Emotion dysregulation as cross-disorder trait in child psychiatry predicting quality of life and required treatment duration
BackgroundEmotion dysregulation (ED) is increasingly under investigation as a cross-disorder trait, and is by some considered as the core feature in mental disorders. The aims of this study were to scrutinize the overlapping and distinct characteristics of ED for internalizing, externalizing and neu...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-07-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1101226/full |
| _version_ | 1797776101598035968 |
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| author | Margreet Bierens Catharina A. Hartman Helen Klip Stijn Deckers Jan Buitelaar Jan Buitelaar Nanda Rommelse Nanda Rommelse |
| author_facet | Margreet Bierens Catharina A. Hartman Helen Klip Stijn Deckers Jan Buitelaar Jan Buitelaar Nanda Rommelse Nanda Rommelse |
| author_sort | Margreet Bierens |
| collection | DOAJ |
| description | BackgroundEmotion dysregulation (ED) is increasingly under investigation as a cross-disorder trait, and is by some considered as the core feature in mental disorders. The aims of this study were to scrutinize the overlapping and distinct characteristics of ED for internalizing, externalizing and neurodevelopmental disorders and to identify the most pertinent ED characteristics to guide clinicians in treatment choice.MethodsInformation 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.ResultsAcross 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).ConclusionED 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 colored elements. |
| first_indexed | 2024-03-12T22:45:09Z |
| format | Article |
| id | doaj.art-5ea035cf0f4a43758525ce58fbb3bb3d |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-12T22:45:09Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-5ea035cf0f4a43758525ce58fbb3bb3d2023-07-21T06:25:51ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-07-011410.3389/fpsyt.2023.11012261101226Emotion dysregulation as cross-disorder trait in child psychiatry predicting quality of life and required treatment durationMargreet Bierens0Catharina A. Hartman1Helen Klip2Stijn Deckers3Jan Buitelaar4Jan Buitelaar5Nanda Rommelse6Nanda Rommelse7Karakter Child and Adolescent Psychiatry, University Center, Nijmegen, NetherlandsDepartment of Psychiatry, University of Groningen, Groningen, NetherlandsKarakter Child and Adolescent Psychiatry, University Center, Nijmegen, NetherlandsDepartment of Pedagogical Sciences, Radboud University Nijmegen, Nijmegen, NetherlandsKarakter Child and Adolescent Psychiatry, University Center, Nijmegen, NetherlandsRadboud University Medical Center, Donders Institute for Brain, Cognition and Behavior, Nijmegen, NetherlandsKarakter Child and Adolescent Psychiatry, University Center, Nijmegen, NetherlandsDepartment of Psychiatry, Radboud UMC, Nijmegen, NetherlandsBackgroundEmotion dysregulation (ED) is increasingly under investigation as a cross-disorder trait, and is by some considered as the core feature in mental disorders. The aims of this study were to scrutinize the overlapping and distinct characteristics of ED for internalizing, externalizing and neurodevelopmental disorders and to identify the most pertinent ED characteristics to guide clinicians in treatment choice.MethodsInformation 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.ResultsAcross 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).ConclusionED 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 colored elements.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1101226/fullemotion dysregulationquality of lifeADHDODDdepressionanxiety |
| spellingShingle | Margreet Bierens Catharina A. Hartman Helen Klip Stijn Deckers Jan Buitelaar Jan Buitelaar Nanda Rommelse Nanda Rommelse Emotion dysregulation as cross-disorder trait in child psychiatry predicting quality of life and required treatment duration Frontiers in Psychiatry emotion dysregulation quality of life ADHD ODD depression anxiety |
| title | Emotion dysregulation as cross-disorder trait in child psychiatry predicting quality of life and required treatment duration |
| title_full | Emotion dysregulation as cross-disorder trait in child psychiatry predicting quality of life and required treatment duration |
| title_fullStr | Emotion dysregulation as cross-disorder trait in child psychiatry predicting quality of life and required treatment duration |
| title_full_unstemmed | Emotion dysregulation as cross-disorder trait in child psychiatry predicting quality of life and required treatment duration |
| title_short | Emotion dysregulation as cross-disorder trait in child psychiatry predicting quality of life and required treatment duration |
| title_sort | emotion dysregulation as cross disorder trait in child psychiatry predicting quality of life and required treatment duration |
| topic | emotion dysregulation quality of life ADHD ODD depression anxiety |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1101226/full |
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