Inhibited attachment behaviour and disinhibited social engagement behaviour as relevant concepts in referred home reared children

Scheper, Frederike Y.; Abrahamse, Mariëlle E.; Jonkman, Caroline; Schuengel, Carlo; Lindauer, R. J. L.; Vries, Annelou L.C. de; Doreleijers, Theo A. H.; Jansen, Lucres M. C.

doi:10.1111/cch.12319

Cited by 10 publications

(23 citation statements)

References 30 publications

(58 reference statements)

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“…These disruptive emotional interactions between a primary caregiver and child, which could influence the behavior of the child, are not always captured within the concept of child maltreatment/neglect. As we reported earlier, more DSEB was associated with more parenting stress in treatment referred home‐reared and foster care children (Scheper et al., ). It might well be possible that higher parenting stress concurs with disruptive emotional interactions between parent and child that could underlie DSEB in home‐reared children.…”

Section: Discussionsupporting

confidence: 75%

“…The study was approved by the VU University Medical Center Medical Ethical Review Board (protocol 2013.358). A subsample of the children in this study was also reported on for a cross‐sectional study on disordered attachment behavior in referred home‐reared children (Scheper et al., ).…”

Section: Methodsmentioning

confidence: 99%

“…For the cut‐off score, the criteria described by Gleason et al. () were used, as this was endorsed by principal component analysis in previous research (Scheper et al., ): two or more DAI items assessing DSEB with a score 1 or 2 for a positive cut‐off score on DSEB. Coders (FYS, CG) were blind to other case details.…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, most research on DSED and its behavioral phenotype has included children exposed to institutional child‐rearing (Bruce, Tarullo, & Gunnar, ; Rutter et al., ; Zeanah & Gleason, ). Focusing on the full set or subsets of behaviors qualifying for DSED, disinhibited social engagement behavior (DSEB) has also been found in children growing up with their biological parents, where extremes of insufficient care are less prevalent and more difficult to assess (Minnis et al., ; Pears, Bruce, Fisher, & Kim, ; Scheper et al., ). Much less is known about the course and manifestation of DSEB in home‐reared children, and its clinical relevance.…”

Section: Introductionmentioning

confidence: 99%

“…also reported moderate to high levels of indiscriminate behavior in 19% of the non‐maltreated home‐reared children. In children referred for treatment of emotional‐ and behavioral problems, we previously reported that DSEB (assessed by caregiver interview) was as common in home‐reared children as in foster care children, but not associated with maltreatment histories (Scheper et al., ). Whether DSEB persists in home‐reared children and whether neglect or emotional maltreatment is related to the course of DSEB in home‐reared children is yet unknown.…”

Section: Introductionmentioning

confidence: 99%

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Course of disinhibited social engagement behavior in clinically referred home‐reared preschool children

Scheper

Groot

Vries

et al. 2018

Child Psychology Psychiatry

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Background Evidence supporting clinical relevance and persistence of disinhibited social engagement behavior (DSEB) pertains mostly to children reared in institutions and foster care. This study examined the course of DSEB in clinically referred home‐reared children from early into middle childhood, and associations with neglect/emotional maltreatment, effortful control, Attention Deficit/Hyperactivity Disorder, Oppositional Defiant Disorder, and Autism Spectrum Disorder. Methods Disinhibited social engagement behavior was examined in 124 children (82% boys, M = 4.06 years, SD = 0.89), referred for treatment of emotional and behavioral problems, by use of the Disturbances of Attachment Interview (DAI) with biological parents. Neglect and emotional maltreatment were assessed from case records and effortful control by use of the Child Behavior Questionnaire. At follow‐up, on average 4 years later, DSEB was examined by use of DAI as well as two observational ratings: the Stranger at the Door procedure (SatD) and a structured home observation of stranger approach. Psychiatric disorders were assessed by means of the Kiddie‐Schedule for Affective Disorders and Schizophrenia. Results Persistence of parent‐reported DSEB was found in 57% (n = 27) of the children with DSEB at baseline (n = 47). Parent‐reported DSEB at follow‐up was significantly related to DSEB observed in the SatD (rpb = .31, p = .001) and to observed stranger approach (rs = .41, p < .001), but only stranger approach was associated with baseline DSEB. The course of DSEB was not related to neglect/emotional maltreatment, nor to the level of effortful control. There was no association between DSEB and Autism Spectrum Disorder, but course of DSEB was associated with Attention Deficit/Hyperactivity Disorder/Oppositional Defiant Disorder at follow‐up (χ2 = 13.08, p = .004). Conclusions Although explanations for the onset and course of DSEB in home‐reared children remain elusive, findings suggest that DSEB is part of a complex of clinically significant problem behaviors in referred home‐reared preschool children.

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Section: Discussionsupporting

confidence: 75%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Course of disinhibited social engagement behavior in clinically referred home‐reared preschool children

Scheper

Groot

Vries

et al. 2018

Child Psychology Psychiatry

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Meta-Analyses of the Associations Between Disinhibited Social Engagement Behaviors and Child Attachment Insecurity or Disorganization

Zephyr

Cyr

Monette

et al. 2021

Res Child Adolesc Psychopathol

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Comportements d'attachement et de désinhibition sociale d'enfants consultant en pédopsychiatrie : lien avec des caractéristiques maternelles par Marthe Delbarre Programme de Sciences biomédicales Faculté de médecine Mémoire présenté à la Faculté des études supérieures et postdoctorales en vue de l'obtention du grade de Maître ès sciences (M.Sc) en Sciences biomédicales option Sciences psychiatriques Décembre 2017

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Are children and adolescents in foster care at greater risk of mental health problems than their counterparts? A meta-analysis

Dubois‐Comtois

Bussières

Cyr

et al. 2021

Children and Youth Services Review

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Inhibited attachment behaviour and disinhibited social engagement behaviour as relevant concepts in referred home reared children

Abstract: Even without evident links to maltreatment, results of this study suggest clinical significance of inhibited attachment behaviour and disinhibited social engagement behaviour in young home reared children referred for treatment of emotional and behavioural problems.

Cited by 10 publications

References 30 publications

Course of disinhibited social engagement behavior in clinically referred home‐reared preschool children

Course of disinhibited social engagement behavior in clinically referred home‐reared preschool children

Meta-Analyses of the Associations Between Disinhibited Social Engagement Behaviors and Child Attachment Insecurity or Disorganization

Are children and adolescents in foster care at greater risk of mental health problems than their counterparts? A meta-analysis

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