Children with Somatic Symptoms Disorders and Disruptive Behavior Disorder: Which is the Role of Anger to Caregivers?

2017 ◽  
Vol 41 (S1) ◽  
pp. S124-S124
Author(s):  
F. Bizzi
Keyword(s):  
Disruptive Behavior ◽  
Early Adolescence ◽  
Middle Childhood ◽  
Behavior Disorders ◽  
Disruptive Behavior Disorders ◽  
Somatic Symptoms ◽  
Insecure Attachment ◽  
Regulatory Function ◽  
Disruptive Behavior Disorder

IntroductionThe quality of adult-infant interactions represents a critical context in which child adaptation problems could evolve, and child psychopathology could develop. Literature has investigated the role of attachment to caregivers, nevertheless, there is a paucity of studies on middle-childhood and early adolescence in patients with somatic symptoms disorders and disruptive behavior disorders.ObjectiveThis study investigates the attachment to caregivers in children with somatic symptoms disorders and disruptive behavior disorders, focusing on the role of Anger to mothers and fathers.AimsThe aims are to verify the presence of: – high frequency of insecure attachment;– an overrepresentation of attachment disorganization;– high levels of Anger to caregivers.MethodFifty-six patients with somatic symptoms disorders, and 42 patients with disruptive behavior disorders, aged from 8 to 15, are administered the child attachment interview.ResultsFindings show: – Insecure attachment in more than half of the patients;– a significant presence of disorganized attachment with respect to both parents;– higher levels of anger to father in children with somatic symptoms disorders.ConclusionConsidering the attachment to have a regulatory function, the knowledge of the different attachment strategies in middle-childhood and early adolescence may enhance our understanding and improve the management and the treatment of patients with somatic symptoms disorders and disruptive behavior disorders.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

scholarly journals Neuroimaging findings in disruptive behavior disorders

CNS Spectrums ◽  
2015 ◽  
Vol 20 (4) ◽  
pp. 369-381 ◽  
Author(s):  
Rosalind H. Baker ◽  
Roberta L. Clanton ◽  
Jack C. Rogers ◽  
Stéphane A. De Brito
Keyword(s):  
Antisocial Behavior ◽  
Disruptive Behavior ◽  
Behavior Disorders ◽  
Disruptive Behavior Disorders ◽  
Structural Connectivity ◽  
Cu Traits ◽  
Affective Stimuli ◽  
Imaging Research ◽  
Emotional Face

Decades of research have shown that youths with disruptive behavior disorders (DBD) are a heterogeneous population. Over the past 20 years, researchers have distinguished youths with DBD as those displaying high (DBD/HCU) versus low (DBD/LCU) callous-unemotional (CU) traits. These traits include flat affect and reduced empathy and remorse, and are associated with more severe, varied, and persistent patterns of antisocial behavior and aggression. Conduct problems in youths with HCU and LCU are thought to reflect distinct causal vulnerabilities, with antisocial behavior in youths with DBD/HCU reflecting a predominantly genetic etiology, while antisocial behavior in youths with DBD/LCU is associated primarily with environmental influences. Here we selectively review recent functional (fMRI) and structural (sMRI) magnetic resonance imaging research on DBD, focusing particularly on the role of CU traits. First, fMRI studies examining the neural correlates of affective stimuli, emotional face processing, empathy, theory of mind, morality, and decision-making in DBD are discussed. This is followed by a review of the studies investigating brain structure and structural connectivity in DBD. Next, we highlight the need to further investigate females and the role of sex differences in this population. We conclude the review by identifying potential clinical implications of this research.

Diagnosis of Disruptive Behavior Disorders using the Millon Adolescent Personality Inventory

1993 ◽  
Vol 73 (3_part_1) ◽  
pp. 895-914
Author(s):  
Lance Roderic Hart
Keyword(s):  
Differential Diagnosis ◽  
Disruptive Behavior ◽  
Behavior Disorders ◽  
Disruptive Behavior Disorders ◽  
Behavior Disorder ◽  
Personality Inventory ◽  
Disruptive Behavior Disorder ◽  
Three Samples ◽  
Millon Adolescent Personality Inventory ◽  
Adolescent Personality

Millon Adolescent Personality Inventory differential diagnosis of disruptive behavior disorder vs no behavior disorder was investigated. Results were twice cross-validated. Millon adolescent Scales 4, 5, 6, G, SS, and TT were closely related to diagnosis of behavior disorder. Two psychometric rules averaged 70% hits and 35% false positives over three samples, Rule 1 of >2 elevations (baserate score >63) among Scales 6-G-SS-TT and Rule 2 of Scale 4 elevated with Scale 5 or with one of 6-G-SS-TT. An ancillary rule was highly specific to behavior disorder (90%). Two broad dimensions or factors appeared to be represented in the key scales; Scales 4 and 5 exemplified a histrionic-narcissistic factor, while the 6-G-SS-TT combination typified behavioral conflict and instability.

Disorganized attachment and psychological symptoms in children with somatic symptoms disorders

2016 ◽  
Vol 33 (S1) ◽  
pp. S128-S129
Author(s):  
F. Bizzi ◽  
S. Charpentier Mora ◽  
D. Cavanna
Keyword(s):  
Early Adolescence ◽  
Middle Childhood ◽  
Child Behavior Checklist ◽  
Psychological Symptoms ◽  
Somatic Symptoms ◽  
Physical Symptoms ◽  
Child And Adolescent Psychiatry ◽  
Disorganized Attachment ◽  
Future Research

IntroductionSomatic symptoms disorders (SSD) are one of the most neglected areas in child and adolescent psychiatry (Mohapatra et al., 2014). SSD are characterized by multiple and variable physical symptoms without demonstrable pathophysiological processes. Literature has investigated the role of several psychological variables in SSD, with inconclusive data. Moreover, there is a paucity of studies on middle-childhood and early adolescence in this clinical condition.ObjectivesWe focus on the role of attachment and on psychological aspects in children with SSD.AimsThe aims are to verify the presence of:– an overrepresentation of attachment disorganization in these children;– an overrepresentation of psychological symptoms.MethodsFifty-six consecutive Italian patients with SSD, aged from 8 to 15, were administered Child Behavior Checklist (Achenbach, 1991) and Child Attachment Interview (Shmueli-Goetz et al., 2000).ResultsFindings showed:– a significant presence of disorganized attachment with respect to both parents;– high levels of anxiety and depression.ConclusionThis study extended previous research in middle-childhood and early adolescence in SSD. The findings support the influence of the disorganization aspects and the psychological problems surrounding the SSD. The clinical implications for future research directions are discussed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Emotional reactivity in referred youth with disruptive behavior disorders: The role of the callous-unemotional traits

2014 ◽  
Vol 220 (1-2) ◽  
pp. 426-432 ◽  
Author(s):  
Gabriele Masi ◽  
Annarita Milone ◽  
Simone Pisano ◽  
Francesca Lenzi ◽  
Pietro Muratori ◽  
...  
Keyword(s):  
Disruptive Behavior ◽  
Behavior Disorders ◽  
Emotional Reactivity ◽  
Disruptive Behavior Disorders ◽  
Callous Unemotional ◽  
Callous Unemotional Traits ◽  
Unemotional Traits

Friendship Quality in Youth With and Without Disruptive Behavior Disorders: The Role of Empathy, Aggression, and Callousness

2019 ◽  
Vol 50 (5) ◽  
pp. 776-788
Author(s):  
Katharina Ackermann ◽  
Anne Martinelli ◽  
Anka Bernhard ◽  
Christine M. Freitag ◽  
Gerhard Büttner ◽  
...  
Keyword(s):  
Disruptive Behavior ◽  
Behavior Disorders ◽  
Disruptive Behavior Disorders ◽  
Friendship Quality

Epidemiology of Disruptive Behavior Disorders

2017 ◽  
Author(s):  
Steiner Hans ◽  
Daniels Whitney ◽  
Kelly Michael ◽  
Stadler Christina
Keyword(s):  
Clinical Practice ◽  
Diagnostic Criteria ◽  
Disruptive Behavior ◽  
Behavior Disorders ◽  
State Of The Art ◽  
Disruptive Behavior Disorders ◽  
Behavior Disorder ◽  
Disruptive Behavior Disorder ◽  
Epidemiological Evidence ◽  
Clinical Populations

This chapter summarizes the available epidemiological evidence supporting the current diagnoses grouped in the disruptive behavior disorder (DBD) cluster. It seems DBDs are common disorders, but although researchers have made great strides in capturing the prevalence of these disorders in normal and clinical populations, and although there are some very solid longitudinal findings, there are still many unknowns that need to be corrected. Most of the difficulties encountered in epidemiology are a function of the ongoing changes in the descriptive diagnostic criteria and the lack of a truly state-of-the-art three-level epidemiological design. This chapter discusses these issues including implications for clinical practice.

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