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Severe affective and behavioural dysregulation is associated with significant psychosocial adversity and impairment
Author(s) -
Jucksch Viola,
SalbachAndrae Harriet,
Lenz Klaus,
Goth Kirstin,
Döpfner Manfred,
Poustka Fritz,
Freitag Christine M.,
Lehmkuhl Gerd,
Lehmkuhl Ulrike,
Holtmann Martin
Publication year - 2011
Publication title -
journal of child psychology and psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.652
H-Index - 211
eISSN - 1469-7610
pISSN - 0021-9630
DOI - 10.1111/j.1469-7610.2010.02322.x
Subject(s) - cbcl , psychosocial , child behavior checklist , psychology , clinical psychology , psychiatry
Background: Recently, a highly heritable behavioral phenotype of simultaneous deviance on the Anxious/Depressed, Attention Problems, and Aggressive Behavior syndrome scales has been identified on the Child Behavior Checklist (CBCL–Dysregulation Profile, CBCL‐DP). This study aims to investigate psychosocial adversity and impairment of the CBCL‐DP. Methods: A total of 9024 patients aged 4–18 years were assessed using the CBCL, and the axes V and VI of ICD‐10. Results: ANOVA revealed significant differences regarding psychosocial adversity and impairment between patients with CBCL‐DP phenotype and the clinical control group, patients with attention problems, and patients with attention problems and additional anxious/depressed symptoms as assessed by the CBCL. Patients with CBCL‐DP showed significant psychosocial adversity and impairment. However, in most cases patients with aggressive behavior showed equal psychosocial adversity as patients with CBCL‐DP. Conclusions: Findings suggest the CBCL‐DP phenotype to be associated with significant psychosocial adversity and impairment either as a cause or an effect of the syndrome. Clinicians should carefully address psychosocial adversity and impairment with particular attention to the adversity and impairment of adolescents with CBCL‐DP.