Affective dysregulation: a transdiagnostic research concept between ADHD, aggressive behavior conditions and borderline personality traits

Waltereit, Robert; Giller, Franziska; Ehrlich, Stefan; Roessner, Veit

doi:10.1007/s00787-019-01438-x

Cited by 12 publications

(6 citation statements)

References 23 publications

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“…However, as opposed to irritability, the concepts of emotion dysregulation and AD generally include an irritable and an impulsive component [ 16 , 19 ]. Moreover, it is consensus that emotion (dys-)regulation primarily describes the process of coping with all kinds of emotional challenges whereas AD describes an emotional state that may result from emotion dysregulation [ 19 – 21 ]. Conversely, the expression of negative emotions may also be one of several dysfunctional coping processes [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Validation of a new emotion regulation self-report questionnaire for children

et al. 2022

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Objective To examine and validate the self-report Questionnaire on the Regulation of Unpleasant Moods in Children (FRUST), which is a modified and shortened version of the Questionnaire for the Assessment of Emotion Regulation in Children and Adolescents (FEEL-KJ). Methods The data comprised child and parent ratings of a community-screened sample with differing levels of affective dysregulation (AD) (N = 391, age: M = 10.64, SD = 1.33, 56% male). We conducted latent factor analyses to establish a factor structure. Subsequently, we assessed measurement invariance (MI) regarding age, gender, and AD level and evaluated the internal consistencies of the scales. Finally, we examined the convergent and divergent validity of the instrument by calculating differential correlations between the emotion regulation strategy (ERS) scales and self- and parent-report measures of psychopathology. Results A four-factor model, with one factor representing Dysfunctional Strategies and the three factors Distraction, Problem-Solving and Social Support representing functional strategies provided the best fit to our data and was straightforward to interpret. We found strong MI for age and gender and weak MI for AD level. Differential correlations with child and parent ratings of measures of psychopathology supported the construct validity of the factors. Conclusions We established a reliable and valid self-report measure for the assessment of ERS in children. Due to the reduced number of items and the inclusion of highly specific regulatory behaviors, the FRUST might be a valuable contribution to the assessment of ER strategies for diagnostic, therapeutic, and research purposes.

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Section: Introductionmentioning

confidence: 99%

Validation of a new emotion regulation self-report questionnaire for children

et al. 2022

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“…Affective dysregulation (AD) is characterized by persistent irritable mood and severe outbursts of temper, which are among the most common and challenging symptoms in child and adolescent psychiatry ( Baweja et al, 2016 ). In the literature, the terms AD and irritability are largely used as synonyms ( Döpfner et al, 2019 ; Giller et al, 2021 ; Waltereit et al, 2019 ). Children with AD or irritability are excessively angry and aggressive in response to negative emotional stimuli.…”

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confidence: 99%

“…Further established rating scales assessing emotion dysregulation include the Emotion Dysregulation Inventory ( Mazefsky et al, 2018 ) and the dysregulation profiles of the Strengths and Difficulties Questionnaire (SDQ-DP; Deutz et al, 2018 ) and of the Child Behaviour Checklist (CBCL-DP; Geeraerts et al, 2015 ). However, most existing instruments are not structured around the phenotype of AD, as they do not describe the full spectrum of irritability and temper outbursts or cover additional symptoms that rather capture other disorders ( McTate & Leffler, 2017 ; Waltereit et al, 2019 ). The development of focused screening and assessment tools to guide diagnosis and treatment for AD should be the focus of future research.…”

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The DADYS-Screen: Development and Evaluation of a Screening Tool for Affective Dysregulation in Children

et al. 2022

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Affective dysregulation (AD) in children is characterized by persistent irritability and severe temper outbursts. This study developed and evaluated a screening questionnaire for AD in children. The development included the generation of an initial item pool from existing instruments, a Delphi rating of experts, focus groups with experts and parents, and psychometric analyses of clinical and population-based samples. Based on data of a large community-based study, the final screening questionnaire was developed ( n = 771; 49.7 % female; age M = 10.02 years; SD = 1.34) and evaluated ( n = 8,974; 48.7 % female; age M = 10.00 years; SD = 1.38) with methods from classical test theory and item response theory. The developed DADYS-Screen ( Diagnostic Tool for Affective Dysregulation in Children— Screening Questionnaire) includes 12 items with good psychometric properties and scale characteristics including a good fit to a one-factorial model in comparison to the baseline model, although only a “mediocre” fit according to the root mean square error of approximation (RMSEA). Results could be confirmed using a second and larger data set. Overall, the DADYS-Screen is able to identify children with AD, although it needs further investigation using clinical data.

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“…Lastly, the questionnaires and interviews on disruptive behaviors from the Diagnostic System for Mental Disorders in children and adolescents according to ICD-10 and DSM-5 (in German language: Diagnostik-System für Psychische Störungen, DISYPS-III; [9] also include a DMDD subscale in its third version. These measures, though helpful, do not capture the full picture of AD [36].…”

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confidence: 99%

Screening for affective dysregulation in school-aged children: relationship with comprehensive measures of affective dysregulation and related mental disorders

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Döpfner

Ravens‐Sieberer

et al. 2023

Eur Child Adolesc Psychiatry

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Affective dysregulation (AD) is characterized by irritability, severe temper outbursts, anger, and unpredictable mood swings, and is typically classified as a transdiagnostic entity. A reliable and valid measure is needed to adequately identify children at risk of AD. This study sought to validate a parent-rated screening questionnaire, which is part of the comprehensive Diagnostic Tool for Affective Dysregulation in Children (DADYS-Screen), by analyzing relationships with comprehensive measures of AD and related mental disorders in a community sample of children with and without AD. The sample comprised 1114 children aged 8–12 years and their parents. We used clinical, parent, and child ratings for our analyses. Across all raters, the DADYS-Screen showed large correlations with comprehensive measures of AD. As expected, correlations were stronger for measures of externalizing symptoms than for measures of internalizing symptoms. Moreover, we found negative associations with emotion regulation strategies and health-related quality of life. In receiver operating characteristic (ROC) analyses, the DADYS-Screen adequately identified children with AD and provided an optimal cut-off. We conclude that the DADYS-Screen appears to be a reliable and valid measure to identify school-aged children at risk of AD.

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Affective dysregulation: a transdiagnostic research concept between ADHD, aggressive behavior conditions and borderline personality traits

Cited by 12 publications

References 23 publications

Validation of a new emotion regulation self-report questionnaire for children

Validation of a new emotion regulation self-report questionnaire for children

The DADYS-Screen: Development and Evaluation of a Screening Tool for Affective Dysregulation in Children

Screening for affective dysregulation in school-aged children: relationship with comprehensive measures of affective dysregulation and related mental disorders

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