Development and examination of the reactive attachment disorder and disinhibited social engagement disorder assessment interview

Stine Lehmann, Sebastien Monette, Helen Egger, Kyrre Breivik, David Young, Claire Davidson, Helen Minnis

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The fifth edition of the Diagnostic and Statistical Manual ( DSM) categorizes reactive attachment disorder (RAD) and disinhibited social engagement disorder (DSED) as two separate disorders, and their criteria are revised. For DSED, the core symptoms focus on abnormal social disinhibition, and symptoms regarding lack of selective attachment have been removed. The core symptoms of RAD are the absence of attachment behaviors and emotional dysregulation. In this study, an international team of researchers modified the Child and Adolescent Psychiatric Assessment for RAD to update it from DSM-IV to DSM-5 criteria for RAD and DSED. We renamed the interview the reactive attachment disorder and disinhibited social engagement disorder assessment (RADA). Foster parents of 320 young people aged 11 to 17 years completed the RADA online. Confirmatory factor analysis of RADA items identified good fit for a three-factor model, with one factor comprising DSED items (indiscriminate behaviors with strangers) and two factors comprising RAD items (RAD1: failure to seek/accept comfort, and RAD2: withdrawal/hypervigilance). The three factors showed differential associations with clinical symptoms of emotional and social impairment. Time in foster care was not associated with scores on RAD1, RAD2, or DSED. Higher age was associated with lower scores on DSED, and higher scores on RAD1.

LanguageEnglish
JournalImpact Assessment
Early online date2 Sep 2018
DOIs
Publication statusE-pub ahead of print - 2 Sep 2018

Fingerprint

Reactive Attachment Disorder
Factor analysis
Disorder
diagnostic
Interviews
examination
interview
foster parents
withdrawal
factor analysis
edition
Adolescent Psychiatry
adolescent
Child Psychiatry
lack
Diagnostics
Statistical Factor Analysis
Engagement
Psychiatry
Anxiety

Keywords

  • RAD
  • DSED
  • CFA
  • adolescence
  • attachment disorder

Cite this

Lehmann, Stine ; Monette, Sebastien ; Egger, Helen ; Breivik, Kyrre ; Young, David ; Davidson, Claire ; Minnis, Helen. / Development and examination of the reactive attachment disorder and disinhibited social engagement disorder assessment interview. In: Impact Assessment. 2018.
@article{eb5a853bd0a64f3188e0831411b91506,
title = "Development and examination of the reactive attachment disorder and disinhibited social engagement disorder assessment interview",
abstract = "The fifth edition of the Diagnostic and Statistical Manual ( DSM) categorizes reactive attachment disorder (RAD) and disinhibited social engagement disorder (DSED) as two separate disorders, and their criteria are revised. For DSED, the core symptoms focus on abnormal social disinhibition, and symptoms regarding lack of selective attachment have been removed. The core symptoms of RAD are the absence of attachment behaviors and emotional dysregulation. In this study, an international team of researchers modified the Child and Adolescent Psychiatric Assessment for RAD to update it from DSM-IV to DSM-5 criteria for RAD and DSED. We renamed the interview the reactive attachment disorder and disinhibited social engagement disorder assessment (RADA). Foster parents of 320 young people aged 11 to 17 years completed the RADA online. Confirmatory factor analysis of RADA items identified good fit for a three-factor model, with one factor comprising DSED items (indiscriminate behaviors with strangers) and two factors comprising RAD items (RAD1: failure to seek/accept comfort, and RAD2: withdrawal/hypervigilance). The three factors showed differential associations with clinical symptoms of emotional and social impairment. Time in foster care was not associated with scores on RAD1, RAD2, or DSED. Higher age was associated with lower scores on DSED, and higher scores on RAD1.",
keywords = "RAD, DSED, CFA, adolescence, attachment disorder",
author = "Stine Lehmann and Sebastien Monette and Helen Egger and Kyrre Breivik and David Young and Claire Davidson and Helen Minnis",
year = "2018",
month = "9",
day = "2",
doi = "10.1177/1073191118797422",
language = "English",
journal = "Impact Assessment",
issn = "0734-9165",

}

Development and examination of the reactive attachment disorder and disinhibited social engagement disorder assessment interview. / Lehmann, Stine; Monette, Sebastien; Egger, Helen; Breivik, Kyrre; Young, David; Davidson, Claire; Minnis, Helen.

In: Impact Assessment, 02.09.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Development and examination of the reactive attachment disorder and disinhibited social engagement disorder assessment interview

AU - Lehmann, Stine

AU - Monette, Sebastien

AU - Egger, Helen

AU - Breivik, Kyrre

AU - Young, David

AU - Davidson, Claire

AU - Minnis, Helen

PY - 2018/9/2

Y1 - 2018/9/2

N2 - The fifth edition of the Diagnostic and Statistical Manual ( DSM) categorizes reactive attachment disorder (RAD) and disinhibited social engagement disorder (DSED) as two separate disorders, and their criteria are revised. For DSED, the core symptoms focus on abnormal social disinhibition, and symptoms regarding lack of selective attachment have been removed. The core symptoms of RAD are the absence of attachment behaviors and emotional dysregulation. In this study, an international team of researchers modified the Child and Adolescent Psychiatric Assessment for RAD to update it from DSM-IV to DSM-5 criteria for RAD and DSED. We renamed the interview the reactive attachment disorder and disinhibited social engagement disorder assessment (RADA). Foster parents of 320 young people aged 11 to 17 years completed the RADA online. Confirmatory factor analysis of RADA items identified good fit for a three-factor model, with one factor comprising DSED items (indiscriminate behaviors with strangers) and two factors comprising RAD items (RAD1: failure to seek/accept comfort, and RAD2: withdrawal/hypervigilance). The three factors showed differential associations with clinical symptoms of emotional and social impairment. Time in foster care was not associated with scores on RAD1, RAD2, or DSED. Higher age was associated with lower scores on DSED, and higher scores on RAD1.

AB - The fifth edition of the Diagnostic and Statistical Manual ( DSM) categorizes reactive attachment disorder (RAD) and disinhibited social engagement disorder (DSED) as two separate disorders, and their criteria are revised. For DSED, the core symptoms focus on abnormal social disinhibition, and symptoms regarding lack of selective attachment have been removed. The core symptoms of RAD are the absence of attachment behaviors and emotional dysregulation. In this study, an international team of researchers modified the Child and Adolescent Psychiatric Assessment for RAD to update it from DSM-IV to DSM-5 criteria for RAD and DSED. We renamed the interview the reactive attachment disorder and disinhibited social engagement disorder assessment (RADA). Foster parents of 320 young people aged 11 to 17 years completed the RADA online. Confirmatory factor analysis of RADA items identified good fit for a three-factor model, with one factor comprising DSED items (indiscriminate behaviors with strangers) and two factors comprising RAD items (RAD1: failure to seek/accept comfort, and RAD2: withdrawal/hypervigilance). The three factors showed differential associations with clinical symptoms of emotional and social impairment. Time in foster care was not associated with scores on RAD1, RAD2, or DSED. Higher age was associated with lower scores on DSED, and higher scores on RAD1.

KW - RAD

KW - DSED

KW - CFA

KW - adolescence

KW - attachment disorder

U2 - 10.1177/1073191118797422

DO - 10.1177/1073191118797422

M3 - Article

JO - Impact Assessment

T2 - Impact Assessment

JF - Impact Assessment

SN - 0734-9165

ER -