Case Example—EFFT and Treating an Externalizing Disorder

2019 ◽  
pp. 243-269
Author(s):  
James L. Furrow ◽  
Gail Palmer ◽  
Susan M. Johnson ◽  
George Faller ◽  
Lisa Palmer-Olsen
2018 ◽  
Vol 41 (3) ◽  
pp. 300-311 ◽  
Author(s):  
J. Megan Ross ◽  
Karen Granja ◽  
Jacqueline C. Duperrouzel ◽  
Ileana Pacheco-Colón ◽  
Catalina Lopez-Quintero ◽  
...  

2008 ◽  
Author(s):  
Barbara W. C. Zwirs ◽  
Huibert Burger ◽  
Tom W. J. Schulpen ◽  
Jan K. Buitelaar

2012 ◽  
Vol 42 (10) ◽  
pp. 2119-2126 ◽  
Author(s):  
C. R. Brewin ◽  
B. Andrews ◽  
J. Hejdenberg ◽  
L. Stewart

BackgroundPost-traumatic stress disorder (PTSD) that develops after military personnel have been discharged may lead to severe impairment. We investigated whether personnel who develop PTSD after discharge can be identified by independent evidence of internalizing signs such as depression or of externalizing signs such as disciplinary offences while still serving.MethodVeterans in receipt of a war pension who only developed PTSD post-discharge were compared with matched veterans who developed PTSD in service or never suffered from PTSD. Contemporaneous medical and personnel records were searched for objective evidence of internalizing and externalizing disorder.ResultsService personnel who developed PTSD post-discharge were indistinguishable from controls with no PTSD on their psychiatric presentation in service. Those with post-discharge PTSD had significantly more disciplinary offences, specifically absence without leave, disobedience, and dishonesty, than the no-PTSD group, and this excess of offences was present before any exposure to trauma.ConclusionsThis is the first study to find objective evidence independent of self-report for the claimed link between externalizing disorder and vulnerability to PTSD. Early signs of externalizing disorders may play an important role in helping to identify service personnel at risk of PTSD after military discharge.


2020 ◽  
Author(s):  
Ashley L. Watts ◽  
Kristina M. Jackson ◽  
Krista Lisdahl ◽  
Mary Heitzeg ◽  
...  

Prior research has shown that sipping of alcohol begins to emerge during childhood and is potentially etiologically significant for later substance use problems. Using a large, community sample of 9- and 10-year olds (N = 11,872; 53% female), we examined individual differences in precocious alcohol use in the form of alcohol sipping. We focused explicitly on features that are robust and well-demonstrated correlates of, and antecedents to, alcohol excess and related problems later in the lifespan, including youth- and parent-reported externalizing traits (i.e., impulsivity, behavioral inhibition and activation) and psychopathology. Seventeen percent of the sample reported sipping alcohol outside of a religiously sanctioned activity by age 9 or 10. Several aspects of psychopathology and personality emerged as small but reliable correlates of sipping. Nonreligious sipping was related to youth-reported impulsigenic traits, aspects behavioral activation, prodromal psychotic-like symptoms, and mood disorder diagnoses, as well as parent-reported externalizing disorder diagnoses. Religious sipping was unexpectedly associated with certain aspects of impulsivity. Together, our findings point to the potential importance of impulsivity and other transdiagnostic indicators of psychopathology (e.g., emotion dysregulation, novelty seeking) in the earliest forms of drinking behavior.


2000 ◽  
Vol 12 (2) ◽  
pp. 215-234 ◽  
Author(s):  
KAREN D. RUDOLPH ◽  
CONSTANCE HAMMEN ◽  
DORLI BURGE ◽  
NANGEL LINDBERG ◽  
DAVID HERZBERG ◽  
...  

The validity of a developmentally based life-stress model of depression was evaluated in 88 clinic-referred youngsters. The model focused on (a) the role of child–environment transactions, (b) the specificity of stress–psychopathology relations, and (c) the consideration of both episodic and chronic stress. Semistructured diagnostic and life-stress interviews were administered to youngsters and their parents. As predicted, in the total sample child depression was associated with interpersonal episodic and chronic stress, whereas externalizing disorder was associated with noninterpersonal episodic and chronic stress. However, the pattern of results differed somewhat in boys and girls. Youngsters with comorbid depression and externalizing disorder tended to experience the highest stress levels. Support was obtained for a stress-generation model of depression, wherein children precipitate stressful events and circumstances. In fact, stress that was in part dependent on children's contribution distinguished best among diagnostic groups, whereas independent stress had little discriminative power. Results suggest that life-stress research may benefit from the application of transactional models of developmental psychopathology, which consider how children participate in the construction of stressful environments.


2021 ◽  
pp. 108705472110572
Author(s):  
Arthur D. P. Mak ◽  
Sue Lee ◽  
Nancy A. Sampson ◽  
Yesica Albor ◽  
Jordi Alonso ◽  
...  

Objective To examine the prevalence of ADHD and the association of comorbid disorders, and multivariate disorder classes with role impairment in college students. Method About 15,991 freshmen (24 colleges, 9 countries, WMH-ICS) (response rate = 45.6%) completed online WMH-CIDI-SC surveys for 6-month ADHD and six 12-month DSM-IV disorders. We examined multivariate disorder classes using latent class analysis (LCA) and simulated a population attributable risk proportions (PARPs) of ADHD-related impairment. Results About 15.9% had ADHD, of which 58.4% had comorbidities. LCA classified ADHD respondents to pure (42.9%), internalizing (36.0%), bipolar comorbidities (11.3%), and externalizing disorder classes (9.8%). ADHD, comorbidities, and multivariate disorder classes independently predicted severe impairment. PARPs: eliminating ADHD hypothetically reduced severe impairment by 19.2%, 10.1% adjusted for comorbidities, 9.5% for multivariate disorder classes. Conclusions ADHD and comorbid disorders are common and impairing in college students. Personalized transdiagnostic interventions guided by multivariate disorder classes should be explored.


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