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2 results

  • 26 - Clinical Treatments for Child Emotional Disorders and the Development of Coping

  • from Part VI - Application and the Development of Coping
  • Edited by Ellen A. Skinner, Portland State University, Melanie J. Zimmer-Gembeck, Griffith University, Queensland
  • Book:
    The Cambridge Handbook of the Development of Coping
    Published online:
    22 June 2023
    Print publication:
    06 July 2023, pp 612-640

  • Summary

    Difficulties in coping and emotion regulatory strategies are related to both internalizing and externalizing problems in children and adolescents. Recurring, elevated irritability is a core transdiagnostic feature of these psychological problems, and has been documented to be a predictor of psychopathology. In this chapter, we discuss the role of emotion regulation and coping in the development and management of emotion disorders in childhood and the relevancy to further advancing our understanding of chronic irritability in youth. We outline two related conceptual models for irritability in children and adolescents, extended to include the role of coping, in order to have utility in further shaping the evidence base in this field. We also evaluate published treatment studies that have tested the efficacy of psychotherapy programs in managing elevated levels of irritability disturbances in children and adolescents including youth with more severe levels of symptoms captured by the disruptive mood dysregulation disorder (DMDD) diagnosis. Treatments with the most promising findings to date include cognitive-behavioral based programs that include individual and/or interpersonal emotion regulatory, coping, and prosocial skills training components. Given that the evidence base in this field is in its infancy, we conclude by discussing future research recommendations.

  • Gender associated developmental trajectories of SDQ-dysregulation profile and its predictors in children

  • B. Kunze, B. Wang, C. Isensee, R. Schlack, U. Ravens-Sieberer, F. Klasen, A. Rothenberger, A. Becker, the BELLA-study group
  • Journal:
    Psychological Medicine / Volume 48 / Issue 3 / February 2018
    Published online by Cambridge University Press:
    22 June 2017, pp. 404-415
  • Background

    Severe mood dysregulation is common in childhood and can be highly impairing. The Dysregulation Profile (DP) can be considered as a broader phenotype of emotional dysregulation, including affect, cognition and behaviour. Since mood dysregulation may persist, but differently in boys and girls, the gender associated course needs to be considered longitudinally to gain a better insight in order to support the children more adequately. This study is focusing on gender associated subgroup trajectories of the Strengths and Difficulties Questionnaire-Dysregulation Profile (SDQ-DP) in middle childhood (9–13 years of age) and includes the potential impact of clinical and psychosocial characteristics.

    Method

    The data set was available from the BELLA study on mental health and well-being in children and adolescents, which is the mental health module of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). A representative epidemiological sample of 564 children living in Germany was examined at three assessment points over 2 years (data collection 2003–2006). The SDQ-DP of children aged 9–13 years was evaluated using Latent Class Growth Analysis (LCGA).

    Results

    For both genders three trajectories with low (girls 67.0% and boys 59.5%), moderate (girls 28.0% and boys 31.7%) and high SDQ-DP (girls 5.0% and boys 8.8%) scores were detected. The courses of low and moderate subgroups were stable, while in the high SDQ-DP subgroup boys showed a decreasing and girls an increasing trend in symptom severity on a descriptive level. The results of the multinomial logistic regression analyses revealed a significant influence of mainly externalising but also internalising problems both increasing the risk of moderate and high SDQ-DP in both genders. Good quality of life was a protective factor for the SDQ-DP course in all subgroups.

    Conclusion

    In addition to the known clinical and scientific value of the SDQ-DP, three distinguishable trajectories of SDQ-DP in boys and girls could be found. High externalising problems at the beginning of the trajectory were associated with an undesirable course of SDQ-DP. These findings might be helpful for better psychoeducation, counselling and monitoring in clinical cases and public health.