Recent studies have suggested an association between birth order and p
sychopathology. However, the association remains unclear due to a lack
of consideration of the confounding effects of family size. At age se
ven years the family size and birth order of children from a large coh
ort of New Zealand children were examined in relation to parental help
seeking for behavioural and emotional problems, and the development o
f DSM-III (American Psychiatric Association, 1980) disorder in pre-ado
lescence and adolescence. Neither the child's gender, birth order nor
family size were associated with parental help seeking or the prevalen
ce of DSM-III disorder in pre-adolescence at age 11. In adolescence at
age 15, however, significantly more girls, first-borns and children f
rom small families had DSM-III disorder, but the interactions between
these factors were not significant. In particular, these associations
were found with internalizing disorders. The appropriateness of furthe
r studies of birth order in relation to psychopathology is discussed.