Four-year follow-up of a sample of regulatory disordered infants

DeGangi, Georgia A.; Porges, Stephen W.; Sickel, Ruth Z.; Greenspan, Stanley I.

doi:10.1002/1097-0355(199324)14:4<330::aid-imhj2280140407>3.0.co;2-k

Cited by 91 publications

(65 citation statements)

References 19 publications

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“…Two major explanations have been suggested to understand how regulatory problems develop: a) neurodevelopmental vulnerabilities of the infant and b) maladaptive parenting [6]. The development of regulatory functions is dependent upon the maturation of the brain stem, which undergoes substantial changes after 33 weeks of gestation [7].…”

Section: Introductionmentioning

confidence: 99%

Development of comorbid crying, sleeping, feeding problems across infancy: Neurodevelopmental vulnerability and parenting

Bilgin

Wolke

2017

Early Human Development

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Background: Regulatory problems (excessive crying, feeding, and sleeping difficulties), specifically their comorbidity, are early warning signs of future problems. Insensitive parenting and neurodevelopmental vulnerabilities have been suggested as factors explaining development or maintenance of regulatory problems. Nevertheless, none of the previous studies investigated these factors within the same sample across infancy, taking into account the reciprocal influences between maternal sensitivity and regulatory problems.Aim: To investigate the prospective association between very preterm birth, comorbid regulatory problems and maternal sensitivity.Subjects: 178 participants including 73 very preterm/very low birth weight and 105 full-term infants and their caretakers.Study Design: A prospective study from birth to 18 months.Measures: Regulatory problems were measured at term, 3 months and 18 months with a structured parental interview. Maternal sensitivity was measured with a nurse observation at term; and a researcher observation of play tasks at 3 months and at 18 months.Results: Very preterm birth was associated with regulatory problems at term (β=0.19, SE= 0.10, p< 0.05) and at 18 months (β=0.21, SE= 0.10, p< 0.05), while it had no association to maternal sensitivity across infancy. There were no cross-lagged reciprocal effects between maternal sensitivity and regulatory problems across infancy. Maternal sensitivity at term had a negative association to regulatory problems at 3 months (β=-0.26, SE= 0.12, p< 0.05), but not from 3 to 18 months.Conclusions: Neurodevelopmental vulnerabilities provided more consistent prediction of regulatory problems in comparison to sensitive parenting.

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Section: Introductionmentioning

confidence: 99%

Development of comorbid crying, sleeping, feeding problems across infancy: Neurodevelopmental vulnerability and parenting

Bilgin

Wolke

2017

Early Human Development

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“…Since these studies focused on children with difficult temperament, we conducted a longitudinal study to investigate the long-term significance of fussy babies who were diagnosed as regulatory disordered at 8 to 11 months of age. These infants exhibited sleep disturbances, hyper-sensitivities to sensory stimulation, irritability and poor self-calming, and mood and state deregulation [27,28]. When we looked at group differences, we found that children initially identified as regulatory disordered differed significantly from their normal peers in perceptual, language, and general cognitive skills at four years of age.…”

Section: Outcomes Of Regulatory Disordered Infantsmentioning

confidence: 99%

Problems of Self-Regulation in Children: A Longitudinal Case Study of a Child from Infancy to Adulthood

DeGangi¹

2017

JPCPY

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Infants and children with problems of self-regulation are commonly seen in clinical practice. These are children with persistent problems in self-calming, mood regulation, feeding, sleep, and sensory hypersensitivities. The different types of regulatory disorders have been proposed to include children with hypersensitivities: fearful/cautious or negative and defiant type; under-reactive; and motorically disorganized. Preliminary studies conducted on infants and young children with moderate regulatory disorders suggest that most of these children have hypersensitivities and motor disorganization. They are also at risk for emotional and developmental disabilities as they develop over time. To date few studies have validated the different types of regulatory disorders and their impact on mental health and overall development. This paper reviews problems of self-regulation, the different types of regulatory disorders, and presents a detailed case of a child with the hypersensitive type of regulatory disorder spanning the course of infancy through early adulthood. The case description helps to provide validation of the proposed classification of the hypersensitive type of regulatory disorder, and also presents longitudinal data to support the evolution of symptoms in a child with moderate regulatory disorder from infancy to adulthood. Keywords: Regulatory disorders; Children; Mood dysregulationCitation: DeGangi GA (2017) Problems of Self-Regulation in Children: A Longitudinal Case Study of a Child from Infancy to Adulthood. J Psychol Clin Psychiatry 7(2): 00428.

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“…Longitudinal studies [7,8] have shown that 95 % of infants who exhibit moderate symptoms of Regulatory Disorders (RD, as defined in DC:0-3, 1994) within their first year of life were later diagnosed at the age of 3 with delays in motor, language, and cognitive development or relational disorders. Although few epidemiological studies have been conducted in Europe, a study conducted in the Danish population found that 7 % of 1.5-year-olds have RDSP symptoms [9].…”

Section: Introductionmentioning

confidence: 99%

“…Relatedly, several studies have noted the phenotypic similarities between RDSP and other diagnoses in toddlers [7,10,[13][14][15][16] such as anxiety [17] or other emotional problems [18], Autism Spectrum Disorders (ASD) [13] and other ''relationship-based diagnoses'' [19]. This similarity has led researchers to question whether RDSP symptoms can help to distinguish RDSP from the other psychiatric disorders that affect children [20,21].…”

Section: Introductionmentioning

confidence: 99%

The Role of Sensory Modulation Deficits and Behavioral Symptoms in a Diagnosis for Early Childhood

Pérez-Robles

Diéguez

Jané

et al. 2012

Child Psychiatry Hum Dev

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To contribute to the validation of the sensory and behavioral criteria for Regulation Disorders of Sensory Processing (RDSP) (DC:0-3R, 2005), this study examined a sample of toddlers in a clinical setting to analyze: (1) the severity of sensory modulation deficits and the behavioral symptoms of RDSP; (2) the associations between sensory and behavioral symptoms; and (3) the specific role of sensory modulation deficits in an RDSP diagnosis. Based on clinical observations, 78 toddlers were classified into two groups: toddlers with RDSP (N = 18) and those with ''other diagnoses in Axis I/II of the DC:0-3R'' (OD3R; N = 60). The parents completed the Infant Toddler Sensory Profile and the Achenbach Checklist. The results revealed that the RDSP group had more severe sensory modulation deficits and specific behavioral symptoms; stronger, although not significant, associations between most sensory and behavioral symptoms; and a significant sensory modulation deficit effect. These findings support the validity of RDSP.

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Four-year follow-up of a sample of regulatory disordered infants

Cited by 91 publications

References 19 publications

Development of comorbid crying, sleeping, feeding problems across infancy: Neurodevelopmental vulnerability and parenting

Development of comorbid crying, sleeping, feeding problems across infancy: Neurodevelopmental vulnerability and parenting

Problems of Self-Regulation in Children: A Longitudinal Case Study of a Child from Infancy to Adulthood

The Role of Sensory Modulation Deficits and Behavioral Symptoms in a Diagnosis for Early Childhood

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