ArticleClinical child psychology and psychiatry2017
Convergence between observations and interviews in clinical diagnosis of reactive attachment disorder and disinhibited social engagement disorder.
Article in Clinical child psychology and psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Validation of the Reactive Attachment Disorder and Disinhibited Social Engagement Disorder Assessment (RADA): AAssessment · 2025Article
- Psychometric Properties of the Questionnaire Epistemic Trust in People With Mild to Moderate Intellectual Disabilities or Borderline Intellectual Functioning.Journal of applied research in intellectual disabilities : JARID · 2025Article
- Reactive attachment disorder and disinhibited social engagement disorder in adolescence: co-occurring psychopathology and psychosocial problems.European child & adolescent psychiatry · 2022Article
- Reactive attachment disorder symptoms and prosocial behavior in middle childhood: the role of Secure Base Script knowledge.BMC psychiatry · 2020Article
- Validity of reactive attachment disorder and disinhibited social engagement disorder in adolescence.European child & adolescent psychiatry · 2020Article
- Development and Examination of the Reactive Attachment Disorder and Disinhibited Social Engagement Disorder Assessment Interview.Assessment · 2020Article
- Course of disinhibited social engagement behavior in clinically referred home-reared preschool children.Journal of child psychology and psychiatry, and allied disciplines · 2019Article
- Attachment difficulties and disorders.InnovAiT · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveA comprehensive approach is needed for diagnosing disordered attachment behavior due to the multifaceted nature of attachment. Differences between various indicators can pose a challenge for deciding on the proper diagnosis. This study assessed the convergence between clinical interview assessment and observation-based clinical diagnosis, and their linkages with inadequate care.
methodParticipating children ( N = 55) had intelligence quotients (IQs) between 50 and 85 and were referred for psychiatric consultation. Data were obtained by structured review of medical records, the Disturbances of Attachment Interview (DAI), and the Clinical Observation of Attachment (COA) procedure.
resultsOf the 18 children identified using the DAI with Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5) diagnosis of reactive attachment disorder (RAD) and/or disinhibited social engagement disorder (DSED), only 7 received a clinical DSM-5 diagnosis of RAD and/or DSED. Observed maladaptive attachment behavior in the COA was strongly associated with DAI scores and with clinical diagnosis of DSM-5 RAD and/or DSED. There was a significantly higher prevalence of extremes of insufficient care in children who were classified with RAD by DAI or DSM-5 and/or with DSED by DSM-5 compared to those with no attachment disorder.
conclusionsUsing structured observation and record assessment leads to more conservative identification of RAD or DSED than using the DAI.
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