6
  19. Kuhn M. Attachment and Internalizing and Externalizing Problems in Adolescence: Exploring the Mediating Role of Physiological Self-Regulation Capacity [Electronic resource]: Doctor philosophy dissertation. Seattle, 2019. 77 p. URL: https://digitalcommons.spu.edu/cgi/viewcontent.cgi?article=1041&context=cpy_etd (Accessed 26.06.2024).
  20. Merikangas K.R., He J.-P., Burstein M., Swanson S.A., Avenevoli S., Cui L., Benjet C., Georgiades K., Swendsen J. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 2010. Vol. 49, no. 10, pp. 980—989. DOI:10.1016/j.jaac.2010.05.017
  21. McElroy E., Patalay P. In search of disorders: internalizing symptom networks in a large clinical sample. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 2019. Vol. 60, no. 8, pp. 897—906. DOI:10.1111/jcpp.13044
  22. Mental health of adolescents [Electronic resource]. World Health Organization. 2021. URL: https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health (Accessed 25.06.2024).
  23. Nemattavousi M. The mediating role of experiential avoidance in the relationship between Alexithymia and emotion regulation in patients with major depression disorder after traumatic brain injury. Shenakht Journal of Psychology and Psychiatry, 2020. Vol. 7, no. 2, pp. 140—152. DOI:10.52547/shenakht.7.2.140
  24. Kaczkurkin A., Sotiras A., Baller E. et al. Neurostructural Heterogeneity in Youths With Internalizing Symptoms. Biological Psychiatry, 2020. Vol. 87, no. 5, pp. 473—482. DOI:10.1016/j.biopsych.2019.09.005
  25. Ogłodek E.A. Alexithymia and Emotional Deficits Related to Posttraumatic Stress Disorder: An Investigation of Content and Process Disturbances. Case Reports in Psychiatry, 2022. Vol. 2022, no. 1, article ID 7760988. 5 p. DOI:10.1155/2022/7760988
  26. Pasion R., Barbosa F. ERN as a transdiagnostic marker of the internalizing-externalizing spectrum: A dissociable meta-analytic effect. Neuroscience & Biobehavioral Reviews, 2019. Vol. 103, pp. 133—149. DOI:10.1016/j.neubiorev.2019.06.013
  27. Xie Y., Kong Y., Yang J., Chen F. Perfectionism, worry, rumination, and distress: A meta-analysis of the evidence for the perfectionism cognition theory. Personality and Individual Differences, 2019. Vol. 139, pp. 301—312. DOI:10.1016/j.paid.2018.11.028
  28. Pinquart M., Shen Y. Behavior problems in children and adolescents with chronic physical illness: a meta-analysis. Journal of Pediatric Psychology, 2011. Vol. 36, no. 9, pp. 1003—1016. DOI:10.1093/jpepsy/jsr042
  29. Loo H., Beijers L., Wieling M., Jong T., Schoevers R., Kendler K. Prevalence of internalizing disorders, symptoms, and traits across age using advanced nonlinear models. Psychological Medicine, 2021. Vol. 53, no. 1, pp. 78—87. DOI:10.1017/S0033291721001148
  30. Donolato E., Cardillo R., Mammarella I., Melby-Lervåg M. Research Review: Language and specific learning disorders in children and their co-occurrence with internalizing and externalizing problems: a systematic review and meta-analysis. Journal of child psychology and psychiatry, and allied disciplines, 2021. Vol. 63, no. 5, pp. 507—518. DOI:10.1111/jcpp.13536
  31. Lau C., Stewart S., Saklofske D., Hirdes J. Scale development and psychometric properties of internalizing symptoms: The interRAI Child and Youth Mental Health internalizing subscale. Psychiatry Research, 2019. Vol. 278, pp. 235—241. DOI:10.1016/j.psychres.2019.06.013
  32. Pedersen M.L., Holen S., Lydersen S., Martinsen K., Neumer S.P., Adolfsen F., Sund A.M. School functioning and internalizing problems in young schoolchildren. BMC Psychology, 2019. Vol. 7, article ID 88. 13 p. DOI:10.1186/s40359-019-0365-1
  33. Carlen K., Suominen S., Augustine L., Saarinen M.M., Aromaa M., Rautava P., Sourander A., Sillanpää M. Teenagers’ mental health problems predict probable mental diagnosis 3 years later among girls, but what about the boys? Child and Adolescent Psychiatry and Mental Health, 2022. Vol. 16, article ID 41. 10 p. DOI:10.1186/s13034-022-00473-y
  34. Snyder H., Silton R., Hankin B., Smolker H., Kaiser R., Banich M., Miller G., Heller W. The Dimensional Structure of Internalizing Psychopathology: Relation to Diagnostic Categories. Clinical Psychological Science, 2022. Vol. 11, no. 6, pp. 1044—1063. DOI:10.1177/21677026221119483
  35. Kontak J.C.H., Kirk S.F.L., Robinson L., Ohinmaa A., Veugelers P.J. The relationship between bullying behaviours in childhood and physician-diagnosed internalizing disorders. Canadian Journal of Public Health, Revue Canadienne De Sante Publique, 2019. Vol. 110, pp. 497—505. DOI:10.17269/s41997-019-00179-3
  36. Kendler K.S., Myers J.M., Maes H.H., Keyes C.L. The relationship between the genetic and environmental influences on common internalizing psychiatric disorders and mental well-being. Behavior Genetics, 2011. Vol. 41, no. 5, pp. 641—650. DOI:10.1007/s10519-011-9466-1
  37. Wergeland G., Riise E., Öst L. Cognitive behavior therapy for internalizing disorders in children and adolescents in routine clinical care: A systematic review and meta-analysis. Clinical psychology review, 2020. Vol. 83, article ID 101918. 15 p. DOI:10.1016/J.CPR.2020.101918

Information About the Authors

Natalia V. Karpova, PhD in Psychology, Senior Research Fellow, Sirius University of Science and Technology, Federal territory "Sirius", Russia, ORCID: https://orcid.org/0000-0001-5505-4530, e-mail: karpova.nv@talantiuspeh.ru

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