Comorbid Internalizing Symptoms in Children with Disruptive Behavior Disorders: Buffering Effects or Multiple Problem Effects?
Children with disruptive behavior disorders (DBDs) experience high rates of comorbid psychopathology, including internalizing disorders. According to the dual pathway model, comorbid internalizing symptoms may be associated with less (buffer hypothesis) or more (multiple problems) severe clinical pr...
| Publicado en: | Journal of Child & Family Studies Vol. 30; no. 2; pp. 474 - 483 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Springer Nature
Feb2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=148629507&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 148629507 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10621024 JFM jtl: Journal of Child & Family Studies issn: 10621024 maglogo: N pubinfo: dt: Feb2021 vid: 30 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 148629507 10.1007/s10826-020-01893-0 ppf: 474 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P size: 506KB tig: atl: Comorbid Internalizing Symptoms in Children with Disruptive Behavior Disorders: Buffering Effects or Multiple Problem Effects? aug: au: Mahendran, Nivethine Aitken, Madison Andrade, Brendan F. affil: Faculty of Health Sciences, University of Ottawa, 125 University Private, Room 232, K1N 6N5, Ottawa, ON, Canada McCain Centre for Child Youth and Family Mental Health, Child Youth and Emerging Adult Program, Centre for Addiction and Mental Health, 80 Workman Way, M6J 1H4, Toronto, ON, Canada Cundill Centre for Child and Youth Depression, Child Youth and Emerging Adult Program, Centre for Addiction and Mental Health, 80 Workman Way, M6J 1H4, Toronto, ON, Canada Department of Psychiatry, University of Toronto, 250 College Street, 8th floor, M5T 1R8, Toronto, ON, Canada su: Behavior disorders in children Child behavior Symptoms Comorbidity sug: subj: Behavior disorders in children Child behavior Symptoms Comorbidity keyword: Disruptive behavior disorders Dual pathway model Gender differences Internalizing Disruptive behavior disorders Dual pathway model Gender differences Internalizing ab: Children with disruptive behavior disorders (DBDs) experience high rates of comorbid psychopathology, including internalizing disorders. According to the dual pathway model, comorbid internalizing symptoms may be associated with less (buffer hypothesis) or more (multiple problems) severe clinical presentations among children with DBDs. We examined whether the presence of comorbid internalizing symptoms is associated with differences in the severity of clinic-referred children's (N = 284, age 6 to 12) disruptive behavior, as measured by parent ratings of their oppositionality-defiance, impairment, and callous-unemotional traits. Potential gender effects were also examined. Children with DBD and clinically elevated internalizing symptoms showed significantly higher levels of oppositionality-defiance and overall behavioral impairment and, unexpectedly, callous-unemotional traits, than children with DBD and sub-clinical internalizing symptoms. There were no significant main effects of gender or interactions between internalizing symptoms and gender. Results are consistent with the multiple problems hypothesis and suggest that children with DBDs should be assessed for internalizing symptoms. Moreover, children with comorbid DBD and internalizing disorders may require specific clinical attention, such as sequenced or modular interventions, or interventions targeting relevant transdiagnostic processes, in order to meet their treatment needs. Highlights: Clinically elevated internalizing symptoms in children with Disruptive Behavior Disorders (DBD) are associated with greater severity of disruptive behavior. Results demonstrated that internalizing symptoms interact with DBD in a manner that supports the multiple problems hypothesis. Notably, children with DBD and clinical-levels of internalizing symptoms also showed significantly higher callous- unemotional (CU) traits. No gender differences or interaction effect of gender and internalizing symptoms on the severity of disruptive behavior were observed. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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