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Disturbances in attachment: inhibited and disinhibited symptoms in foster children

BACKGROUND: Previous DSM-versions recognized an inhibited and a disinhibited subtype of the Reactive Attachment Disorder (RAD). The current DSM-5 distinguishes two different disorders, instead of two subtypes of RAD. This study examined whether a split-up of the subtypes is valid. METHOD: In 126 fos...

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Autores principales: Jonkman, Caroline S, Oosterman, Mirjam, Schuengel, Carlo, Bolle, Eva A, Boer, Frits, Lindauer, Ramon JL
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4107487/
https://www.ncbi.nlm.nih.gov/pubmed/25057289
http://dx.doi.org/10.1186/1753-2000-8-21
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author Jonkman, Caroline S
Oosterman, Mirjam
Schuengel, Carlo
Bolle, Eva A
Boer, Frits
Lindauer, Ramon JL
author_facet Jonkman, Caroline S
Oosterman, Mirjam
Schuengel, Carlo
Bolle, Eva A
Boer, Frits
Lindauer, Ramon JL
author_sort Jonkman, Caroline S
collection PubMed
description BACKGROUND: Previous DSM-versions recognized an inhibited and a disinhibited subtype of the Reactive Attachment Disorder (RAD). The current DSM-5 distinguishes two different disorders, instead of two subtypes of RAD. This study examined whether a split-up of the subtypes is valid. METHOD: In 126 foster children, attachment disorder symptoms were assessed with the Disturbances of Attachment Interview. Forms of pathogenic care were identified based on dossier analyses. Associations between symptoms of attachment disorder with internalizing and externalizing problems (Child Behavior Checklist and Teacher Report Form) were examined. RESULTS: Omnibus tests showed no significant association between type of symptoms and type of pathogenic care. Exploratory analyses did reveal an univariate association between disinhibited symptoms and history of physical abuse. Disinhibited symptoms were associated with more internalizing and externalizing problems (d’s < 0.50). CONCLUSION: The distinction of inhibited and disinhibited subtypes of RAD seems valid regarding their emotional and behavioral correlations. Whereas inhibited symptoms lack a correlation, disinhibited symptoms seem to have an externalizing and internalizing correlation. TRIAL REGISTRATION: NTR1747
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spelling pubmed-41074872014-07-24 Disturbances in attachment: inhibited and disinhibited symptoms in foster children Jonkman, Caroline S Oosterman, Mirjam Schuengel, Carlo Bolle, Eva A Boer, Frits Lindauer, Ramon JL Child Adolesc Psychiatry Ment Health Research BACKGROUND: Previous DSM-versions recognized an inhibited and a disinhibited subtype of the Reactive Attachment Disorder (RAD). The current DSM-5 distinguishes two different disorders, instead of two subtypes of RAD. This study examined whether a split-up of the subtypes is valid. METHOD: In 126 foster children, attachment disorder symptoms were assessed with the Disturbances of Attachment Interview. Forms of pathogenic care were identified based on dossier analyses. Associations between symptoms of attachment disorder with internalizing and externalizing problems (Child Behavior Checklist and Teacher Report Form) were examined. RESULTS: Omnibus tests showed no significant association between type of symptoms and type of pathogenic care. Exploratory analyses did reveal an univariate association between disinhibited symptoms and history of physical abuse. Disinhibited symptoms were associated with more internalizing and externalizing problems (d’s < 0.50). CONCLUSION: The distinction of inhibited and disinhibited subtypes of RAD seems valid regarding their emotional and behavioral correlations. Whereas inhibited symptoms lack a correlation, disinhibited symptoms seem to have an externalizing and internalizing correlation. TRIAL REGISTRATION: NTR1747 BioMed Central 2014-07-15 /pmc/articles/PMC4107487/ /pubmed/25057289 http://dx.doi.org/10.1186/1753-2000-8-21 Text en Copyright © 2014 Jonkman et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Jonkman, Caroline S
Oosterman, Mirjam
Schuengel, Carlo
Bolle, Eva A
Boer, Frits
Lindauer, Ramon JL
Disturbances in attachment: inhibited and disinhibited symptoms in foster children
title Disturbances in attachment: inhibited and disinhibited symptoms in foster children
title_full Disturbances in attachment: inhibited and disinhibited symptoms in foster children
title_fullStr Disturbances in attachment: inhibited and disinhibited symptoms in foster children
title_full_unstemmed Disturbances in attachment: inhibited and disinhibited symptoms in foster children
title_short Disturbances in attachment: inhibited and disinhibited symptoms in foster children
title_sort disturbances in attachment: inhibited and disinhibited symptoms in foster children
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4107487/
https://www.ncbi.nlm.nih.gov/pubmed/25057289
http://dx.doi.org/10.1186/1753-2000-8-21
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