Screening for affective dysregulation in school-aged children: relationship with comprehensive measures of affective dysregulation and related mental disorders

Author:

Treier A.-K.ORCID,Döpfner M.,Ravens-Sieberer U.,Görtz-Dorten A.,Boecker M.,Goldbeck C.,Banaschewski T.,Aggensteiner P.-M.,Hanisch C.,Ritschel A.,Kölch M.,Daunke A.,Roessner V.,Kohls G.,Kaman A.,Aggensteiner Pascal-Maurice,Banaschewski Tobias,Bernheim Dorothee,Bienioschek Stefanie,Boecker Maren,Brandeis Daniel,Daunke Andrea,Döpfner Manfred,Fegert Jörg M.,Frenk Franziska,Giller Franziska,Ginsberg Claudia,Goldbeck Carolina,Görtz-Dorten Anja,Groh Monja,Hanisch Charlotte,Hellmich Martin,Hohmann Sarah,Holz Nathalie,Igel Christine,Junghänel Michaela,Kaiser Anna,Kaman Anne,Katmer-Amet Betül,Katzmann Josepha,Kölch Michael,Millenet Sabina,Mücke Kristina,Ravens-Sieberer Ulrike,Ritschel Anne,Roessner Veit,Schreiner Anne,Schroth Jennifer,Schüller Anne,Steiner Marie-Therese,Steiner Marion,Treier Anne-Katrin,Uhlmann Anne,Winkler Matthias,Zaplana Sara,

Abstract

AbstractAffective dysregulation (AD) is characterized by irritability, severe temper outbursts, anger, and unpredictable mood swings, and is typically classified as a transdiagnostic entity. A reliable and valid measure is needed to adequately identify children at risk of AD. This study sought to validate a parent-rated screening questionnaire, which is part of the comprehensive Diagnostic Tool for Affective Dysregulation in Children (DADYS-Screen), by analyzing relationships with comprehensive measures of AD and related mental disorders in a community sample of children with and without AD. The sample comprised 1114 children aged 8–12 years and their parents. We used clinical, parent, and child ratings for our analyses. Across all raters, the DADYS-Screen showed large correlations with comprehensive measures of AD. As expected, correlations were stronger for measures of externalizing symptoms than for measures of internalizing symptoms. Moreover, we found negative associations with emotion regulation strategies and health-related quality of life. In receiver operating characteristic (ROC) analyses, the DADYS-Screen adequately identified children with AD and provided an optimal cut-off. We conclude that the DADYS-Screen appears to be a reliable and valid measure to identify school-aged children at risk of AD.

Funder

Bundesministerium für Bildung und Forschung

Universitätsklinikum Köln

Publisher

Springer Science and Business Media LLC

Subject

Psychiatry and Mental health,Developmental and Educational Psychology,General Medicine,Pediatrics, Perinatology and Child Health

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