Limited Prosocial Emotions in a Clinical Population of Children and Adolescents: Proposal for Core and Ancillary Characteristics: Émotions prosociales limitées dans une population clinique d’enfants et d’adolescents; Proposition de caractéristiques essentielles et accessoires

2021 ◽  
pp. 070674372110048
Author(s):  
Francisco R. de la Peña ◽  
Marcos F. Rosetti ◽  
Juan David Palacio ◽  
Lino Palacios-Cruz ◽  
Rosa Elena Ulloa
Keyword(s):  
Conduct Disorder ◽  
Children And Adolescents ◽  
Latent Class ◽  
Clinical Population ◽  
Behavioural Disorders ◽  
Dsm 5 ◽  
Specificity And Sensitivity ◽  
Sensitivity Indices ◽  
Core Characteristics ◽  
Limited Prosocial Emotions

Objective: Limited prosocial emotions (LPE) has been recently incorporated into international classifications as a specifier for conduct disorder in the DSM-5 and for all disruptive behavioural disorders in the ICD-11. The aims of the current work were to determine (a) the accuracy of each of the characteristics used to assess the LPE specifier and (b) whether the manner in which symptoms group together supports the idea of LPE having core characteristics. Method: Trained clinicians conducted interviews and determined LPE characteristics using responses from 74 parent/guardian and child/adolescent participants. Results: The distribution of LPE characteristics among those participants with LPE ( n = 13) was compared to those with only one LPE characteristic ( n = 11). The proposal of callous lack of empathy (CLE) and shallow deficient affect (SDA) as core characteristics was supported by strong associations with the presence of the LPE specifier, larger specificity, and sensitivity indices than those for unconcerned about performance and lack of remorse or guilt, as well as by a robust aggregation in a latent class analysis. Conclusions: CLE and SDA could be considered as core characteristics of LPE in children and adolescents.

Störungen des Sozialverhaltens

2014 ◽  
Vol 42 (3) ◽  
pp. 177-184 ◽  
Author(s):  
Christina Stadler
Keyword(s):  
Conduct Disorder ◽  
Dsm 5 ◽  
Dsm Iv ◽  
Störungen Des Sozialverhaltens ◽  
Limited Prosocial Emotions

Störungen des Sozialverhaltens (DSM: Conduct Disorder) sind sowohl durch aggressive (z. B. körperliche Auseinandersetzungen) als auch nicht-aggressive Verhaltensmerkmale (z. B. Missachtung von Regeln, Schuleschwänzen) gekennzeichnet. Aussagen hinsichtlich Prognose und Verlauf oder Behandlungsempfehlungen sind aufgrund der Heterogenität der Verhaltenssymptomatik meist nicht für die Gesamtgruppe der Patienten gültig. Als mögliches prognostisches Kriterium wurde bisher im DSM-IV einzig die Subtypisierung nach dem Störungsbeginn berücksichtigt. Die Evidenzgrundlage hierfür ist jedoch nicht eindeutig, und seit Erscheinen des DSM-IV im Jahre 1994 hat sich die empirische Befundlage zu Störungen des Sozialverhaltens beträchtlich erweitert. Für die Neuauflage des DSM-5 wurde die Berücksichtigung weiterer Kriterien diskutiert, insbesondere persönlichkeitsspezifischer Risikofaktoren, mädchenspezifischer Merkmale oder dimensionaler Beurteilungskriterien bzw. die Ergänzung eines auf die Kindheit beschränkten Subtyps ( Moffitt et al., 2008 ). Jedoch sind die wesentlichen diagnostischen Kriterien im DSM-5 gleichgeblieben; eine entscheidende Änderung ist die nun mögliche Klassifikation eines CD specifiers with limited prosocial emotions. Die Frage, inwieweit die im DSM-5 vorgenommenen Modifikationen hilfreich sind, um den Anforderungen einer psychiatrischen Klassifikation gerecht zu werden, soll in diesem Beitrag auf der Basis der vorliegenden Evidenzgrundlage diskutiert werden.

scholarly journals Estimated Prevalence of Unreported IGD Cases in Routine Outpatient Children and Adolescent Psychotherapy

2021 ◽  
Vol 18 (13) ◽  
pp. 6787
Author(s):  
Sonja Kewitz ◽  
Eva Vonderlin ◽  
Lutz Wartberg ◽  
Katajun Lindenberg
Keyword(s):  
Children And Adolescents ◽  
Internet Gaming Disorder ◽  
Self Report ◽  
Clinical Population ◽  
Gaming Disorder ◽  
Parental Report ◽  
Outpatient Psychotherapy ◽  
Old Patients ◽  
Internet Gaming ◽  
Icd 10

Internet Gaming Disorder (IGD) has been included in the DSM-5 as a diagnosis for further study, and Gaming Disorder as a new diagnosis in the ICD-11. Nonetheless, little is known about the clinical prevalence of IGD in children and adolescents. Additionally, it is unclear if patients with IGD are already identified in routine psychotherapy, using the ICD-10 diagnosis F 63.8 (recommended classification of IGD in ICD-10). This study investigated N = 358 children and adolescents (self and parental rating) of an outpatient psychotherapy centre in Germany using the Video Game Dependency Scale. According to self-report 4.0% of the 11- to 17-year-old patients met criteria for a tentative IGD diagnosis and 14.0% according to the parental report. Of the 5- to 10-year-old patients, 4.1% were diagnosed with tentative IGD according to parental report. Patients meeting IGD criteria were most frequently diagnosed with hyperkinetic disorders, followed by anxiety disorders, F 63.8, conduct disorders, mood disorders and obsessive-compulsive disorders (descending order) as primary clinical diagnoses. Consequently, this study indicates that a significant amount of the clinical population presents IGD. Meaning, appropriate diagnostics should be included in routine psychological diagnostics in order to avoid “hidden” cases of IGD in the future.

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