Development of adjustment problems in girls: what syndromes emerge?

The development of a broad spectrum of adjustment problems in girls was studied longitudinally from late childhood to early adulthood. A specific interest concerned how well the externalizing-internalizing distinction could explain the data. The sample consisted of about 500 Swedish girls, reasonably representative of the general population. Variable-oriented methods were complemented with person-oriented methods to study syndrome formation at the level of the individual. The results suggested a rather diversified pattern of multi-problem syndromes in late childhood, whereas the syndrome structure in early adolescence was organized around a differentiation between girls with externalizing adjustment problems and girls with peer problems. An externalizing syndrome was found to be stable between late childhood and early adolescence, increasing the risk of severe maladjustment in adulthood. Internalizing problems showed no clear-cut continuity with adult maladjustment. Results are discussed in relation to the externalizing-internalizing distinction, which to some extent is called in question.