220 research outputs found
Demystifying disruptive behaviour disorders
No full textA review of Oppositional Defiant Disorder and Conduct Disorder in Childhood by Walter Matthys & John E. Lochman Wiley-Blackwell; 201
Clinical usefulness of the kiddie-disruptive behavior disorder schedule in the diagnosis of DBD and ADHD in preschool children
No full textThe aim of the present study was to investigate the clinical usefulness of a semi-structured diagnostic parent interview, i.e., the Kiddie-Disruptive Behavior Disorder Schedule (K-DBDS), in preschool children. For Oppositional Defiant Disorder (ODD), to define symptoms two coding methods were compared, i.e., one based on the threshold "often" and the other based on the frequency of behaviors in combination with the presence of clinical concern. For Attention-Deficit/Hyperactivity Disorder (ADHD), to define symptoms, two coding methods were compared, i.e., one with and one without consideration of pervasiveness across contexts. Participants were referred preschool children with externalizing behavioral problems (N?=?193; 83% male) and typically developing (TD) children (N?=?58; 71% male). The referred children were given a diagnosis of either ODD/CD (N?=?39), or ADHD (N?=?58) or comorbid ODD/CD+ADHD (N?=?57) or no diagnosis (N?=?39) based on best-estimate diagnosis. Receiver Operating Characteristic curve analyses showed that a cutoff score of four ODD symptoms using "often" as the threshold for frequency of behaviors led to a sensitivity of 87% and a specificity of 93%; the coding method which included the frequency of behaviors yielded a sensitivity of 56% and a specificity of 100%. For ADHD, a clinical cutoff score of five symptoms without the pervasiveness criterion yielded a sensitivity of 83% and a specificity of 98%; when the pervasiveness criterion was included sensitivity was 77% and specificity 98%. In the clinical assessment of ODD and ADHD in preschool children, the K-DBDS may be used with ODD symptom definition based on the threshold "often" and ADHD pervasiveness across contexts not included
Moral Thinking and Empathy in Cognitive Behavioral Therapy for Children and Adolescents with Conduct Problems: A Narrative Review
No full textCognitive behavioral therapy (CBT) for conduct problems in children and adolescents aims to decrease behaviors which may be considered moral transgressions (e.g., aggressive and antisocial behavior) and to increase behaviors that benefit others (e.g., helping, comforting). However, the moral aspects underlying these behaviors have received relatively little attention. In view of increasing the effectiveness of CBT for conduct problems, insights into morality and empathy based on studies from developmental psychology and cognitive neuroscience are reviewed and integrated into a previously proposed model of social problem-solving (Matthys & Schutter, Clin Child Fam Psychol Rev 25:552–572, 2022). Specifically, this narrative review discusses developmental psychology studies on normative beliefs in support of aggression and antisocial behavior, clarification of goals, and empathy. These studies are complemented by cognitive neuroscience research on harm perception and moral thinking, harm perception and empathy, others’ beliefs and intentions, and response outcome learning and decision-making. A functional integration of moral thinking and empathy into social problem-solving in group CBT may contribute to the acceptance of morality-related issues by children and adolescents with conduct problems
Clinical usefulness of observational assessment in the diagnosis of DBD and ADHD in preschoolers
No full textThe aim of the present study was to investigate the clinical usefulness of an observational tool--the Disruptive Behavior Diagnostic Observation Schedule (DB-DOS)--in the diagnosis of disruptive behavior disorders (DBD) and attention deficit/hyperactivity disorder (ADHD) in preschoolers. We hypothesized that the DB-DOS may help support the presumption of a diagnosis generated by the information from parents and teachers (or other caregivers). Participants were referred preschool children with externalizing behavioral problems (N = 193; 83% male) and typically developing children (N = 58; 71% male). In view of the clinical validity study each child was given a diagnosis of either DBD (N = 40), or ADHD (N = 54) or comorbid (DBD + ADHD; N = 66) based on best-estimate diagnosis. The DB-DOS demonstrated good interrater and test-retest reliability for DBD and ADHD symptom scores. Confirmatory factor analysis demonstrated an excellent fit of the DB-DOS multidomain model of DBD symptom scores and a satisfactory fit of ADHD symptom scores. The DB-DOS demonstrated good convergent validity, moderate divergent validity, and good clinical validity on a diagnostic group level for DBD and ADHD symptom scores. The Receiver Operating Characteristic curve analyses revealed that for DBD the sensitivity and specificity are moderate and for ADHD good to excellent. The presumption of a diagnosis based on information from parents, teachers, and cognitive assessment was supported by the DB-DOS in 60% for DBD and 75% for ADHD. The DB-DOS can be used to help support a presumption of a DBD and/or ADHD diagnosis in preschool children
Genetic and Gene-Environment Influences on Disruptive Behavior Disorders
No full textThis chapter first provides an overview of the influences on the manifestation of disruptive behavior disorders (DBDs) in children and adolescents, with a focus on conduct disorder (CD) and oppositional defiant disorder (ODD). Next, it reviews molecular genetic approaches—including candidate gene (hypothesis‐driven) and genome‐wide (hypothesis‐free) studies. The chapter further examines studies of gene‐environment (G×E) interplay. G×E interactions occur when an environmental influence on a trait or phenotype is dependent on an individual's genotype, or when an individual's genetic predispositions are expressed differently under distinct environmental conditions. Theoretical underpinnings of G×E have most often been articulated within the diathesis‐stress model, whereby genetic vulnerability (or diathesis) for phenotype is activated or exacerbated in the presence of certain environmental stressors. The chapter closes with a discussion on current challenges and proposes some key ways to move the area forward in the future
Related Personality Disorders Located within an Elaborated Externalizing Psychopathology Spectrum
No full textThis chapter focuses on four adult personality disorders (PDs), which all display differential symptom manifestations that are relevant to disruptive problems affecting childhood behavior. These disorders are antisocial PD/psychopathy, borderline PD, narcissistic PD, and paranoid PD. At least four of the DSM-5 PDs are to various degrees related to the externalizing spectrum of psychopathology, which can be reliably identified in both children and adults. The chapter considers that the formal model for personality disorders in the DSM-5 is flawed, and examining contemporary personality trait models (e.g., as presented in DSM-5 Section III) moves the field in a more productive direction for integrating child and adult behavioral pathologies. The DSM-5 Section III personality trait model appears to be a promising one within which to consider externalizing from a trait perspective. Both cross-sectional and longitudinal studies have already investigated associations between DSM-5 Section III trait dimensions and different externalizing problems.Peer-reviewe
Commentary: Cognitive stimulation and executive functions in the prevention and treatment of childhood disorders – reflection on Phillips et al., 2023
No full textThe study by Phillips et al. (Journal of Child Psychology and Psychiatry, 2023) shows that preschool executive functions (EF) are a transdiagnostic mechanism through which deprivation increases the risk for psychopathology in adolescence. In addition, deprivation appeared to be a key mechanism through which economic adversity (i.e., lower income-to-needs ratio and maternal education) undermines EF and increases the risk for psychopathology in adolescence. In this commentary, implications for early prevention and treatment of childhood disorders are discussed. In view of optimal EF development attention is needed to cognitive and social stimulation both in: (a) selective prevention targeting preschool children at high risk for childhood disorders due to low socioeconomic status; (b) indicated prevention targeting preschool children with minimal but detectable symptoms from low socioeconomic status families; and (c) treatment targeting preschool children with a clinical disorder from low socioeconomic status families
Influence of curing conditions on alkali-activated mortars intended for concrete repair
No full textRepair mortars are costly materials with high level of Portland cement and various additives which questions their eco-efficiency. In this respect, cement free material solutions such as alkali-activated mortars based on ground granulated blast furnace slag (BFS) are gaining interest for structural repair. The aim of this research is to study blast furnace slag as a precursor for producing ambient cured alkali-activated repair mortars. To achieve this purpose, a total of four mixtures were prepared using four different molar ratios of the silicate solution. The fresh and hardened properties of the produced mortars including flow retention, dry density, compressive and flexural strength are studied comparing ambient-cured and sealedcured specimens. Furthermore, the tensile bond strength between the repair mortars and a grit blasted concrete substrate was verified (after 7 days sealed + 21 days ambient curing). The results demonstrate, for the tested configurations, the feasibility of the alkali-activated repair mortar, including a good adherence. Given the limited scope of the tests, more work is needed to confirm the observations further
Foods contributing to vitamin B-6, folate, and vitamin B-12 intakes and biomarkers status in European adolescents: The HELENA study
No full textPURPOSE: To examine the association between food groups consumption and vitamin B6, folate and B12 intakes and biomarkers in adolescents. METHODS: In total 2189 individuals participating in the cross-sectional Healthy Lifestyle in Europe by Nutrition in Adolescence study met the eligibility criteria for analysis of dietary intakes (46 % males) and 632 for biomarker analysis (47 % males). Food intakes were assessed by two non-consecutive 24-h recalls. Biomarkers were measured by chromatography and immunoassay. Food groups which best discriminated participants in the extreme tertiles of the distribution of vitamins were identified by discriminant analyses. Food groups with standardised canonical coefficients higher or equal to 0.3 were selected as valid discriminators of vitamins intake and biomarkers extreme tertiles. Linear mixed model elucidated the association between food groups and vitamins intakes and biomarkers. RESULTS: Vitamin B6 intakes and biomarkers were best discriminated by meat (males and females), margarine and mixed origin lipids only in males and breakfast cereals (females). Breakfast cereals (males), and fruits, margarine and mixed origin lipids, vegetables excluding potatoes, breakfast cereals, and soups/bouillon (females) determined the most folate intakes and biomarkers. Considering vitamin B12 intakes and biomarkers, meat, and white and butter milk (males and females), snacks (males), and dairy products (females) best discriminated individual in the extremes of the distribution. Fewer associations were obtained with mixed model for biomarkers than for vitamins intakes with food groups. CONCLUSIONS: Whereas B-vitamin intakes were associated with their food sources, biomarkers did with overall food consumption. Low-nutrient-density foods may compromise adolescents' vitamin status.sponsorship: HELENA study received funding from the European Union's Sixth RTD Framework Programme (Contract FOODCT-2005-007034). Additional support from the Spanish Ministry of Education (AGL2007-29784-E/ALI), Axis-Shield Diagnostics Ltd (Oslo, Norway), Abbot Cientifica S.A. (Spain). The first author was financially supported by EURRECA-Network of Excellence-. This analysis was also supported by the Spanish Ministry of Science and Innovation (JCT-2010-07055) with the contribution of the European Regional Development Fund (FEDER). The authors would like to acknowledge all the adolescents who made possible the HELENA study with their participation. Many thanks to Petra Pickert, Rosa Torres and Ulrike Albers for their contribution to laboratory work. (European Union|FOODCT-2005-007034, Spanish Ministry of Education|AGL2007-29784-E/ALI, Axis-Shield Diagnostics Ltd (Oslo, Norway), Abbot Cientifica S.A. (Spain), EURRECA-Network of Excellence-, Spanish Ministry of Science and Innovation|JCT-2010-07055)status: Publishe
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