Assessment and Diagnostic Classification Using DC:0-5 in Early Childhood Mental Health Clinics: The Protocol for the Developmental Psychiatry Diagnostic Challenges Study (DePsy)

Bödeker, Katja; Watrin-Avino, Laura M.; Martin, Annick; Schlensog-Schuster, Franziska; Janssen, Marius; Friese, Lennart; Licata-Dandel, Maria; Mall, Volker; Teich-Bělohradský, Juliane; Izat, Yonca; Correll, Christoph U.; Möhler, Eva; Paulus, Frank W.

doi:10.3390/children10111770

Cited by 3 publications

(2 citation statements)

References 72 publications

(89 reference statements)

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“…A next step would then be to include corresponding age-appropriate criteria in the DC:0–5 ( 112 ). [The Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (DC:0–5) is a multiaxial classification system for mental disorders in early childhood providing a framework for standardizing clinical practice and research ( 113 )].…”

Section: Discussionmentioning

confidence: 99%

Familial context influences media usage in 0- to 4-year old children

Paulus,

Joas,

Friedmann

et al. 2024

Front. Public Health

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BackgroundThe use of digital media (e.g., smartphones, tablets, etc.) and the Internet have become omnipresent for every age group and are part of children’s and parents’ everyday life. Focusing on young children, the availability of media devices, their use as well as associated problems (e.g., in social, emotional and motor development) have increased in recent years. Of particular interest for prevention of these problems in early childhood is the relationship between the familial context (parental digital media use, Problematic Internet Use, school graduation, presence of siblings) and the digital media use of infants and toddlers. The present study’s goal was to describe media usage in 0–4-year-old children and to identify the potential relationship between familial context factors and child media usage.MethodsThe sample included N = 3,035 children aged 0 to 3;11 years (M = 17.37 months, SD = 13.68; 49.13% female). Recruitment took place within the framework of a restandardization study for a German developmental test. The parents of the participants answered a questionnaire on socio-demographics, on child media use, and on parental media use. Questions on parental media use included the full version of the Short Compulsive Internet Use Scale (S-CIUS).ResultsSignificant increases in media usage times with child age were identified, but no significant gender differences. A multiple regression analysis revealed that increasing maternal total media usage time, a higher parental S-CIUS score, lower school leaving certificate of both mother and father, and increasing child’s age led to higher child media usage time. Having siblings diminished young children’s media usage in this study. Having more than one child and having children aged over a year was associated with a higher parental S-CIUS score.ConclusionFamily factors such as maternal media use time, Problematic Internet Use and lower school graduation are significantly associated with young children’s digital media use. Parents should be aware of their personal influence on their children’s media use which might be due their role in terms of model learning.

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Section: Discussionmentioning

confidence: 99%

Familial context influences media usage in 0- to 4-year old children

Paulus,

Joas,

Friedmann

et al. 2024

Front. Public Health

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“…In community samples, between 0.8% and 9% of all children and adolescents fulfill the diagnostic criteria for DMDD [ 8 , 9 ], with lower rates in clinical ratings and higher rates in parent ratings. Furthermore, symptoms of AD in early childhood can be categorized under the disorder of dysregulated anger and aggression of early childhood based on the second revision of the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (DC:0–5; [ 10 ]) from the age of 24 months onwards [ 11 ]. In the 11th revision of the International Classification of Diseases (ICD-11; [ 12 ]), AD is considered a diagnostic specifier of oppositional defiant disorder (ODD).…”

Section: Introductionmentioning

confidence: 99%

Assessment of affective dysregulation in children: development and evaluation of a semi-structured interview for parents and for children

Treier,

Labarga,

Ginsberg

et al. 2024

Child Adolesc Psychiatry Ment Health

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Background Children with affective dysregulation (AD) show an excessive reactivity to emotionally positive or negative stimuli, typically manifesting in chronic irritability, severe temper tantrums, and sudden mood swings. AD shows a large overlap with externalizing and internalizing disorders. Given its transdiagnostic nature, AD cannot be reliably and validly captured only by diagnostic categories such as disruptive mood dysregulation disorder (DMDD). Therefore, this study aimed to evaluate two semi-structured clinical interviews—one for parents and one for children. Methods Both interviews were developed based on existing measures that capture particular aspects of AD. We analyzed internal consistencies and interrater agreement to evaluate their reliability. Furthermore, we analyzed factor loadings in an exploratory factor analysis, differences in interview scores between children with and without co-occurring internalizing and externalizing disorders, and associations with other measures of AD and of AD-related constructs. The evaluation was performed in a screened community sample of children aged 8–12 years (n = 445). Interrater reliability was additionally analyzed in an outpatient sample of children aged 8–12 years (n = 27). Results Overall, internal consistency was acceptable to good. In both samples, we found moderate to excellent interrater reliability on a dimensional level. Interrater agreement for the dichotomous diagnosis DMDD was substantial to perfect. In the exploratory factor analysis, almost all factor loadings were acceptable. Children with a diagnosis of disruptive disorder, attention-deficit/hyperactivity disorder, or any disorder (disruptive disorder, attention-deficit/hyperactivity disorder, and depressive disorder) showed higher scores on the DADYS interviews than children without these disorders. The correlation analyses revealed the strongest associations with other measures of AD and measures of AD-specific functional impairment. Moreover, we found moderate to very large associations with internalizing and externalizing symptoms and moderate to large associations with emotion regulation strategies and health-related quality of life. Conclusions The analyses of internal consistency and interrater agreement support the reliability of both clinical interviews. Furthermore, exploratory factor analysis, discriminant analyses, and correlation analyses support the interviews’ factorial, discriminant, concurrent, convergent, and divergent validity. The interviews might thus contribute to the reliable and valid identification of children with AD and the assessment of treatment responses. Trial registration ADOPT Online: German Clinical Trials Register (DRKS) DRKS00014963. Registered 27 June 2018.

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Übersichtsarbeiten / Review Articles. Entwicklungs-, Verhaltens- und emotionale Störungen mit Beginn in der Kindheit und Jugend – Änderungen und Umsetzung in der ICD-11 sowie ein Vergleich zur DC:0-5 / Developmental, Behavioral and Emotional Disorders with Onset in Childhood and Adolescence – Changes and Implementation in ICD-11and a Comparison to the DC:0-5

Taferner,

Jahnke-Majorkovits,

Sevecke

2024

Praxis der Kinderpsychologie und Kinderpsychiatrie

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Assessment and Diagnostic Classification Using DC:0-5 in Early Childhood Mental Health Clinics: The Protocol for the Developmental Psychiatry Diagnostic Challenges Study (DePsy)

Cited by 3 publications

References 72 publications

Familial context influences media usage in 0- to 4-year old children

Familial context influences media usage in 0- to 4-year old children

Assessment of affective dysregulation in children: development and evaluation of a semi-structured interview for parents and for children

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