TY - JOUR
PY - 2016//
TI - Deficient emotional self-regulation in preschoolers with ADHD: identification, comorbidity, and interpersonal functioning
JO - Journal of attention disorders
A1 - Melegari, Maria Grazia
A1 - Sacco, Roberto
A1 - Manzi, Barbara
A1 - Vittori, Elena
A1 - Persico, Antonio M.
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - OBJECTIVE: This study aims to develop an age-adjusted Child Behavior Checklist- (CBCL) and Teacher Report Form (TRF)-based method for the detection of deficient emotional self-regulation (DESR) in preschoolers with ADHD and to assess its incidence, comorbidities, and consequences on interpersonal functioning.
METHOD: Eighty-six ADHD preschoolers and 104 controls were assessed using CBCL, TRF/1½ to 5, Psychiatric Interview With Preschool Age Psychiatric Assessment, Leiter-R, and ADHD rating scales.
RESULTS: Greatest sensitivity and specificity were obtained applying slightly lower threshold scores compared with school-age children (CBCL: Anxiety/Depression [A/D] ≥ 59, Attention Problems [AP] ≥ 60, Aggression Behaviors [AB] ≥ 58; TRF: A/D ≥ 59, AP ≥ 60, AB ≥ 60). DESR was detected in 33/86 (38.4%) and in 16/54 (29.6%) ADHD preschoolers versus 2/104 (1.9%) controls using CBCL and TRF, respectively. DESR is associated with significantly greater comorbidity and impairment in interpersonal functioning.
CONCLUSION: Among ADHD preschoolers, DESR (a) requires lower CBCL and TRF threshold scores for detection, compared with school-age children, (b) displays similar incidence rates, and (c) is associated with enhanced psychiatric comorbidity and interpersonal difficulties.
Language: en
LA - en SN - 1087-0547 UR - http://dx.doi.org/10.1177/1087054715622015 ID - ref1 ER -