Marike H. F. Deutz

The Child Behavior Checklist Dysregulation Profile in Preschool Children: A Broad Dysregulation Syndrome

OBJECTIVE Children with concurrent impairments in regulating affect, behavior, and cognition can be identified with the Anxious/Depressed, Aggressive Behavior, and Attention Problems scales (or AAA scales) of the Child Behavior Checklist (CBCL). Jointly, these scales form the Dysregulation Profile (DP). Despite persuasive evidence that DP is a marker for severe developmental problems, no consensus exists on the preferred conceptualization and operationalization of DP in preschool years. We addressed this concern by testing and validating the factor structure of DP in a group of predominantly clinically referred preschool children. METHOD Participants were 247 children (195 boys and 52 girls), aged 3.5 to 5.5 years. Children were assessed at baseline and 18 months later, using parent and teacher reports, a clinical interview with parents, behavioral observations, and neuropsychological tasks. RESULTS Confirmatory factor analysis showed that a bifactor model, with a general DP factor and 3 specific factors representing the AAA scales, fitted the data better than a second-order model and a one-factor model for both parent-reported and teacher-reported child problem behavior. Criterion validity analyses showed that the DP factor was concurrently and longitudinally associated with markers of dysregulation and clinically relevant criteria, whereas the specific factors representing the AAA scales were more differentially related to those criteria. CONCLUSION DP is best conceptualized as a broad syndrome of dysregulation that exists in addition to the specific syndromes as represented by the AAA scales. Implications for researchers and clinicians are discussed.

Associations between risk behaviour and social status in European adolescents

Both theory and empirical evidence suggest that adolescents engage in risk behaviour to gain mature status, thereby becoming popular among their peers. Using a cross-sectional design with 20 school classes from higher secondary schools in Austria and the Netherlands, associations between risk behaviour and social status in late adolescence were examined (N = 408, Mage = 16.95, SD = 0.81, 50% male). Popularity and likeability were assessed as distinct facets of social status in adolescence using peer nominations. Self-reported risk behaviour included alcohol, tobacco and marijuana use, as well as sexual intercourse. Using a latent variable approach, results showed that in accordance with our assumptions, risk behaviour was strongly associated with popularity, but not with likeability. This study shows that in Austria and the Netherlands, associations between risk behaviour and social status among peers are in line with findings from outside of Europe. Theoretical and practical implications of these results are discussed and proposals for future research are given.

Unanimous versus partial rejection: How the number of excluders influences the impact of ostracism in children

Previous research has shown that ostracism-the experience of being ignored and excluded-has negative effects on all of us, young and old. Using a Cyberball paradigm, the present research replicates the effects of ostracism on the moods (anger, anxiety, happiness, and anger) and fundamental needs (belongingness, control, meaningful existence, and self-esteem) of children (Study 1) and then extends the literature by examining the role of the number of ostracizers and inclusive members in this process by randomly assigning children to conditions varying in degree of ostracism (Study 2). Results of both studies showed that experiencing ostracism strongly and negatively affected all moods and fundamental needs-with the exception of anxiety. Study 2 in addition showed that the ratio of excluders to inclusive group members had different effects across outcomes. In all cases, complete ostracism produced the worst outcomes, suggesting that the presence of even a single ally reduces childrens distress. For sadness, unanimous ostracism seemed particularly toxic. In some cases, facing two ostracizers produced significantly worse outcomes than only one, suggesting that consensual rejection might drive the negative effects on happiness, and sense of belonging, control, and meaningful existence. For self-esteem, only one ostracizer (in the presence of two inclusive members) was sufficient to induce a negative effect. Aggr. Behav. 43:190-203, 2017.

Dual training as clinician-scientist in child and adolescent psychiatry: are we there yet?

Alexis Revet1 · Johannes Hebebrand2 · Sampada Bhide3 · João Caseiro4 · Eugenia Conti5 · Marike Deutz6 · Andra Isac7 · Athanasios Kanellopoulos8 · Tuğba Kalyoncu9 · Katri Maasalo10 · Silvana Markovska‐Simoska11 · Marija Mitkovic‐Voncina12 · Silvia Molteni13 · Mariela Mosheva14 · Susanne Mudra15 · Julia Philipp16 · Cecil Prins‐Aardema17 · Marina Romero Gonzalez18 · Antonín Šebela19 · Jochen Seitz20 · Lise Eilin Stene21 · Nikolina Vrljičak Davidović22 · Ida Wessing23 · Paul Klauser24

Academic Resilience Despite Early Academic Adversity: A Three-Wave Longitudinal Study on Regulation-Related Resiliency, Interpersonal Relationships, and Achievement in First to Third Grade

ABSTRACT Research Findings: Using a bio-social-ecological systems framework, we examined whether interpersonal relationships at school (specifically teacher–student and peer relationships) mediated the link between child resiliency (temperament-based adaptability) and reading or math achievement in a sample of children assessed as experiencing early academic adversity. Participants were 784 ethnically diverse students (mean age at Year 1 = 6.57 years, SD = 0.39) who began school as struggling readers or as weak in reading skills relative to their peers (scoring below the median on a school-wide standardized literacy exam). Data on children’s resiliency, teacher–student warmth and conflict, peer social preference and peer liking, and reading and math achievement were collected across 3 years, and 3-wave longitudinal models of mediation were tested. When we accounted for students nested within classrooms and for baseline covariates (i.e., ethnicity, socioeconomic status, gender), results showed that peer relationships mediated the effect of resiliency on reading, but not math, achievement. Teacher–student relationships were not found to be a mediator between resiliency and achievement. Practice or Policy: Findings suggest that for children with early academic adversity, resiliency is a protective factor against future academic problems, with peer competence facilitating children’s academic engagement and achievement.

Normative development of the Child Behavior Checklist – Dysregulation Profile from early childhood to adolescence : Associations with personality pathology

The Dysregulation Profile (DP) is a broad indicator of concurrent affective, behavioral, and cognitive dysregulation, often measured with the anxious/depressed, aggressive behavior, and attention problems syndrome scales of the Child Behavior Checklist. Despite an expanding body of research on the DP, knowledge of the normative developmental course of the DP from early childhood to adolescence is lacking. Furthermore, although we know that the DP longitudinally predicts personality pathology, no research yet has examined whether next to the DP in early childhood, the rate of change of the DP across development predicts personality pathology. Therefore, using cohort-sequential latent growth modeling in a population-based sample (N = 668), we examined the normative developmental course of mother-reported DP from ages 4 to 17 years and its associations with a wide range of adolescent-reported personality pathology dimensions 3 years later. The results showed that the DP follows a nonlinear developmental course with a peak in early adolescence. The initial level of the DP at age 4 and, to a lesser extent, the rate of change in the DP predicted a range of personality pathology dimensions in late adolescence. The findings suggest that the DP is a broad developmental precursor of personality pathology in late adolescence.

Evaluation of the Strengths and Difficulties Questionnaire-Dysregulation Profile (SDQ-DP).

The Dysregulation Profile (DP) has emerged as a measure of concurrent affective, behavioral and cognitive dysregulation, associated with severe psychopathology, and poor adjustment. While originally developed with the Child Behavior Checklist, more recently the DP has also been defined on the Strengths and Difficulties Questionnaire (SDQ), mostly with a 5-item, but also a 15-item, SDQ-DP measure. This study evaluated the SDQ-DP by examining its factor structure, measurement invariance, and construct validity. Different SDQ-DP operationalizations were compared. In a United States longitudinal community sample (N = 768), a bifactor model consisting of a general Dysregulation factor and three specific factors of Emotional Symptoms, Conduct Problems, and Hyperactivity-Inattention fitted best, across three different developmental periods (early childhood, middle childhood, and adolescence) and across three different reporters (parents, teachers, and youth). Measurement invariance across reporter, gender, and developmental period was demonstrated. These findings indicate that the SDQ-DP, like the CBCL-DP, reflects a broad syndrome of dysregulation that exists in addition to specific syndromes of emotional symptoms, conduct problems, and hyperactivity-inattention. SDQ-DP bifactor scores were strongly related with scores on the 5- and 15-item SDQ-DP measures and similarly concurrently associated with two markers of self-regulation, ego-resiliency and effortful control, and longitudinally with antisocial behavior and disciplinary measures. As reliability, validity, and stability was weaker for the SDQ-DP 5-item measure, use of all 15 items is recommended. Advantages of using a bifactor approach are discussed as well as the potential of the SDQ-DP as an easy screening measure of children at risk for developing serious psychopathology.

How children's victimization relates to distorted versus sensitive social cognition: Perception, mood, and need fulfillment in response to Cyberball inclusion and exclusion

This study examined whether victimization is associated with negatively distorted social cognition (bias), or with a specific increased sensitivity to social negative cues, by assessing the perception of social exclusion and the consequences for psychological well-being (moods and fundamental needs). Both self-reported and peer-reported victimization of 564 participants (Mage=9.9years, SD=1.04; 49.1% girls) were measured, and social exclusion was manipulated through inclusion versus exclusion in a virtual ball-tossing game (Cyberball). Childrens perceptions and psychological well-being were in general more negative after exclusion than after inclusion. Moreover, self-reported-but not peer-reported-victimization was associated with the perception of being excluded more and receiving the ball less, as well as more negative moods and less fulfillment of fundamental needs, regardless of being excluded or included during the Cyberball game. In contrast, peer-reported victimization was associated with more negative mood and lower need fulfillment in the exclusion condition only. Together, these results suggest that children who themselves indicate being victimized have negatively distorted social cognition, whereas children who are being victimized according to their peers experience increased sensitivity to negative social situations. The results stress the importance of distinguishing between self-reported and peer-reported victimization and have implications for interventions aimed at victimized childrens social cognition.