Do ADHD Children With and Without Child Behavior Checklist–Dysregulation Profile Have Different Clinical Characteristics, Cognitive Features, and Treatment Outcomes?

Peyre, Hugo; Speranza, Mario; Cortese, Samuele; Wohl, M.; Purper-Ouakil, Diane

doi:10.1177/1087054712452135

Cited by 35 publications

(26 citation statements)

References 44 publications

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“…Since this is the first attempt to unveil the relation between aggression and character maturity in a male violent offender sample the need for replication in other offender samples is pressing. There is, however, support for a relation between the character dimension of low Self-Directedness and anger from studies on subjects with an anger syndrome (39), and with attempted suicide (40), while aggressive behavior have been related to low Self-Directedness in children with Child Behavior Checklist-Dysregulation (41). These results, taken together with ours, add to the picture of character maturity as a vital psychological construct of importance for the experience of anger and aggression and the ability to control and regulate aggressive reactions.…”

Section: Discussionmentioning

confidence: 99%

Aggressive Antisocial Behaviors Are Related to Character Maturity in Young Swedish Violent Offenders Independent of ADHD

et al. 2016

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BackgroundAntisocial personality and psychopathic traits have constantly been found to accompany criminal and aggressive behaviors, but little attention has been given to aspects of character maturity and its relation to such behaviors. The present study investigated (1) whether level of character maturity (low, medium, and high) is associated with amount of aggressive antisocial behaviors (AABs) and psychopathic traits in young men imprisoned for violent criminality, and (2) whether such an association is independent of coexisting attention-deficit hyperactivity disorder (ADHD).MethodsSwedish males (N = 270, aged 18–25) sentenced to prison for violent and/or sexual criminality in the western region of the Swedish Prison and Probation Service underwent a thorough clinical examination during their incarceration. Data on character maturity, as measured by the character dimensions Self-Directedness and Cooperativeness of the Temperament and Character Inventory, were available for n = 148 subjects and were used to divide these offenders into three groups with low, medium, and high character maturity. These groups were then compared for variables reflecting criminal history, a DSM-IV diagnosis of ADHD, conduct disorder (CD) and substance use disorders (SUD), aggressive behaviors, and psychopathic traits.ResultsCharacter maturity was consistently associated with less AABs and psychopathic personality traits; the group with the highest character maturity showed: (i) a later age at onset of criminality, (ii) a smaller number of prior violent criminal acts, (iii) lower prevalence of ADHD, CD, and SUD, (iv) less self-rated and expert-rated aggressive behaviors, and (v) less psychopathic traits. The association between character maturity and aggressive behaviors/psychopathic personality traits remained even when ADHD was controlled for. The only exception was sexual criminality, where the group with the highest character maturity contained the largest amount of sexual offenders.ConclusionHigher character maturity appeared to be a protective factor among young male violent offenders, associated with less AABs, suggesting that character maturity is a promising target for treatment interventions for this group of individuals.

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Section: Discussionmentioning

confidence: 99%

Aggressive Antisocial Behaviors Are Related to Character Maturity in Young Swedish Violent Offenders Independent of ADHD

et al. 2016

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“…() demonstrated lower aggression and emotional dysregulation scores on the CBCL in 8–12‐year‐old children with Disruptive Behavior Disorders (DBD) and ADHD. Peyre, Speranza, Cortese, Wohl, and Purper‐Ouakil () noted in their sample that the Child Behavior Checklist – Dysregulation Profile was not associated with a poorer response of ADHD symptoms to MPH or to increased adverse effects. An additional clinical study of the effect of MPH on emotional dysregulation among 7–13‐year‐old children with ADHD + ODD or conduct disorder showed that treatment with MPH over 1 year was effective in improving emotional dysregulation symptoms significantly, independent of both the positive effects from a parent behavior management program and the degree of improvement in the children's ADHD symptoms (Kutlu, Akyol, & Ercan, ).…”

Section: Effects Of Adhd Treatments On Emotional Dysregulationmentioning

confidence: 96%

Practitioner Review: Emotional dysregulation in attention‐deficit/hyperactivity disorder – implications for clinical recognition and intervention

Faraone

Rostain

Blader

et al. 2018

Child Psychology Psychiatry

267

225

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Emotional symptoms in ADHD cause clinically significant impairments. Although there is a solid theoretical rationale for considering EI and DESR to be core symptoms of ADHD, there is no consensus about how to define these constructs sin a manner that would be specific to the disorder. An instrument to measure EI and DESR which demarcates them from irritability and other emotional symptoms could improve the accuracy of diagnostic criteria for ADHD.

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“…In addition, some studies focused on the neurocognitive implications of co-occurring high levels of internalising and externalising symptoms, for instance in children with ADHD with comorbid internalising symptoms. These studies show inconsistent results, that vary between better test performance [21], no difference [22], to worse performance in tasks of attention, response inhibition and working memory [23] than children with ADHD only.…”

Section: Introductionmentioning

confidence: 99%

Cognitive functioning in children with internalising, externalising and dysregulation problems: a population-based study

Blanken

White

Mous

et al. 2016

Eur Child Adolesc Psychiatry

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Psychiatric symptoms in childhood are closely related to neurocognitive deficits. However, it is unclear whether internalising and externalising symptoms are associated with general or distinct cognitive problems. We examined the relation between different types of psychiatric symptoms and neurocognitive functioning in a population-based sample of 1177 school-aged children. Internalising and externalising behaviour was studied both continuously and categorically. For continuous, variable-centred analyses, broadband scores of internalising and externalising symptoms were used. However, these measures are strongly correlated, which may prevent identification of distinct cognitive patterns. To distinguish groups of children with relatively homogeneous symptom patterns, a latent profile analysis of symptoms at age 6 yielded four exclusive groups of children: a class of children with predominantly internalising symptoms, a class with externalising symptoms, a class with co-occurring internalising and externalising symptoms, that resembles the CBCL dysregulation profile and a class with no problems. Five domains of neurocognitive ability were tested: attention/executive functioning, language, memory and learning, sensorimotor functioning, and visuospatial processing. Consistently, these two different modelling approaches demonstrated that children with internalising and externalising symptoms show distinct cognitive profiles. Children with more externalising symptoms performed lower in the attention/executive functioning domain, while children with more internalising symptoms showed impairment in verbal fluency and memory. In the most severely affected class of children with internalising and externalising symptoms, we found specific impairment in the sensorimotor domain. This study illustrates the specific interrelation of internalising and externalising symptoms and cognition in young children.Electronic supplementary materialThe online version of this article (doi:10.1007/s00787-016-0903-9) contains supplementary material, which is available to authorized users.

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Do ADHD Children With and Without Child Behavior Checklist–Dysregulation Profile Have Different Clinical Characteristics, Cognitive Features, and Treatment Outcomes?

Cited by 35 publications

References 44 publications

Aggressive Antisocial Behaviors Are Related to Character Maturity in Young Swedish Violent Offenders Independent of ADHD

Aggressive Antisocial Behaviors Are Related to Character Maturity in Young Swedish Violent Offenders Independent of ADHD

Practitioner Review: Emotional dysregulation in attention‐deficit/hyperactivity disorder – implications for clinical recognition and intervention

Cognitive functioning in children with internalising, externalising and dysregulation problems: a population-based study

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