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Komorbide Angststörungen bei Störungen des Sozialverhaltens

Ein Schutz- oder Risikofaktor?

Published Online:https://doi.org/10.1026/0942-5403/a000221

Zusammenfassung. Obwohl Angststörungen (AS) häufig komorbid mit einer Störung des Sozialverhaltens (SSV) auftreten, wurde diese Komorbidität in der Forschung weitgehend vernachlässigt. Komorbide AS wirken sich in Studien sowohl positiv als auch negativ auf den Verlauf einer SSV aus. Diese Studie zielt darauf ab, Heranwachsende mit einer SSV mit und ohne AS hinsichtlich psychischer Belastung, traumatischen Erlebnissen, psychopathischen Persönlichkeitstraits und Legalbewährung zu untersuchen. 207 Heranwachsende mit einer SSV (9 – 25 Jahre; 73.4 % männlich; SSV: N = 180, SSV und AS: N = 27), die zum Zeitpunkt der Untersuchung in Jugendhilfeeinrichtungen lebten, konnten eingeschlossen werden. Es wurden strukturierte klinische Interviews und eine psychometrische Testbatterie eingesetzt. Die Resultate zeigen, dass die Gruppe mit SSV und AS signifikant weniger externalisierende und mehr internalisierende Symptome sowie traumatische Erlebnisse aufweisen. Bezüglich psychopathischer Persönlichkeitsmerkmale und Verurteilungen (>50 % in beiden Gruppen) ergaben sich keine signifikanten Gruppenunterschiede. Die Ergebnisse legen nahe, dass die Ausprägung der SSV für die Kriminalitätsentwicklung bedeutsamer und die spezifische Komorbidität von AS aber doch ätiologisch und symptomatisch von großem Interesse ist. Diese sollte deshalb mit Längsschnittstudien und Therapieprozessanalysen intensiver beforscht werden.


Comorbid Anxiety Disorders Among Youth With Conduct Disorder: Protective or Risk Factor?

Abstract. Although it has been shown that anxiety disorders (AD) are often found in children and juveniles with a disruptive behavior disorder (DBD; i. e., conduct disorder [CD] and oppositional defiant disorder [ODD]), research in this field is limited. The few papers that addressed this topic found indications for both positive and negative effects of AD on the course and treatment of DBD. The objective of the current study was to examine mental health problems, traumatic experiences, psychopathic traits, and offending behavior in juveniles and emerging adults with DBD with AD compared with those without AD. The total sample contained 207 children, adolescents, and emerging adults (age 9 – 25, 73.4 % males) with DBD with AD (N = 27) and with DBD without AD (N = 180) in residential youth care institutions in Switzerland between 2007 and 2011. Half of the sample was placed under civil law (50.5 %), 37.8 % under penal law, and 11.7 % for other reasons (e. g., voluntarily). Psychopathology was examined with the Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children–Present and Lifetime version (K-SADS-PL), a semistructured interview for mental disorders. In addition, mental health problems were assessed using the Massachusetts Youth Screening Instrument-second version (MAYSI-2), traumatic experiences with the Essener Trauma-Inventar (ETI), and psychopathic traits using the Youth Psychopathic Traits Inventory (YPI). Finally, conviction rates were requested at the Federal Statistical Office. Results showed that the group with DBD and AD comprised significantly more female subjects than did the DBD without AD group, 48.1 % vs. 77.2 %; χ2(1, N = 207) = 10.17, p < 0.01. Both groups did not differ on age, time of measure, drop-out, or previous placements. Furthermore, the DBD with AD group had significantly less additional externalizing disorders than the group without AD, 11.1 % vs. 38.3 %; χ2(1, N = 207) = 7.67, p < 0.01. No significant differences between both groups were found for internalizing disorders or substance use disorders. The DBD with AD group, however, reported significantly more depressed–anxious problems, t(231) = -2.19, p = .030, somatic complaints t(231) = -3.34, p = .001, and suicide ideation, t(231) = -2.13, p = .034, as well as more traumatic experiences, 100.0 % vs. 83.0 %; χ2(1, N = 207) = 4.39, p = 0.04, than did the DBD group without AD. Finally, no differences were found between the two groups for psychopathic traits and both conviction and reconviction rates. The results of the current study demonstrate that although the group of juveniles with DBD and AD in residential youth care institutions in Switzerland is burdened differently than those juveniles with DBD without AD (fewer externalizing problems, more traumatic experiences, more internalizing problems), they are not at increased or decreased risk for being convicted or reconvicted. More longitudinal research, however, is needed to understand the relationship between DBD and comorbid AD.

Literatur

  • American Psychiatric Association (APA). (2013). Diagnostic and Statistical Manual of Mental Disorders – Text Revision (DSM-IV-TR) (5th ed.). Washington DC: American Psychiatric Association. First citation in articleCrossrefGoogle Scholar

  • Andershed, H., Kerr, M., Stattin, H. & Levander, S. (2002). Psychopathic traits in non referred youth: Initial test of a new assessment tool. In E. BlaauwL. SheridaanEds., Psychophaths current international perspectives (pp. 131 – 158). The Hague: Elsevier. First citation in articleGoogle Scholar

  • Angold, A., Costello, E. J. & Erkanli, A. (1999). Comorbidity. Journal of Child Psychology and Psychiatry, and allied disciplines, 40, 57 – 87. First citation in articleCrossrefGoogle Scholar

  • Blair, R. J. R. (2013). The neurobiology of psychopathic traits in youths. Nature Reviews Neuroscience, 14, 786 – 799. First citation in articleCrossrefGoogle Scholar

  • Copeland, W. E., Adair, C. E., Smetanin, P., Stiff, D., Briante, C. & Colman, I., et al. (2013). Diagnostic transitions from childhood to adolescence to early adulthood. Journal of Child Psychology and Psychiatry, 54, 791 – 799. First citation in articleCrossrefGoogle Scholar

  • Copeland, W. E., Miller-Johnson, S., Keeler, G., Angold, A. & Costello, E. J. (2007). Childhood psychiatric disorders and young adult crime: A prospective, population-based study. The American Journal of Psychiatry, 164, 1668 – 1675. First citation in articleCrossrefGoogle Scholar

  • Cougle, J. R., Keough, M. E., Riccardi, C. J. & Sachs-Ericsson, N. (2009). Anxiety disorders and suicidality in the National Comorbidity Survey-Replication. Journal of Psychiatric Research, 43, 825 – 829. First citation in articleCrossrefGoogle Scholar

  • Cunningham, N. R. & Ollendick, T. H. (2010). Comorbidity of anxiety and conduct problems in children: Implications for clinical research and practice. Clinical Child and Family Psychology Review, 13, 333 – 347. First citation in articleCrossrefGoogle Scholar

  • D’Amico, F., Knapp, M., Beecham, J., Sandberg, S., Taylor, E. & Sayal, K. (2014). Use of services and associated costs for young adults with childhood hyperactivity/conduct problems: 20-year follow-up. The British Journal of Psychiatry, 204, 441 – 447. First citation in articleCrossrefGoogle Scholar

  • De Brito, S. A. & Hodgins, S. (2009). Antisocial personality disorder. In M. McMurranR. HowardEds., Personality, personality disorder and violence: An evidence based approach (pp. 133 – 153). London: Wiley-Blackwell. First citation in articleGoogle Scholar

  • Delmo, C., Weiffenbach, O., Gabriel, M., Stadler, C. & Poustka, F. (2001). Diagnostisches Interview Kiddie-Sads-Present and Lifetime Version (K-SADS-PL) (5. Aufl. d. dt. Forschungsversion, erw. um ICD-10-Diagnostik). Frankfurt a. M.: Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters. First citation in articleGoogle Scholar

  • Dölitzsch, C., Fegert, J. M., Künster, A. K., Kölch, M., Schmeck, K. & Schmid, M. (2014). Mehrfachdiagnosen bei Schweizer Heimjugendlichen. Kindheit und Entwicklung, 23, 140 – 150. First citation in articleLinkGoogle Scholar

  • Dölitzsch, C., Kölch, M., Fegert, J. M., Schmeck, K. & Schmid, M. (2016). Ability of the Child Behavior Checklist-Dysregulation Profile and the Youth Self Report-Dysregulation Profile to identify serious psychopathology and association with correlated problems in high-risk children and adolescents. Journal of Affective Disorders, 205, 327 – 334. First citation in articleCrossrefGoogle Scholar

  • Euler, F., Jenkel, N., Stadler, C., Schmeck, K., Fegert, J. M., Kölch, M. & Schmid, M. (2015). Variants of girls and boys with conduct disorder: Limited prosocial emotions and anxiety. Journal of Abnormal Child Psychology, 43, 773 – 785. First citation in articleCrossrefGoogle Scholar

  • Fanti, K. A., Demetriou, C. A. & Kimonis, E. R. (2013). Variants of callous-unemotional conduct problems in a community sample of adolescents. Journal of Youth and Adolescence, 42, 964 – 979. First citation in articleCrossrefGoogle Scholar

  • Frick, P. J. (2012). Developmental pathways to conduct disorder: Implications for future directions in research, assessment, and treatment. Journal of Clinical Child and Adolescent Psychology, 41, 378 – 389. First citation in articleCrossrefGoogle Scholar

  • Frick, P. J. & Dickens, C. (2006). Current perspectives on conduct disorder. Current Psychiatry Reports, 8, 59 – 72. First citation in articleCrossrefGoogle Scholar

  • Greene, R. W., Biederman, J., Zerwas, S., Monuteaux, M. C., Goring, J. C. & Faraone, S. V. (2002). Psychiatric comorbidity, family dysfunction, and social impairment in referred youth with oppositional defiant disorder. The American Journal of Psychiatry 159, 1214 – 1224. First citation in articleCrossrefGoogle Scholar

  • Gregory, A. M., Caspi, A., Moffitt, T. E., Koenen, K., Eley, T. C. & Poulton, R. (2007). Juvenile mental health histories of adults with anxiety disorders. The American Journal of Psychiatry 164, 301 – 308. First citation in articleCrossrefGoogle Scholar

  • Grisso, T. & Barnum, R. (2014). Massachusetts Youth Screening Instrument – Version 2 (MAYSI-2): Language Translations. Sarasota: Professional Resource Press. First citation in articleGoogle Scholar

  • Haller, A.-C., Klasen, F., Petermann, F., Barkmann, C., Otto, C., Schlack, R. & Ravens-Sieberer, U. (2016). Langzeitfolgen externalisierender Verhaltensauffälligkeiten. Kindheit und Entwicklung, 25, 31 – 40. First citation in articleLinkGoogle Scholar

  • Hawes, D. J., Price, M. J. & Dadds, M. R. (2014). Callous-unemotional traits and the treatment of conduct problems in childhood and adolescence: A comprehensive review. Clinical Child and Family Psychology Review, 17, 248 – 267. First citation in articleCrossrefGoogle Scholar

  • Hintzpeter, B., Metzner, F., Pawils, S., Bichmann, H., Kamtsiuris, P. & Ravens-Sieberer, U., et al. (2014). Inanspruchnahme von ärztlichen und psychotherapeutischen Leistungen durch Kinder und Jugendliche mit psychischen Auffälligkeiten. Ergebnisse der BELLA-Studie. Kindheit und Entwicklung, 23, 229 – 238. First citation in articleLinkGoogle Scholar

  • Jehle, J.-M., Albrecht, H.-J., Hohmann-Fricke, S. & Tetal, C. (2013). Legalbewährung nach strafrechtlichen Sanktionen – Eine bundesweite Rückfalluntersuchung 2007 bis 2010 und 2004 bis 2010. Berlin: Bundesministerium der Justiz. First citation in articleGoogle Scholar

  • Kahn, R. E., Frick, P. J., Youngstrom, E. A., Youngstrom, J. K., Feeny, N. C. & Findling, R. L. (2013). Distinguishing primary and secondary variants of callous-unemotional traits among adolescents in a clinic referred sample. Psychological Assessment, 25, 966 – 978. First citation in articleCrossrefGoogle Scholar

  • Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C. & Moreci, P., et al. (1997). Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 980 – 988. First citation in articleCrossrefGoogle Scholar

  • Khan, A., Leventhal, R. M., Khan, S. & Brown, W. A. (2002). Suicide risk in patients with anxiety disorders: A meta-analysis of the FDA database. Journal of Affective Disorders, 68, 183 – 190. First citation in articleCrossrefGoogle Scholar

  • Kim-Cohen, J., Caspi, A., Moffitt, T. E., Harrington, H., Milne, B. J. & Poulton, R. (2003). Prior juvenile diagnoses in adults with mental disorder: Developmental follow-back of a prospective-longitudinal cohort. Archives of General Psychiatry, 60, 709 – 717. First citation in articleCrossrefGoogle Scholar

  • Kimonis, E. R., Frick, P. J., Cauffman, E., Goldweber, A. & Skeem, J. (2012). Primary and secondary variants of juvenile psychopathy differ in emotional processing. Development and Psychopathology, 24, 1091 – 1103. First citation in articleCrossrefGoogle Scholar

  • Kimonis, E. R., Skeem, J. L., Cauffman, E. & Dmitrieva, J. (2011). Are secondary variants of juvenile psychopathy more reactively violent and less psychosocially mature than primary variants? Law and Human Behavior, 35, 381 – 391. First citation in articleCrossrefGoogle Scholar

  • Klasen, F., Petermann, F., Meyrose, A.-K., Barkmann, C., Otto, C., Haller, A.-C., Schlack, R., Schulte-Markwort, M. & Ravens-Sieberer, U. (2016). Verlauf psychischer Auffälligkeiten von Kindern und Jugendlichen: Ergebnisse der BELLA-Kohortenstudie. Kindheit und Entwicklung, 25, 10 – 20. First citation in articleLinkGoogle Scholar

  • Kolk, B. A. van der (2009). Entwicklungstrauma-Störung: Auf dem Weg zu einer sinnvollen Diagnostik für chronisch traumatisierte Kinder. Praxis der Kinderpsychologie und Kinderpsychiatrie, 58, 572 – 586. First citation in articleCrossrefGoogle Scholar

  • Kroneman, L. M., Hipwell, A. E., Loeber, R., Koot, H. M. & Pardini, D. A. (2011). Contextual risk factors as predictors of disruptive behavior disorder trajectories in girls: The moderating effect of callous-unemotional features. Journal of Child Psychology and Psychiatry, and allied disciplines, 52, 167 – 175. First citation in articleCrossrefGoogle Scholar

  • Lee, Z., Salekin, R. T. & Iselin, A. M. R. (2010). Psychopathic traits in youth: Is there evidence for primary and secondary subtypes? Journal of Abnormal Child Psychology, 38, 381 – 393. First citation in articleCrossrefGoogle Scholar

  • Leenarts, L. E. W., Dölitzsch, C., Schmeck, K., Fegert, J. M., Grisso, T. & Schmid, M. (2016). Relationship between Massachusetts Youth Screening Instrument-second version and psychiatric disorders in youths in welfare and juvenile justice institutions in Switzerland. BMC Psychiatry, 16, 1 – 12. First citation in articleCrossrefGoogle Scholar

  • Lemos, I. & Faisca, L. (2015). Psychosocial adversity, delinquent pathway and internalizing psychopathology in juvenile male offenders. International Journal of Law and Psychiatry, 42 – 43, 49 – 57. First citation in articleGoogle Scholar

  • Loney, B. R., Huntenburg, A., Counts-Allan, C. & Schmeelk, K. M. (2007). A preliminary examination of the intergenerational continuity of maternal psychopathic features. Aggressive Behavior, 33, 14 – 25. First citation in articleCrossrefGoogle Scholar

  • Marmorstein, N. R. (2007). Relationships between anxiety and externalizing disorders in youth: the influences of age and gender. Journal of Anxiety Disorders, 21, 420 – 432. First citation in articleCrossrefGoogle Scholar

  • Maughan, B., Rowe, R., Messer, J., Goodman, R. & Meltzer, H. (2004). Conduct Disorder and Oppositional Defiant Disorder in a national sample: Developmental epidemiology. Journal of Child Psychology and Psychiatry, and allied disciplines, 45, 609 – 621. First citation in articleCrossrefGoogle Scholar

  • McGee, R., Feehan, M., Williams, S., Partridge, F., Silva, P. A. & Kelly, J. (1990). DSM-III disorders in a large sample of adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 29, 611 – 619. First citation in articleCrossrefGoogle Scholar

  • Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S. & Cui, L., et al. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication – Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49, 980 – 989. First citation in articleCrossrefGoogle Scholar

  • Moffitt, T. E., Arseneault, L., Jaffee, S. R., Kim-Cohen, J., Koenen, K. C. & Odgers, C. L., et al. (2008). Research review: DSM-V conduct disorder: Research needs for an evidence base. Journal of Child Psychology and Psychiatry, and allied disciplines, 49, 3 – 33. First citation in articleCrossrefGoogle Scholar

  • Obradovic, J., Pardini, D. A., Long, J. D. & Loeber, R. (2007). Measuring interpersonal callousness in boys from childhood to adolescence: An examination of longitudinal invariance and temporal stability. Journal of Clinical Child and Adolescent Psychology, 36, 276 – 292. First citation in articleCrossrefGoogle Scholar

  • Pardini, D. & Frick, P. J. (2013). Multiple developmental pathways to conduct disorder: current conceptualizations and clinical implications. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 22, 20 – 25. First citation in articleGoogle Scholar

  • Petermann, U. & Petermann, F. (2013). Störungen des Sozialverhaltens. In F. PetermannHrsg., Lehrbuch der Klinischen Kinderpsychologie (7., veränd. Aufl., S. 291 – 317). Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Pfeffer, C. R. & Plutchik, R. (1989). Co-occurrence of psychiatric disorders in child psychiatric patients and nonpatients: A circumplex model. Comprehensive Psychiatry, 30, 275 – 282. First citation in articleCrossrefGoogle Scholar

  • Pihet, S., Suter, M., Meylan, N. & Schmid, M. (2014). Factor Structure of the Youth Psychopathic Traits Inventory: Using the Total Score, Three Scale Scores, and/or 10 Subscale Scores. Criminal Justice and Behavior, 41, 1214 – 1231. First citation in articleCrossrefGoogle Scholar

  • Plattner, B., Steiner, H., The, S. S., Kraemer, H. C., Bauer, S. M. & Kindler, J., et al. (2009). Sex-specific predictors of criminal recidivism in a representative sample of incarcerated youth. Comprehensive Psychiatry, 50, 400 – 407. First citation in articleCrossrefGoogle Scholar

  • Remschmidt, H. & Walter, R. (2009). Die Bedeutung psychosozialer Risikofaktoren für die Entwicklung der Delinquenz. Monatsschrift für Kriminologie und Strafrechtsreform, 92, 187 – 205. First citation in articleGoogle Scholar

  • Rowe, R., Maughan, B., Costello, E. J. & Angold, A. (2005). Defining oppositional defiant disorder. Journal of Child Psychology and Psychiatry 46, 1309 – 1316. First citation in articleCrossrefGoogle Scholar

  • Ruchkin, V., Henrich, C. C., Jones, S. M., Vermeiren, R. & Schwab-Stone, M. (2007). Violence exposure and psychopathology in urban youth: The mediating role of posttraumatic stress. Journal of Abnormal Child Psychology, 35, 578 – 593. First citation in articleCrossrefGoogle Scholar

  • Schmeck, K., Hinrichs, G. & Fegert, J. M. (2005). Die Deutsche Version des Youth Psychopathic Traits Inventory. Unveröffentlichter Fragebogen, Universität Ulm. First citation in articleGoogle Scholar

  • Schmeck, K., Poustka, F., Döpfner, M., Pluck, J., Berner, W. & Lehmkuhl, G., et al. (2001). Discriminant validity of the child behaviour checklist CBCL 4/18 in German samples. European Child and Adolescent Psychiatry, 10, 240 – 247. First citation in articleCrossrefGoogle Scholar

  • Schmid, M. (2007). Psychische Gesundheit von Heimkindern. Eine Studie zur Prävalenz psychischer Störungen in der stationären Jugendhilfe. Weinheim: Juventa. First citation in articleGoogle Scholar

  • Schmid, M. (2012). Psychotherapie von Traumafolgestörungen im Kontext der stationären Jugendhilfe. In M. A. LandoltT. HenselHrsg., Traumatherapie bei Kindern und Jugendlichen (404 – 440). Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Schmid, M., Dölitzsch, C., Pérez, T., Jenkel, N., Schmeck, K., Kölch, M. & Fegert, J. M. (2014). Welche Faktoren beeinflussen Abbrüche in der Heimerziehung – welche Bedeutung haben limitierte prosoziale Fertigkeiten? Kindheit und Entwicklung, 23, 161 – 173. First citation in articleLinkGoogle Scholar

  • Schmid, M., Fegert, J. M. & Petermann, F. (2010). Traumaentwicklungsstörung: Pro und Contra. Kindheit und Entwicklung, 19, 47 – 63. First citation in articleLinkGoogle Scholar

  • Schmid, M., Kölch, M., Fegert, J. M., Schmeck, K. & MAZ.-Team. (2013). Abschlussbericht Modellversuch Abklärung und Zielerreichung in stationären Massnahmen. Zugriff unter: https://www.bj.admin.ch/dam/data/bj/sicherheit/smv/modellversuche/evaluationsberichte/maz-schlussbericht-d.pdf. First citation in articleGoogle Scholar

  • Schmid, M. & Fegert, J. M. (2015). Traumasensibilität und Traumapädagogik in der stationären Jugendhilfe. In G. H. SeidlerH. J. FreybergerA. MaerckerHrsg., Handbuch Psychotraumatologie (2. Aufl, S. 489 – 515). Stuttgart: Klett-Cotta. First citation in articleGoogle Scholar

  • Singer, H., Prestel, A., Schmid, M., Keller, F., Fegert, J. M. & Kölch, M. (2009). Wirkungsmessung pädagogischer Interventionen: Anpassung eines Zielerreichungsinstruments an jugendforensische Anforderungen. Praxis der Kinderpsychologie und Kinderpsychiatrie, 58, 450 – 464. First citation in articleCrossrefGoogle Scholar

  • Sourander, A., Jensen, P., Davies, M., Niemela, S., Elonheimo, H. & Ristkari, T., et al. (2007). Who is at greatest risk of adverse long-term outcomes? The Finnish from boy to a man study. Journal of American Academic Child and Adolescent Psychiatry, 46, 1148 – 1161. First citation in articleCrossrefGoogle Scholar

  • Stadlin, C., Pérez, T., Schmeck, K., Di Gallo, A. & Schmid, M. (2016). Konstruktvalidität und Faktorenstruktur des deutschsprachigen Youth Psychopathic Traits Inventory (YPI) in einer repräsentativen Schulstichprobe. Diagnostica, 62, 85 – 96. First citation in articleLinkGoogle Scholar

  • Tagay, S., Düllmann, S., Hermans, E., Repic, N., Hiller, R. & Senf, W. (2011). Das Essener Trauma-Inventar für Kinder und Jugendliche (ETI-KJ). Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 39, 323 – 340. First citation in articleLinkGoogle Scholar

  • Teicher, M. H. & Samson, J. A. (2013). Childhood maltreatment and psychopathology: A case for ecophenotypic variants as clinically and neurobiologically distinct subtypes. American Journal of Psychiatry, 170, 1114 – 1133. First citation in articleCrossrefGoogle Scholar

  • Teicher, M. H. & Samson, J. A. (2016). Annual research review: Enduring neurobiological effects of childhood abuse and neglect. Journal of Child Psychology and Psychiatry, 57, 241 – 266. First citation in articleCrossrefGoogle Scholar

  • Urbaniok, F., Rossegger, A., Fegert, J., Rubertus, M. & Endrass, J. (2007). Legalbewährung junger Straftäter nach Entlassung aus strafrechtlichen Arbeitserziehungsmassnahmen. Praxis der Kinderpsychologie und Kinderpsychiatrie, 56, 109 – 122. First citation in articleCrossrefGoogle Scholar

  • Vloet, T. D. & Herpertz-Dahlmann, B. (2011). The meaning of anxiety in the phenotyping of children and adolescents with conduct disorder – A path toward more consistent neurobiological findings? Zeitschrift für Kinder- und Jugenpsychiatrie und Psychotherapie, 39, 47 – 57. First citation in articleLinkGoogle Scholar

  • Völkl-Kernstock, S., Skala, K., Klomfar, S. & Kothgassner, O. D. (2016). Zur diagnostischen Relevanz von CBCL und YSR bei Diagnose einer PTBS im Jugendalter. Neuropsychiatrie, 30, 207 – 215. First citation in articleCrossrefGoogle Scholar

  • Walker, J. L., Lahey, B. B., Russo, M. F., Frick, P. J., Christ, M. A. G. & McBurnett, K., et al. (1991). Anxiety, inhibition, and conduct disorder in children: I. Relations to social impairment. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 187 – 191. First citation in articleCrossrefGoogle Scholar

  • Walter, J. (2009). Jugendstrafvollzug in freier Form. Die baden-württembergischen Projekte „Chance“ in Creglingen-Frauental und „Prisma“ in Leonberg. Versuch eines Diskussionsanstoßes. Zeitschrift für Jugendkriminalrecht und Jugendhilfe, 20,192 – 201. First citation in articleGoogle Scholar

  • Washburn, J. J., Romero, E. G., Welty, L. J., Abram, K. M., Teplin, L. A. & McClelland, G. M., et al. (2007). Development of antisocial personality disorder in detained youths: the predictive value of mental disorders. Journal of Consulting and Clinical Psychology, 75, 221 – 231. First citation in articleCrossrefGoogle Scholar

  • WHO (2005). Internationale Klassifikation psychischer Störungen. ICD-10 Kapitel V (F). Klinisch-diagnostische Leitlinien (5., durchges. u. erg. Aufl.). Bern: Huber. First citation in articleGoogle Scholar