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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Spencer, Thomas J. Faraone, Stephen V. Surman, Craig B. H. Petty, Carter Clarke, Allison Batchelder, Holly Wozniak, Janet Biederman, Joseph |
| Description | Country affiliation: United States Author Affiliation: Spencer TJ ( Clinical and Research Programs in Pediatric Psychopharmacology and Adult ADHD, Massachusetts General Hospital, Boston, MA 02114, USA. tspencer@partners.org) |
| Abstract | OBJECTIVE: Deficient emotional self-regulation (DESR) is characterized by deficits in self-regulating the physiological arousal caused by strong emotions. We examined whether a unique profile of the Child Behavior Checklist (CBCL) would help identify DESR in children with attention-deficit/hyperactivity disorder (ADHD). METHODS: Subjects included 197 children with ADHD and 224 children without ADHD. We defined DESR if a child had an aggregate cut-off score of > 180 but < 210 on the Anxiety/Depression, Aggression, and Attention scales of the CBCL (CBCL-DESR). This profile was selected because of: 1) its conceptual congruence with the clinical concept of DESR; and 2) because its extreme (> 210) form has been previously associated with severe forms of mood and behavioral dysregulation in children with ADHD. All subjects were comprehensively assessed with structured diagnostic interviews and a wide range of functional measures. RESULTS: Forty-four percent of children with ADHD had a positive CBCL-DESR profile versus 2% of controls (P < 0.001). The CBCL-DESR profile was associated with elevated rates of anxiety and disruptive behavior disorders, as well as significantly more impairments in emotional and interpersonal functioning. CONCLUSIONS: The CBCL-DESR profile helped identify a subgroup of children with ADHD who had a psychopathological and functional profile consistent with the clinical concept of DESR. |
| File Format | HTM / HTML |
| ISSN | 00325481 |
| e-ISSN | 19419260 |
| DOI | 10.3810/pgm.2011.09.2459 |
| Journal | Postgraduate Medicine |
| Issue Number | 5 |
| Volume Number | 123 |
| Language | English |
| Publisher | Taylor & Francis |
| Publisher Date | 2011-09-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Discipline medicine Attention Deficit Disorder With Hyperactivity Diagnosis Emotional Intelligence Psychiatric Status Rating Scales Psychology Child Behavior Social Adjustment Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
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