The Child Behavior Checklist-Dysregulation Profile Predicts Substance Use, Suicidality, and Functional Impairment: A Longitudinal Analysis

Autor/inn/en	Holtmann, Martin; Buchmann, Arlette F.; Esser, Guenter; Schmidt, Martin H.; Banaschewski, Tobias; Laucht, Manfred
Titel	The Child Behavior Checklist-Dysregulation Profile Predicts Substance Use, Suicidality, and Functional Impairment: A Longitudinal Analysis
Quelle	In: Journal of Child Psychology and Psychiatry, 52 (2011) 2, S.139-147 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0021-9630
DOI	10.1111/j.1469-7610.2010.02309.x
Schlagwörter	Check Lists; Family Income; Child Behavior; Risk; Young Adults; Adolescents; Longitudinal Studies; Measures (Individuals); Profiles; Substance Abuse; Suicide; Mental Disorders; Correlation; At Risk Persons; Scores; Children; Parent Background; Educational Attainment; Self Control; Symptoms (Individual Disorders); Child Behavior Checklist + Suchen Sie Ihr Suchwort? Checkliste; Familieneinkommen; Risiko; Young adult; Junger Erwachsener; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Longitudinal study; Longitudinal method; Longitudinal methods; Längsschnittuntersuchung; Messdaten; Charakterisierung; Profilanalyse; Drug use; Drug consomption; Drogenkonsum; Selbstmord; Mental illness; Geisteskrankheit; Korrelation; Risikogruppe; Child; Kind; Kinder; Elternhaus; Bildungsabschluss; Bildungsgut; Selbstbeherrschung; Psychiatrische Symptomatik
Abstract	Background: Recent studies have identified a Child Behavior Checklist profile that characterizes children with severe affective and behavioral dysregulation (CBCL-dysregulation profile, CBCL-DP). In two recent longitudinal studies the CBCL-DP in childhood was associated with heightened rates of comorbid psychiatric disorders, among them bipolar disorder, an increased risk for suicidality, and marked psychosocial impairment at young-adult follow-up. This is the first study outside the US that examines the longitudinal course of the CBCL-DP. Methods: We studied the diagnostic and functional trajectories and the predictive utility of the CBCL-DP in the Mannheim Study of Children at Risk, an epidemiological cohort study on the outcome of early risk factors from birth into adulthood. A total of 325 young adults (151 males, 174 females) participated in the 19-year assessment. Results: Young adults with a higher CBCL-DP score in childhood were at increased risk for substance use disorders, suicidality and poorer overall functioning at age 19, even after adjustment for parental education, family income, impairment and psychiatric disorders at baseline. Childhood dysregulation was not related to bipolar disorder in young adulthood. The CBCL-DP was neither a precursor of a specific pattern of comorbidity nor of comorbidity in general. Conclusions: Children with high CBCL-DP values are at risk for later severe, psychiatric symptomatology. The different developmental trajectories suggest that the CBCL-DP is not simply an early manifestation of a single disease process but might rather be an early developmental risk marker of a persisting deficit of self-regulation of affect and behavior. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10