Affiliation:
1. Karakter
2. University of Groningen
3. Radboud University Nijmegen
4. Radboud University Medical Center
Abstract
Abstract
Background
Emotion dysregulation (ED) is increasingly under investigation as a cross-disorder trait, and is by some considered as the core feature in mental disorders. The underlying assumptions are that ED is a trait that manifests similarly across disorders and with similar impact. The aims of this study are to examine the shared and specific features of ED in relation to DSM-categories in a large sample of clinically referred youth.
Methods
Information on clinical diagnosis (Attention Deficit/Hyperactivity Disorder ADHD, Autism Spectrum Disorder, Oppositional Defiant Disorder/Conduct Disorder, Anxiety and Mood Disorders), ED (measured by the CBCL-Emotion Dysregulation Index), Quality of Life (Qol, measured by the Kidscreen-27), and treatment duration (measured by Electronic Health Records) was retrieved from two large samples of toddlers (1.5-5 year old; N = 1,544) and school aged children (6–18 year old; N = 7,259). Frequency scores and logistic regression were used to study symptom profiles of ED, as measured with CBCL-EDI, across all disorders. Linear regression was used to determine the predictive value of ED (CBCL-EDI total score) regarding QoL and treatment duration in addition to - and in interaction with - clinical diagnosis.
Results
Across disorders, equal levels of total ED were found, which predicted lower QoL and a longer treatment duration in addition to clinical diagnosis. The majority of items (11/15 and 16/18) were of equal relevance to the disorders; items that were not, largely reflected disorder specific DSM definitions (i.e. externalizing symptoms in ODD/CD and internalizing symptoms in Anxiety and Mood disorders).
Conclusions
ED is a clinically useful cross-disorder trait to predict severity of impairment as well as required treatment duration. In addition, ED is largely composed of shared features across disorders, with certain disorder specific coloured elements.
Publisher
Research Square Platform LLC
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