German Version of the Relationship Problems Questionnaire: Effective Screening for Attachment Disorder

Schröder, Martin; Fux, Elodie; Lüdtke, Janine; Izat, Yonca; Bolten, Margarete; Schmid, Marc

doi:10.1159/000504675

Cited by 5 publications

(5 citation statements)

References 54 publications

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“…It works well in clinical [ 60 ] as well as community samples and has demonstrated good internal consistency (Cronbach’s α = 0.85 [ 61 ]). Also the German version has been validated, showed good internal consistency (Cronbach’s α = 0.82) and determined a cut-off score of 4.5 [ 62 ]. In the present study, the RPQ was used dimensionally as an approximation for problems in children’s attachment style.…”

Section: Methodsmentioning

confidence: 99%

Impact of preschool attendance, parental stress, and parental mental health on internalizing and externalizing problems during COVID-19 lockdown measures in preschool children

et al. 2023

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Background Internalizing problems are common in young children, often persist into adulthood, and increase the likelihood for subsequent psychiatric disorders. Problematic attachment, parental mental health problems, and stress are risk factors for the development of internalizing problems. COVID-19 lockdown measures have resulted in additional parental burden and especially their impact on preschool children has rarely been investigated as of now. The current study examined the impact of sustained preschool attendance, parental stress, and parental mental health on internalizing and externalizing problems during COVID-19 lockdown measures in a sample of preschool children in Germany. Methods and findings N = 128 parents of preschool children filled out a one-time online survey about children’s internalizing problems, externalizing problems, and attachment for three time points: before a nation-wide lockdown (T1), during the most difficult time of the lockdown (T2) and after the lockdown (T3). Additionally, parents answered questions about their own depressive and anxious symptomatology for the three time points and parental stress for T1 and T2. Linear-mixed effect models were computed to predict children’s internalizing / externalizing behavior. Preschool children showed a significant increase in internalizing and externalizing problems over time, highest at T2 with small decreases at T3. Parental depressive and anxious symptomatology increased significantly from T1 to T2, but also remained high at T3. Parental stress levels were comparable to community samples at T1, but attained average values reported for at-risk families at T2. Linear-mixed effect models identified higher parental stress, parental anxiety, attachment problems, parental education, and less preschool attendance as significant predictors for internalizing and externalizing problems in preschoolers with more specific associations shown in separate models. A limitation is the retrospective assessment for the times T1 and T2. Conclusions Preschool children’s mental health is strongly and negatively influenced by the ongoing COVID-19 pandemic and its lockdown measures. Sustained preschool attendance may serve as a protective factor.

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Section: Methodsmentioning

confidence: 99%

Impact of preschool attendance, parental stress, and parental mental health on internalizing and externalizing problems during COVID-19 lockdown measures in preschool children

et al. 2023

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“…Furthermore, studies must conduct cross-cultural investigations testing the functioning of instruments in different countries. Despite studies being conducted in various countries such as Germany [28,42,43], Norway [12,26,33], Scotland [39], Romania [32], and Finland [15], there is a lack of evidence for cross-cultural construct validity through multigroup structural equation modeling. Additionally, some studies focus on assessment interviews for these disorders, providing only evidence of inter-rater reliability [28].…”

Section: Discussionmentioning

confidence: 99%

“…It had a sample of 135 children with an average age of around 7 years. This work compared normal population, foster children, and hospitalized children [42]. The Reactive Attachment Disorder and Disinhibited Social Engagement Disorder Assessment (RADA), on the other hand, had one study that analyzed its properties with a sample of over 300 children aged between 11 and 18 in foster care [26].…”

Section: Characteristics Of the Samples Of The Studies Analyzedmentioning

confidence: 99%

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A Systematic Review on Assessing Assessments: Unveiling Psychometric Properties of Instruments for Reactive Attachment Disorder and Disinhibited Social Engagement Disorder in Minors under Protective Measures

Talmón-Knuser,

Soler,

González-Sala

et al. 2024

Children

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Background: Reactive attachment disorder (RAD) and disinhibited social engagement disorder (DSED) manifest in individuals facing attachment system challenges, particularly observed in minors under protective measures. The lack of standardized tools for assessing these difficulties and uncertainty about the most effective instruments from a psychometric perspective prompted this study. Aim: Using the COSMIN checklist, we systematically reviewed instruments assessing RAD, adhering to PRISMA. Methodology: Examined tools included the Disturbance Attachment Interview, Preschool Age Psychiatric Assessment, Relationship Patterns Questionnaire, Assessment of RAD and DSED, Development and Well-Being Assessment, and Reactive Attachment Disorder Questionnaire. Results: Of the 10 articles analyzed, the results highlight a research emphasis on internal consistency and structural and construct validity, sidelining other properties. Conclusion: Most articles review structural validity and internal consistency. These measures are satisfactory but insufficiently evaluated. It is necessary to evaluate these tools using other indicators such as cross-cultural validity, measurement error, or responsiveness in adolescents under protective measures.

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“…Attachment disorder symptoms . Attachment disorder symptoms were assessed with the German version of the Relationship Problems Questionnaire (RPQ; [ 24 ]) which is a valid screening tool to identify children with clinical symptoms of attachment disorders [ 25 ]. The RPQ is an economical caregiver-report screening questionnaire, which assesses relationship problems and behaviors that typically constitute symptoms of an attachment disorder and enables differentiation between the disinhibited and inhibited subscales.…”

Section: Methodsmentioning

confidence: 99%

The Relationship of Temperament and Character, Parental Stress, and Mental Health Problems with Attachment Disorders among Children

Schröder

d’Huart

Izat

et al. 2022

IJERPH

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According to Cloninger’s model, personality is conceptualized in temperament and character traits contributing to a child’s psychosocial development. Additionally, parent–child interaction is important for the child’s socio-emotional development. To date, the relationship between attachment and temperament and character for child mental health development and its effects on parents remains mostly unclear. The aim of the present study was thus to examine the relationship of attachment, temperament and character, parental stress, and mental health problems among 125 children (mean age = 7.14 years) in Switzerland. Temperament and character, attachment disorder (symptoms), parental stress, and mental health problems were assessed with psychometric questionnaires; attachment was assessed with an additional observational measure. Descriptive characters of the sample were presented, and group differences and correlations were computed. For temperament traits, results revealed significant group differences for novelty seeking and persistence and attachment disorder types. For character traits, the findings showed significant group differences for self-directedness and cooperativeness and attachment disorder types. Moderate effect sizes for groups differences were found. Further, the mixed-type (inhibited and disinhibited) and inhibited attachment disorder type were the most burdened groups. The present findings suggest that temperament and character traits, as well as parental stress and mental health problems are associated with the occurrence of attachment disorders among children. Future longitudinal studies with larger samples are needed to examine the causal relationships of temperament and character with attachment, including person-related and environmental factors among children.

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German Version of the Relationship Problems Questionnaire: Effective Screening for Attachment Disorder

Cited by 5 publications

References 54 publications

Impact of preschool attendance, parental stress, and parental mental health on internalizing and externalizing problems during COVID-19 lockdown measures in preschool children

Impact of preschool attendance, parental stress, and parental mental health on internalizing and externalizing problems during COVID-19 lockdown measures in preschool children

A Systematic Review on Assessing Assessments: Unveiling Psychometric Properties of Instruments for Reactive Attachment Disorder and Disinhibited Social Engagement Disorder in Minors under Protective Measures

The Relationship of Temperament and Character, Parental Stress, and Mental Health Problems with Attachment Disorders among Children

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