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The child behavior checklist dysregulation profile predicts adolescent DSM-5 pathological personality traits 4 years later

Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium, .
European Child & Adolescent Psychiatry (Impact Factor: 3.34). 02/2013; 22(7). DOI: 10.1007/s00787-013-0379-9
Source: PubMed

ABSTRACT

Emotional dysregulation in childhood has been associated with various forms of later psychopathology, although no studies have investigated the personality related adolescent outcomes associated with early emotional dysregulation. The present study uses a typological approach to examine how the child behavior checklist-dysregulation profile (CBCL-DP) predicts DSM-5 pathological personality traits (as measured with the personality inventory for the diagnostic and statistical manual of mental disorders 5 or PID-5 by Krueger et al. (Psychol Med 2012)) across a time span of 4 years in a sample of 243 children aged 8-14 years (57.2 % girls). The results showed that children assigned to the CBCL-DP class are at risk for elevated scores on a wide range of DSM-5 personality pathology features, including higher scores on hostility, risk taking, deceitfulness, callousness, grandiosity, irresponsibility, impulsivity and manipulativeness. These results are discussed in the context of identifying early manifestations of persistent regulation problems, because of their enduring impact on a child's personality development.

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Available from: Elien De Caluwé, Jan 08, 2014
    • "A longitudinal study including children with ADHD followedup to late adolescence indicated that a CBCL-DP score above 180 at baseline predicted impaired psychosocial functioning, a higher risk for psychiatric hospitalization, and diagnoses of conduct disorder, depression and bipolar disorder at the follow-up (Biederman et al., 2009). Furthermore, a study that used a typological approach to examine how the CBCL-DP in children predicted pathological personality traits across a time span of 4 years, showed that children with the CBCL-DP were at-risk for elevated scores on a wide range of personality pathological features, including higher scores on hostility, risk taking, deceitfulness, callousness, grandiosity , irresponsibility, impulsivity and manipulativeness (De Caluwè et al., 2013). These longitudinal studies suggest that mood and behavioral dysregulation in childhood, as assessed with the CBCL-DP, may be a putative predictor of future overall psychopathology and maladjustment , rather than rather than an early manifestation of a specific disorder (Ayer et al., 2009;Meyer et al., 2009;Diler et al., 2009). "
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    ABSTRACT: A Child Behavior Checklist (CBCL) profile defined as Dysregulation Profile (DP) (scores 2 standard deviations or more in anxiety/depression, aggression, attention subscales) has been correlated to poor emotional and behavioral self-regulation. The clinical meaning and the prognostic implications of CBCL-DP are still debated, although it seems associated with severe psychopathology and poor adjustment. In the present study, we used the CBCL-DP score to examine the adolescent outcomes (psychiatric diagnosis, substance use, psychiatric hospitalization) in 80 referred children with disruptive behavior disorders -DBD- (Oppositional Defiant Disorder or conduct disorder), aged 8-9 years, 72 males (90%) and 8 females (10%), followed-up until the age of 14-15 years. Children with higher score on the CBCL-DP profile were at increased risk for presenting ADHD and mood disorders in adolescence. While ADHD in adolescence was predicted also by an ADHD diagnosis during childhood, CBCL-DP score was the only significant predictor of a mood disorder at 14-15 years. On the contrary, CBCL-DP score was not associated with a higher risk of conduct disorder, substance use and hospitalizations in adolescence. A cost-effective and reliable diagnostic measure such as the CBCL may be a part of the diagnostic procedure aimed to capture these at-risk children, to monitor their natural history up to adolescence, and to prevent the risk of a full-blown mood disorder. The small sample size and a selection bias of severe patients with DBD limit the generalization of the findings. Copyright © 2015 Elsevier B.V. All rights reserved.
    No preview · Article · Jul 2015 · Journal of Affective Disorders
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    • "The greater severity is more clearly expressed by dimensional measures , such as the not AAA (Aggression, Anxiety–depression, Attention) CBCL scales, both internalizing and externalizing, and the personality traits, such as Narcissism and Impulsivity. These personality features may be related to a higher risk for subsequent personality disorders, antisocial or borderline, as reported in previous studies (De Caluwè et al., 2013). Our findings suggest that, as in ADHD (Biederman et al., 2012), in DBDs DESR and DP profiles are associated with a continuum in clinical severity. "
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    ABSTRACT: Two Child Behaviour Checklist (CBCL) profiles were correlated to poor self-regulation, Deficient Emotional Self-Regulation (DESR) (elevation between 1 and 2 Standard Deviations (SD) in Anxiety/Depression, Aggression, Attention subscales), and Dysregulation Profile (DP) (elevation of 2 Standard Deviations or more). We explored youths with Oppositional Defiant Disorder (ODD) and Conduct Disorder (CD) whether these profiles are associated with specific clinical features. The sample included 57 patients with DESR profile and 41 with DP profile, ages 9 to 15 years, all assigned to a non-pharmacological Multimodal Treatment Program. No differences resulted between groups in demographic features, diagnosis ratio, and comorbidities with Attention Deficit Hyperactivity Disorder (ADHD), Bipolar Disorder (BD), and Anxiety Disorder. The DP group was associated with higher scores in Withdrawn, Social Problem, Thought, Rule Breaking, and Somatic CBCL subscales, and higher scores in Narcissism and Impulsivity (but not Callous-Unemotional (CU)), according to the Antisocial Process Screening Device (APSD). After treatment, patients with DESR improved their personality traits (Narcissistic and Callous-Unemotional, but not Impulsivity), while changes in CBCL scales were modest. Patients with DP improved scales of Attention, Aggression, Anxiety-Depression, Rule Breaking, Withdrawal, Social Problem and Thought, while personality features did not change. These results suggest diagnostic implications of CBCL profiles, and indications for targeted treatment strategies. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
    Full-text · Article · Nov 2014 · Psychiatry Research
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    • "Enfin, les questions sur les comportements a ` risque et la somatisation ont e ´té tirées de l'expérience des enquêteurs et de la littérature, mais ne proviennent pas d'un questionnaire validé. Certains questionnaires validés, tel le Child Behavior Checklist, avec 115 items, ne sont e ´videmment pas adaptés au cadre des SAU [32]. En revanche, l'expérience de Fein et al. a ` Philadelphie (E ´ tats-Unis) a ` l'aide d'un auto-questionnaire informatisé, a montré que cette procédure pouvait augmenter a ` la fois l'acceptabilité et l'efficacité d'un dépistage chez les adolescents [33] "
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    ABSTRACT: Objectives The main objective of this study was to estimate the prevalence of psychological distress among adolescents seen in emergency departments, and the secondary objective was to highlight their main reasons for consulting. Methods Cross-sectional study in three multicenter emergency departments receiving adolescents in Île-de-France conducted in 2010. All adolescents completed a questionnaire including the ADRS (Adolescent Depression Rating Scale, a screening questionnaire for depression) and a series of questions relating to somatization and risk behaviors. Results The study included 346 adolescents, 320 of which were fully analyzed. The ADRS score was considered normal (score < 3) for 70.6 % of the sample (n = 226), 19.4 % of adolescents (n = 62) had moderate depressive symptoms (3 ≤ score < 6), and 10.0 % severe depressive symptoms (score ≥ 6) (n = 32). The majority of patients consulted for trauma and less than 10 % for acute psychiatric problems; 17 % of adolescents who came to the emergency department for a nonpsychiatric reason had an ADRS ≥ 3, i.e., with mental distress. Conclusion The routine use of a self-administered questionnaire in the emergency services could identify adolescents with moderate to severe depressive symptoms.
    Full-text · Article · Jun 2014 · Archives de Pédiatrie
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