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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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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 |
format | Online Article Text |
id | pubmed-4107487 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
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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