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Jonkman CS, Oosterman M, Schuengel C, et al. Disturbances in attachment: inhibited and disinhibited symptoms in foster children. Child Adolesc Psychiatry Ment Health. 2014;8:21doi: 10.1186/1753-2000-8-21.
Jonkman, C. S., Oosterman, M., Schuengel, C., Bolle, E. A., Boer, F., & Lindauer, R. J. (2014). Disturbances in attachment: inhibited and disinhibited symptoms in foster children. Child and adolescent psychiatry and mental health, 821. https://doi.org/10.1186/1753-2000-8-21
Jonkman, Caroline S, et al. "Disturbances in attachment: inhibited and disinhibited symptoms in foster children." Child and adolescent psychiatry and mental health vol. 8 (2014): 21. doi: https://doi.org/10.1186/1753-2000-8-21
Jonkman CS, Oosterman M, Schuengel C, Bolle EA, Boer F, Lindauer RJ. Disturbances in attachment: inhibited and disinhibited symptoms in foster children. Child Adolesc Psychiatry Ment Health. 2014 Jul 15;8:21. doi: 10.1186/1753-2000-8-21. eCollection 2014. PMID: 25057289; PMCID: PMC4107487.
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Child Adolesc Psychiatry Ment Health. 2014 Jul 15;8:21. doi: 10.1186/1753-2000-8-21. eCollection 2014.

Disturbances in attachment: inhibited and disinhibited symptoms in foster children.

Child and adolescent psychiatry and mental health

Caroline S Jonkman, Mirjam Oosterman, Carlo Schuengel, Eva A Bolle, Frits Boer, Ramon Jl Lindauer

Affiliations

  1. Department of Child and Adolescents Psychiatry, Academic Medical Center, University of Amsterdam and with De Bascule, Academic Center for Child and Adolescents Psychiatry, Meibergdreef 5, Amsterdam 1105 AZ, The Netherlands.
  2. Department of Clinical Child and Family Studies and the EMGO Institute for Health and Care Research, VU University Amsterdam, Amsterdam, The Netherlands.

PMID: 25057289 PMCID: PMC4107487 DOI: 10.1186/1753-2000-8-21

Abstract

BACKGROUND: Previous DSM-versions recognized an inhibited and a disinhibited subtype of the Reactive Attachment Disorder (RAD). The current DSM-5 distinguishes two different disorders, instead of two subtypes of RAD. This study examined whether a split-up of the subtypes is valid.

METHOD: In 126 foster children, attachment disorder symptoms were assessed with the Disturbances of Attachment Interview. Forms of pathogenic care were identified based on dossier analyses. Associations between symptoms of attachment disorder with internalizing and externalizing problems (Child Behavior Checklist and Teacher Report Form) were examined.

RESULTS: Omnibus tests showed no significant association between type of symptoms and type of pathogenic care. Exploratory analyses did reveal an univariate association between disinhibited symptoms and history of physical abuse. Disinhibited symptoms were associated with more internalizing and externalizing problems (d's < 0.50).

CONCLUSION: The distinction of inhibited and disinhibited subtypes of RAD seems valid regarding their emotional and behavioral correlations. Whereas inhibited symptoms lack a correlation, disinhibited symptoms seem to have an externalizing and internalizing correlation.

TRIAL REGISTRATION: NTR1747.

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