Dysregulationsprofil als transdiagnostisches psychopathologisches Syndrom bei Kindern und Jugendlichen – Vergleiche zwischen klinischen Störungen und Erhebungs- Inventaren
von Christina Kälble
Datum der mündl. Prüfung:2023-03-21
Betreuer:Prof. Dr. Aribert Rothenberger
Gutachter:Dr. Claudia Bartels
Gutachter:Prof. Dr. Ralf Dressel
Name:Dissertation Christina Kälble ohne Lebenslauf.pdf
Diese Datei ist bis 28.03.2023 gesperrt.
EnglischChildren with various mental disorders such as anxiety disorders or behavioral disorders often show problems of self-regulation in emotional, cognitive and behavioral areas on the dimensional level. Timely detection is therefore important in order to initiate differentiated and targeted treatment. The DP can be recorded with appropriate questionnaires (SDQ-DP, CBCL-DP) and could be helpful in the detection and treatment of severe dysregulation. It was our concern to present this significant status of the DP within different "pure" or "comorbid" child psychiatric disorder groups, as well as to identify particularly predestined disorder groups. The following disorders were included: tic disorder (n=281), anxiety disorder (n=137), obsessive-compulsive disorder (n=98), depression (n=22), attention-deficit hyperactivity disorder (n=129), comorbid attention deficit -hyperactivity disorder and social conduct disorder (n=48) and comorbid attention-deficit hyperactivity disorder plus tic disorder (n=52). The mean values and standard deviation of the DP values as well as the number and frequency of children and adolescents with clinically conspicuous SDQ-DP and CBCL-DP were presented descriptively. Furthermore, an analysis of variance (ANOVA) was carried out between different clinical groups, and group differences were determined using LSD. In addition, we presented the frequency of the degrees of severity of the dysregulation. The frequency rates of a conspicuous DP within a disorder group in our clinical sample were far higher than those in the general population. Even the lowest rate in children with tic disorders was far above that of the representative German population samples. This suggests that the degree of dysregulation is also clinically noteworthy in this primarily neuromotor disorder. In our study, children and adolescents with ADHD+TIC and ADHD+ODD in particular showed a higher dysregulation value. This increased correlation between dysregulation and comorbid disorders supports the notion that in the case of a comorbid disorder the affected child has to cope with a more difficult psychosocial task that provokes problems with regard to self-regulation. Also, for the first time, two questionnaire inventories (SDQ-DP, CBCL-DP) were compared methodologically for the first time in a clinical sample to record the DP in relation to various "pure" clinical disorders. There was a significant difference between the control group and the disorder groups for both questionnaires. Furthermore, the rank of the frequency rate for the respective disorder groups was almost identical between the two questionnaire inventories. Overall, these findings point to the equal use of both questionnaire inventories. Overall, our results underline that in all disorder groups the affected children should be examined for a conspicuous DP in order to recognize a conspicuous DP early and to treat it appropriately in the context of the existing psychosocial problem. However, further scientific studies on DP are needed to develop individualized treatment programs.
Keywords: SDQ-DP; CBCL-DP; problems of self-regulation; severe dysregulation