2019
DOI: 10.1007/s00787-019-01456-9
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Validity of reactive attachment disorder and disinhibited social engagement disorder in adolescence

Abstract: Although reactive attachment disorder (RAD) and disinhibited social engagement disorder (DSED) are acknowledged as valid disorders in young children, controversy remains regarding their validity in adolescence. An unresolved question is whether symptoms of RAD and DSED are better conceptualized as other psychiatric disorders at this age. All adolescents (N = 381; 67% consent; 12-20 years old) living in residential youth care in Norway were interviewed to determine the symptoms and diagnosis of RAD/DSED and oth… Show more

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Cited by 13 publications
(15 citation statements)
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“…In any case, the findings demonstrate high levels of comorbidity and additional psychosocial burdens for adolescents with RAD and DSED in RYC settings. Of note, even though most adolescents with RAD or DSED qualified for at least one additional psychiatric disorder, no single diagnostic category was present in more than half of those with RAD or DSED, and only a minority of adolescents with the other disorders had comorbid RAD or DSED, supporting previous findings of the discriminant validity of RAD and DSED in adolescence [21].…”
Section: Discussionsupporting
confidence: 81%
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“…In any case, the findings demonstrate high levels of comorbidity and additional psychosocial burdens for adolescents with RAD and DSED in RYC settings. Of note, even though most adolescents with RAD or DSED qualified for at least one additional psychiatric disorder, no single diagnostic category was present in more than half of those with RAD or DSED, and only a minority of adolescents with the other disorders had comorbid RAD or DSED, supporting previous findings of the discriminant validity of RAD and DSED in adolescence [21].…”
Section: Discussionsupporting
confidence: 81%
“…Virtually, all the participants were likely exposed to in-family neglect, and 71% self-reported exposure to maltreatment [ 52 ]. We have previously reported the symptom frequency range for RAD and DSED as 2–35 and 4–11%, respectively, and the diagnose prevalence rates as 9% RAD ( n = 33) and 8% DSED ( n = 31), with 0.5% ( n = 2) having both disorders [ 21 ].…”
Section: Methodsmentioning
confidence: 99%
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“…Differentials include autism spectrum disorder, intellectual disability, and depressive disorders. Adolescent patients presenting with similar symptoms to reactive attachment disorder likely have a separate psychiatric disorder as it is unknown whether it occurs in older children [18].…”
Section: Trauma-and Stressor-related Disorders Reactive Attachment DImentioning
confidence: 99%