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Gepubliceerd in: Child Psychiatry & Human Development 4/2012

01-08-2012 | Original Article

Temperamental Profiles of Dysregulated Children

Auteurs: Robert R. Althoff, Lynsay A. Ayer, Eileen T. Crehan, David C. Rettew, Julie R. Baer, James J. Hudziak

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2012

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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.
Literatuur
1.
go back to reference 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 25:383–391PubMedCrossRef 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 25:383–391PubMedCrossRef
2.
go back to reference 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 20:931–945PubMedCrossRef 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 20:931–945PubMedCrossRef
3.
go back to reference 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 84:1127–1138PubMed 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 84:1127–1138PubMed
4.
go back to reference 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 47:273–281PubMedCrossRef 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 47:273–281PubMedCrossRef
5.
go back to reference 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 13:531–543PubMedCrossRef 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 13:531–543PubMedCrossRef
7.
go back to reference Volk HE, Todd RD (2007) Does the child behavior checklist juvenile bipolar disorder phenotype identify bipolar disorder? Biol Psychiatry 62:115–120PubMedCrossRef Volk HE, Todd RD (2007) Does the child behavior checklist juvenile bipolar disorder phenotype identify bipolar disorder? Biol Psychiatry 62:115–120PubMedCrossRef
8.
go back to reference Mick E, Biederman J, Pandina G, Faraone SV (2003) A preliminary meta-analysis of the child behavior checklist in pediatric bipolar disorder. Biol Psychiatry 53:1021–1027PubMedCrossRef Mick E, Biederman J, Pandina G, Faraone SV (2003) A preliminary meta-analysis of the child behavior checklist in pediatric bipolar disorder. Biol Psychiatry 53:1021–1027PubMedCrossRef
9.
go back to reference 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 22:609–617PubMedCrossRef 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 22:609–617PubMedCrossRef
10.
go back to reference Hudziak JJ, Althoff RR, Derks EM, Faraone SV, Boomsma DI (2005) Prevalence and genetic architecture of child behavior checklist-juvenile bipolar disorder. Biol Psychiatry 58:562–568PubMedCrossRef Hudziak JJ, Althoff RR, Derks EM, Faraone SV, Boomsma DI (2005) Prevalence and genetic architecture of child behavior checklist-juvenile bipolar disorder. Biol Psychiatry 58:562–568PubMedCrossRef
11.
go back to reference 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 60:912–920PubMedCrossRef 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 60:912–920PubMedCrossRef
12.
go back to reference 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 47:1151–1157PubMedCrossRef 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 47:1151–1157PubMedCrossRef
13.
go back to reference 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 49:378–387PubMed 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 49:378–387PubMed
14.
go back to reference 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 113:227–235PubMedCrossRef 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 113:227–235PubMedCrossRef
15.
go back to reference 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 70:732–740PubMedCrossRef 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 70:732–740PubMedCrossRef
16.
go back to reference 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 50:1291–1300PubMedCrossRef 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 50:1291–1300PubMedCrossRef
17.
go back to reference 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 60:903–911PubMedCrossRef 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 60:903–911PubMedCrossRef
18.
go back to reference 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 49:1105–1116PubMed 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 49:1105–1116PubMed
19.
go back to reference 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 50:807–817PubMedCrossRef 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 50:807–817PubMedCrossRef
20.
go back to reference 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 121:184–188PubMedCrossRef 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 121:184–188PubMedCrossRef
21.
go back to reference 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 23:291–299PubMedCrossRef 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 23:291–299PubMedCrossRef
22.
go back to reference 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 52:139–147PubMedCrossRef 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 52:139–147PubMedCrossRef
23.
go back to reference Hollingshead AB (1975) Four factor index of social status. Unpublished paper. Yale University, Department of Sociology, New Haven Hollingshead AB (1975) Four factor index of social status. Unpublished paper. Yale University, Department of Sociology, New Haven
24.
go back to reference 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 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
25.
go back to reference Cloninger CR, Svrakic DM, Przybeck TR (1993) A psychobiological model of temperament and character. Arch Gen Psychiatry 50:975–990PubMedCrossRef Cloninger CR, Svrakic DM, Przybeck TR (1993) A psychobiological model of temperament and character. Arch Gen Psychiatry 50:975–990PubMedCrossRef
26.
go back to reference Achenbach TM (1991) Manual for the child behavior checklist/4-18. Department of Psychiatry, University of Vermont, Burlington Achenbach TM (1991) Manual for the child behavior checklist/4-18. Department of Psychiatry, University of Vermont, Burlington
27.
go back to reference SPSS (2006) SPSS for windows, Rel. 15.0.1. SPSS Inc, Chicago SPSS (2006) SPSS for windows, Rel. 15.0.1. SPSS Inc, Chicago
28.
go back to reference Hox JJ (2010) Multilevel analysis: techniques and applications. Routledge, New York Hox JJ (2010) Multilevel analysis: techniques and applications. Routledge, New York
29.
go back to reference Hox JJ (1995) Applied multilevel analysis. TT-Publikaties, Amsterdam Hox JJ (1995) Applied multilevel analysis. TT-Publikaties, Amsterdam
30.
go back to reference Carlson GA (2007) Who are the children with severe mood dysregulation, a.k.a. “rages”? Am J Psychiatry 164:1140–1142PubMedCrossRef Carlson GA (2007) Who are the children with severe mood dysregulation, a.k.a. “rages”? Am J Psychiatry 164:1140–1142PubMedCrossRef
31.
go back to reference 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 40:369–378PubMedCrossRef 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 40:369–378PubMedCrossRef
32.
go back to reference 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 37:756–764PubMed 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 37:756–764PubMed
33.
go back to reference 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 44:35–43PubMedCrossRef 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 44:35–43PubMedCrossRef
34.
go back to reference Rettew DC, Stanger C, McKee L, Doyle A, Hudziak JJ (2006) Interactions between child and parent temperament and child behavior problems. Compr Psychiatry 47:412–420PubMedCrossRef Rettew DC, Stanger C, McKee L, Doyle A, Hudziak JJ (2006) Interactions between child and parent temperament and child behavior problems. Compr Psychiatry 47:412–420PubMedCrossRef
35.
go back to reference Rettew DC, McKee L (2005) Temperament and its role in developmental psychopathology. Harv Rev Psychiatry 13:14–27PubMedCrossRef Rettew DC, McKee L (2005) Temperament and its role in developmental psychopathology. Harv Rev Psychiatry 13:14–27PubMedCrossRef
36.
go back to reference Rothbart MK, Ahadi SA (1994) Temperament and the development of personality. J Abnorm Psychol 103:55–66PubMedCrossRef Rothbart MK, Ahadi SA (1994) Temperament and the development of personality. J Abnorm Psychol 103:55–66PubMedCrossRef
37.
go back to reference 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 66:722–730PubMedCrossRef 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 66:722–730PubMedCrossRef
38.
go back to reference Kagan J (1994) Galen’s prophecy: temperament in human nature. Basic Books, New York Kagan J (1994) Galen’s prophecy: temperament in human nature. Basic Books, New York
39.
go back to reference 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 29:981–1004CrossRef 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 29:981–1004CrossRef
40.
go back to reference 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 34:464–471PubMedCrossRef 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 34:464–471PubMedCrossRef
Metagegevens
Titel
Temperamental Profiles of Dysregulated Children
Auteurs
Robert R. Althoff
Lynsay A. Ayer
Eileen T. Crehan
David C. Rettew
Julie R. Baer
James J. Hudziak
Publicatiedatum
01-08-2012
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 4/2012
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-012-0280-7

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