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Prediction of adolescent outcome in children with disruptive behaviour disorders

A study of neurobiological, psychological and family factors

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Abstract

In this preliminary study we explored the predictive influence of various family, psychological, demographic, and neurobiological characteristics on the persistence of antisocial behaviour in adolescence. Existing data were combined with case-records in a sample of 47 disruptive behaviour disordered (DBD) children who had been treated in in-patient and/or day-treatment units when they were between seven to 12 years old. Parent-rated and self-rated externalizing problem scores and the presence of a DBD diagnosis served as the outcome measures in adolescence. We used linear regression analyses to examine the predictors of adolescent outcome. A lower basal skin conductance level (SCL) was repeatedly found to predict poor adolescent outcome, either when rated by parents or by participants themselves. In addition, comorbid attention-deficit hyperactivity disorder, one aspect of performance on the door-opening task, and a mother of low socioeconomic status also predicted that a child would have more antisocial problems in adolescence, depending on the type of outcome measure. Results of this study support the fearlessness theory, according to which low activity of the autonomous nervous system, as manifested by low SCL, is related to the effectiveness of socializing punishment and accordingly to poor socialization and adolescent outcome.

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Authors and Affiliations

  1. Department of Child and Adolescent Psychiatry, B01–324, University Medical Centre Utrecht, 85500, 3508 GA, Utrecht, The Netherlands

    Irene van Bokhoven, Walter Matthys & Herman van Engeland

  2. School of Psychology, Cardiff University, 901, Cardiff CF103YG, Wales, UK

    Stephanie H. M. van Goozen

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  1. Irene van Bokhoven
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  2. Walter Matthys
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  3. Stephanie H. M. van Goozen
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  4. Herman van Engeland
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Correspondence to Irene van Bokhoven.

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van Bokhoven, I., Matthys, W., van Goozen, S.H.M. et al. Prediction of adolescent outcome in children with disruptive behaviour disorders. Europ.Child & Adolescent Psych 14, 153–163 (2005). https://doi.org/10.1007/s00787-005-0455-x

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