Skip to main content

Advertisement

Log in

Temperamental Profiles of Dysregulated Children

  • Original Article
  • Published:
Child Psychiatry & Human Development Aims and scope Submit manuscript

Abstract

It is crucial to characterize self-regulation in children. We compared the temperamental profiles of children with the Child Behavior Checklist (CBCL) Dysregulation Profile (CBCL-DP) to profiles associated with other CBCL-derived syndromes. 382 children (204 boys; aged 5–18) from a large family study were examined. Temperamental profiles were based on the Juvenile Temperament and Character Inventory. Children with the CBCL-DP had a temperamental profile characterized by high Novelty Seeking, high Harm Avoidance, low Reward Dependence and low Persistence. Linear mixed models and regression-based models demonstrated that the CBCL-DP was associated with a “disengaged” temperamental profile. This profile is similar to the profile seen in adult disorders of self-regulation, including cluster B personality disorders. These results support the hypothesis that the CBCL-DP measures poor self-regulation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Rettew DC, Copeland W, Stanger C, Hudziak JJ (2004) Associations between temperament and DSM-IV externalizing disorders in children and adolescents. J Dev Behav Pediatr 25:383–391

    Article  PubMed  Google Scholar 

  2. Rettew DC, Doyle AC, Kwan M, Stanger C, Hudziak JJ (2006) Exploring the boundary between temperament and generalized anxiety disorder: a receiver operating characteristic analysis. J Anxiety Disord 20:931–945

    Article  PubMed  Google Scholar 

  3. Luby JL, Svrakic DM, McCallum K, Przybeck TR, Cloninger CR (1999) The junior temperament and character inventory: preliminary validation of a child self-report measure. Psychol Rep 84:1127–1138

    PubMed  Google Scholar 

  4. Rettew DC, Althoff RR, Dumenci L, Ayer L, Hudziak JJ (2008) Latent profiles of temperament and their relations to psychopathology and wellness. J Am Acad Child Adolesc Psychiatry 47:273–281

    Article  PubMed  Google Scholar 

  5. Tillman R, Geller B, Craney JL, Bolhofner K, Williams M, Zimerman B et al (2003) Temperament and character factors in a prepubertal and early adolescent bipolar disorder phenotype compared to attention deficit hyperactive and normal controls. J Child Adolesc Psychopharmacol 13:531–543

    Article  PubMed  Google Scholar 

  6. American Psychiatric Association (2011) DSM-5 development. http://www.dsm5.org/proposedrevision/pages/proposedrevision.aspx?rid=397. Accessed 17 Nov 2011

  7. Volk HE, Todd RD (2007) Does the child behavior checklist juvenile bipolar disorder phenotype identify bipolar disorder? Biol Psychiatry 62:115–120

    Article  PubMed  Google Scholar 

  8. Mick E, Biederman J, Pandina G, Faraone SV (2003) A preliminary meta-analysis of the child behavior checklist in pediatric bipolar disorder. Biol Psychiatry 53:1021–1027

    Article  PubMed  Google Scholar 

  9. Althoff RR, Ayer LA, Rettew DC, Hudziak JJ (2010) Assessment of dysregulated children using the Child Behavior Checklist: a receiver operating characteristic curve analysis. Psychol Assess 22:609–617

    Article  PubMed  Google Scholar 

  10. Hudziak JJ, Althoff RR, Derks EM, Faraone SV, Boomsma DI (2005) Prevalence and genetic architecture of child behavior checklist-juvenile bipolar disorder. Biol Psychiatry 58:562–568

    Article  PubMed  Google Scholar 

  11. Boomsma DI, Rebollo I, Derks EM, van Beijsterveldt TC, Althoff RR, Rettew DC et al (2006) Longitudinal stability of the CBCL-juvenile bipolar disorder phenotype: a study in Dutch twins. Biol Psychiatry 60:912–920

    Article  PubMed  Google Scholar 

  12. McGough JJ, Loo SK, McCracken JT, Dang J, Clark S, Nelson SF et al (2008) CBCL pediatric bipolar disorder profile and ADHD: comorbidity and quantitative trait loci analysis. J Am Acad Child Adolesc Psychiatry 47:1151–1157

    Article  PubMed  Google Scholar 

  13. Doyle AE, Biederman J, Ferreira MA, Wong P, Smoller JW, Faraone SV (2010) Suggestive linkage of the child behavior checklist juvenile bipolar disorder phenotype to 1p21, 6p21, and 8q21. J Am Acad Child Adolesc Psychiatry 49:378–387

    PubMed  Google Scholar 

  14. Meyer SE, Carlson GA, Youngstrom E, Ronsaville DS, Martinez PE, Gold PW et al (2009) Long-term outcomes of youth who manifested the CBCL-pediatric bipolar disorder phenotype during childhood and/or adolescence. J Affect Disord 113:227–235

    Article  PubMed  Google Scholar 

  15. Biederman J, Petty CR, Monuteaux MC, Evans M, Parcell T, Faraone SV et al (2009) The child behavior checklist-pediatric bipolar disorder profile predicts a subsequent diagnosis of bipolar disorder and associated impairments in ADHD youth growing up: a longitudinal analysis. J Clin Psychiatry 70:732–740

    Article  PubMed  Google Scholar 

  16. Ayer L, Althoff R, Ivanova M, Rettew D, Waxler E, Sulman J et al (2009) Child behavior checklist juvenile bipolar disorder (CBCL-JBD) and CBCL posttraumatic stress problems (CBCL-PTSP) scales are measures of a single dysregulatory syndrome. J Child Psychol Psychiatry 50:1291–1300

    Article  PubMed  Google Scholar 

  17. Althoff RR, Rettew DC, Faraone SV, Boomsma DI, Hudziak JJ (2006) Latent class analysis shows strong heritability of the child behavior checklist-juvenile bipolar phenotype. Biol Psychiatry 60:903–911

    Article  PubMed  Google Scholar 

  18. Althoff RR, Verhulst F, Rettew DC, Hudziak JJ, van der Ende J (2010) Adult outcomes of childhood dysregulation: a 14-year follow-up study. J Am Acad Child Adolesc Psychiatry 49:1105–1116

    PubMed  Google Scholar 

  19. Mick E, McGough J, Loo S, Doyle AE, Wozniak J, Wilens TE et al (2011) Genome-wide association study of the child behavior checklist dysregulation profile. J Am Acad Child Adolesc Psychiatry 50:807–817

    Article  PubMed  Google Scholar 

  20. Holtmann M, Duketis E, Goth K, Poustka L, Boelte S (2010) Severe affective and behavioral dysregulation in youth is associated with increased serum TSH. J Affect Disord 121:184–188

    Article  PubMed  Google Scholar 

  21. Zepf FD, Wockel L, Poustka F, Holtmann M (2008) Diminished 5-HT functioning in CBCL pediatric bipolar disorder-profiled ADHD patients versus normal ADHD: susceptibility to rapid tryptophan depletion influences reaction time performance. Hum Psychopharmacol 23:291–299

    Article  PubMed  Google Scholar 

  22. Holtmann M, Buchmann AF, Esser G, Schmidt MH, Banaschewski T, Laucht M (2011) The child behavior checklist-dysregulation profile predicts substance use, suicidality, and functional impairment: a longitudinal analysis. J Child Psychol Psychiatry 52:139–147

    Article  PubMed  Google Scholar 

  23. Hollingshead AB (1975) Four factor index of social status. Unpublished paper. Yale University, Department of Sociology, New Haven

  24. Cloninger CR, Przybeck TR, Svrakic DM, Wetzel RD (1994) Temperament and character inventory: a guide to its development and use. Center for Psychobiology of Personality Department of Psychiatry, Washington University, St. Louis

    Google Scholar 

  25. Cloninger CR, Svrakic DM, Przybeck TR (1993) A psychobiological model of temperament and character. Arch Gen Psychiatry 50:975–990

    Article  PubMed  Google Scholar 

  26. Achenbach TM (1991) Manual for the child behavior checklist/4-18. Department of Psychiatry, University of Vermont, Burlington

    Google Scholar 

  27. SPSS (2006) SPSS for windows, Rel. 15.0.1. SPSS Inc, Chicago

  28. Hox JJ (2010) Multilevel analysis: techniques and applications. Routledge, New York

    Google Scholar 

  29. Hox JJ (1995) Applied multilevel analysis. TT-Publikaties, Amsterdam

    Google Scholar 

  30. Carlson GA (2007) Who are the children with severe mood dysregulation, a.k.a. “rages”? Am J Psychiatry 164:1140–1142

    Article  PubMed  Google Scholar 

  31. Barnow S, Herpertz SC, Spitzer C, Stopsack M, Preuss UW, Grabe HJ et al (2007) Temperament and character in patients with borderline personality disorder taking gender and comorbidity into account. Psychopathology 40:369–378

    Article  PubMed  Google Scholar 

  32. Joyce PR, McKenzie JM, Luty SE, Mulder RT, Carter JD, Sullivan PF et al (2003) Temperament, childhood environment and psychopathology as risk factors for avoidant and borderline personality disorders. Aust N Z J Psychiatry 37:756–764

    PubMed  Google Scholar 

  33. Joyce PR, Mulder RT, Luty SE, McKenzie JM, Sullivan PF, Cloninger RC (2003) Borderline personality disorder in major depression: symptomatology, temperament, character, differential drug response, and 6-month outcome. Compr Psychiatry 44:35–43

    Article  PubMed  Google Scholar 

  34. Rettew DC, Stanger C, McKee L, Doyle A, Hudziak JJ (2006) Interactions between child and parent temperament and child behavior problems. Compr Psychiatry 47:412–420

    Article  PubMed  Google Scholar 

  35. Rettew DC, McKee L (2005) Temperament and its role in developmental psychopathology. Harv Rev Psychiatry 13:14–27

    Article  PubMed  Google Scholar 

  36. Rothbart MK, Ahadi SA (1994) Temperament and the development of personality. J Abnorm Psychol 103:55–66

    Article  PubMed  Google Scholar 

  37. Viken RJ, Rose RJ, Kaprio J, Koskenvuo M (1994) A developmental genetic analysis of adult personality: extraversion and neuroticism from 18 to 59 years of age. J Pers Soc Psychol 66:722–730

    Article  PubMed  Google Scholar 

  38. Kagan J (1994) Galen’s prophecy: temperament in human nature. Basic Books, New York

    Google Scholar 

  39. von Eye A, Bogat GA, Rhodes JE (2006) Variable-oriented and person-oriented perspectives of analysis: the example of alcohol consumption in adolescence. J Adolesc 29:981–1004

    Article  Google Scholar 

  40. Biederman J, Wozniak J, Kiely K, Ablon S, Faraone S, Mick E et al (1995) CBCL clinical scales discriminate prepubertal children with structured interview-derived diagnosis of mania from those with ADHD. J Am Acad Child Adolesc Psychiatry 34:464–471

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Robert R. Althoff.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Althoff, R.R., Ayer, L.A., Crehan, E.T. et al. Temperamental Profiles of Dysregulated Children. Child Psychiatry Hum Dev 43, 511–522 (2012). https://doi.org/10.1007/s10578-012-0280-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10578-012-0280-7

Keywords

Navigation