Universität zu Köln

Treier, Anne-Katrin ORCID: 0000-0002-2520-6801, Labarga, Sara Zaplana, Ginsberg, Claudia, Kohl, Lea Teresa ORCID: 0000-0003-4312-7645, Görtz-Dorten, Anja ORCID: 0000-0002-5874-2520, Ravens-Sieberer, Ulrike, Kaman, Anne, Banaschewski, Tobias, Aggensteiner, Pascal-M., Hanisch, Charlotte ORCID: 0000-0003-4645-0966, Kölch, Michael, Daunke, Andrea, Roessner, Veit, Kohls, Gregor, Döpfner, Manfred ORCID: 0000-0002-7929-0463, Bernheim, Dorothee ORCID: 0000-0001-6068-748X, Bienioschek, Stefanie ORCID: 0009-0009-7077-2923, Boecker, Maren ORCID: 0000-0003-2356-7803, Brandeis, Daniel, Butz, Kristina ORCID: 0000-0002-4828-2153, Fegert, Jörg M. ORCID: 0000-0001-6070-4323, Giller, Franziska ORCID: 0000-0003-0858-9780, Goldbeck, Carolina, Hellmich, Martin ORCID: 0000-0001-5174-928X, Igel, Christine, Junghänel, Michaela ORCID: 0000-0002-0846-4948, Ritschel, Anne ORCID: 0009-0000-9546-2918, Schroth, Jennifer, Schüller, Anne, Steiner, Marion and Uhlmann, Anne ORCID: 0000-0002-1753-7811 (2024). Assessment of affective dysregulation in children: development and evaluation of a semi-structured interview for parents and for children. Child and Adolescent Psychiatry and Mental Health, 18 (1). pp. 1-14. Springer Nature. ISSN 1753-2000

PDF s13034-024-00762-8.pdf Bereitstellung unter der CC-Lizenz: Creative Commons Attribution. Download (1MB)

Abstract

[Artikel-Nr.: 75] Background: Children with affective dysregulation (AD) show an excessive reactivity to emotionally positive or negative stimuli, typically manifesting in chronic irritability, severe temper tantrums, and sudden mood swings. AD shows a large overlap with externalizing and internalizing disorders. Given its transdiagnostic nature, AD cannot be reliably and validly captured only by diagnostic categories such as disruptive mood dysregulation disorder (DMDD). Therefore, this study aimed to evaluate two semi-structured clinical interviews—one for parents and one for children. Methods: Both interviews were developed based on existing measures that capture particular aspects of AD. We analyzed internal consistencies and interrater agreement to evaluate their reliability. Furthermore, we analyzed factor loadings in an exploratory factor analysis, differences in interview scores between children with and without co-occurring internalizing and externalizing disorders, and associations with other measures of AD and of AD-related constructs. The evaluation was performed in a screened community sample of children aged 8–12 years ( n = 445). Interrater reliability was additionally analyzed in an outpatient sample of children aged 8–12 years ( n = 27). Results: Overall, internal consistency was acceptable to good. In both samples, we found moderate to excellent interrater reliability on a dimensional level. Interrater agreement for the dichotomous diagnosis DMDD was substantial to perfect. In the exploratory factor analysis, almost all factor loadings were acceptable. Children with a diagnosis of disruptive disorder, attention-deficit/hyperactivity disorder, or any disorder (disruptive disorder, attention-deficit/hyperactivity disorder, and depressive disorder) showed higher scores on the DADYS interviews than children without these disorders. The correlation analyses revealed the strongest associations with other measures of AD and measures of AD-specific functional impairment. Moreover, we found moderate to very large associations with internalizing and externalizing symptoms and moderate to large associations with emotion regulation strategies and health-related quality of life. Conclusions: The analyses of internal consistency and interrater agreement support the reliability of both clinical interviews. Furthermore, exploratory factor analysis, discriminant analyses, and correlation analyses support the interviews’ factorial, discriminant, concurrent, convergent, and divergent validity. The interviews might thus contribute to the reliable and valid identification of children with AD and the assessment of treatment responses. Trial registration. ADOPT Online: German Clinical Trials Register (DRKS) DRKS00014963. Registered 27 June 2018.

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Treier, Anne-Katrin UNSPECIFIED https://orcid.org/0000-0002-2520-6801 UNSPECIFIED Labarga, Sara Zaplana UNSPECIFIED UNSPECIFIED UNSPECIFIED Ginsberg, Claudia UNSPECIFIED UNSPECIFIED UNSPECIFIED Kohl, Lea Teresa UNSPECIFIED https://orcid.org/0000-0003-4312-7645 UNSPECIFIED Görtz-Dorten, Anja UNSPECIFIED https://orcid.org/0000-0002-5874-2520 UNSPECIFIED Ravens-Sieberer, Ulrike UNSPECIFIED UNSPECIFIED UNSPECIFIED Kaman, Anne UNSPECIFIED UNSPECIFIED UNSPECIFIED Banaschewski, Tobias UNSPECIFIED UNSPECIFIED UNSPECIFIED Aggensteiner, Pascal-M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hanisch, Charlotte UNSPECIFIED https://orcid.org/0000-0003-4645-0966 UNSPECIFIED Kölch, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Daunke, Andrea UNSPECIFIED UNSPECIFIED UNSPECIFIED Roessner, Veit UNSPECIFIED UNSPECIFIED UNSPECIFIED Kohls, Gregor UNSPECIFIED UNSPECIFIED UNSPECIFIED Döpfner, Manfred UNSPECIFIED https://orcid.org/0000-0002-7929-0463 UNSPECIFIED Bernheim, Dorothee UNSPECIFIED https://orcid.org/0000-0001-6068-748X UNSPECIFIED Bienioschek, Stefanie UNSPECIFIED https://orcid.org/0009-0009-7077-2923 UNSPECIFIED Boecker, Maren UNSPECIFIED https://orcid.org/0000-0003-2356-7803 UNSPECIFIED Brandeis, Daniel UNSPECIFIED UNSPECIFIED UNSPECIFIED Butz, Kristina UNSPECIFIED https://orcid.org/0000-0002-4828-2153 UNSPECIFIED Fegert, Jörg M. UNSPECIFIED https://orcid.org/0000-0001-6070-4323 UNSPECIFIED Giller, Franziska UNSPECIFIED https://orcid.org/0000-0003-0858-9780 UNSPECIFIED Goldbeck, Carolina UNSPECIFIED UNSPECIFIED UNSPECIFIED Hellmich, Martin UNSPECIFIED https://orcid.org/0000-0001-5174-928X UNSPECIFIED Igel, Christine UNSPECIFIED UNSPECIFIED UNSPECIFIED Junghänel, Michaela UNSPECIFIED https://orcid.org/0000-0002-0846-4948 UNSPECIFIED Ritschel, Anne UNSPECIFIED https://orcid.org/0009-0000-9546-2918 UNSPECIFIED Schroth, Jennifer UNSPECIFIED UNSPECIFIED UNSPECIFIED Schüller, Anne UNSPECIFIED UNSPECIFIED UNSPECIFIED Steiner, Marion UNSPECIFIED UNSPECIFIED UNSPECIFIED Uhlmann, Anne UNSPECIFIED https://orcid.org/0000-0002-1753-7811 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-815701
Identification Number:	10.1186/s13034-024-00762-8
Journal or Publication Title:	Child and Adolescent Psychiatry and Mental Health
Volume:	18
Number:	1
Page Range:	pp. 1-14
Number of Pages:	14
Date:	20 June 2024
Publisher:	Springer Nature
ISSN:	1753-2000
Language:	English
Faculty:	Faculty of Human Sciences Faculty of Medicine
Divisions:	Faculty of Human Sciences > Department Heilpädagogik und Rehabilitation Faculty of Medicine > Kinder- und Jugendmedizin > Klinik und Poliklinik für Kinder- und Jugendmedizin
Subjects:	Psychology Education Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language Affective dysregulation ; Irritability, Children ; Assessment ; Clinical interview ; Reliability ; Validity English
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/81570