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Clinical utility of the CBCL Dysregulation Profile in children with disruptive behavior

Aitken, Madison ; Battaglia, Marco ; Marino, Cecilia ; Mahendran, Nivethine ; Andrade, Brendan F.

Journal of affective disorders, 2019-06, Vol.253, p.87-95 [Periódico revisado por pares]

Netherlands: Elsevier B.V

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  • Título:
    Clinical utility of the CBCL Dysregulation Profile in children with disruptive behavior
  • Autor: Aitken, Madison ; Battaglia, Marco ; Marino, Cecilia ; Mahendran, Nivethine ; Andrade, Brendan F.
  • Assuntos: Attention Deficit and Disruptive Behavior Disorders - diagnosis ; Attention Deficit and Disruptive Behavior Disorders - epidemiology ; Attention Deficit and Disruptive Behavior Disorders - psychology ; Checklist - standards ; Child ; Child Behavior Checklist ; Child, Preschool ; Cross-Sectional Studies ; Disruptive behavior disorders ; Dysregulation profile ; Female ; Humans ; Male ; Parents ; Prevalence ; Problem Behavior ; Psychiatric Status Rating Scales - standards ; Reproducibility of Results ; Sex Factors
  • É parte de: Journal of affective disorders, 2019-06, Vol.253, p.87-95
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
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    ObjectType-Undefined-3
  • Descrição: •Elevated Dysregulation Profile scores are common among children with disruptive behavior.•Definitions of the Dysregulation Profile affect prevalence rates and gender differences.•The Dysregulation Profile identifies impaired, symptomatic children with disruptive behavior.•Situation & informant factors may influence the Dysregulation Profile and associated impairment. Children who are severely dysregulated experience a range of concurrent and long-term impairments and psychopathology and are particularly at-risk for mood and anxiety disorders. The Child Behavior Checklist Dysregulation Profile (CBCL-DP) may be useful in identifying children who are highly dysregulated, which could facilitate early intervention. We examined the prevalence, gender differences, parent-teacher agreement, and concurrent validity of two categorical definitions of the CBCL-DP in 348 children ages 6–12 who were clinic-referred for assessment and treatment because of disruptive behavior. Rates of the CBCL-DP were 3 times higher when a less stringent versus a more stringent definition of the CBCL-DP was used (46.8% vs. 15.2%). Girls were more likely than boys to meet criteria for the CBCL-DP when the more stringent definition was used. Parent-teacher agreement was low, particularly when the more stringent definition of the CBCL-DP was used. Children with the CBCL-DP were rated by their parents, but not their teachers, as more impaired than other children, regardless of the definition of the CBCL-DP used, and even when compared to children with clinically elevated scores on other CBCL subscales. Our cross-sectional data did not allow us to examine the predictive validity of the CBCL-DP, informant effects may have inflated associations between CBCL-DP and parent-rated impairment, and teacher ratings were missing for many children. Our findings support other reports that provide evidence that the CBCL-DP may identify a particularly symptomatic and impaired group of children with disruptive behavior, as rated by their parents.
  • Editor: Netherlands: Elsevier B.V
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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