Maltreatment‐Associated Psychiatric Problems: An Example of Environmentally Triggered ESSENCE?

Minnis, Helen

doi:10.1155/2013/148468

Cited by 17 publications

(18 citation statements)

References 37 publications

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“…Gilberg (2010) suggested that a child with an Attachment Disorder may also display the symptoms of ADHD and depression, for example, and importantly these should not be looked upon in isolation. Minnis (2013) Rutter, Giller and Hagell (1998). Here it was suggested that many boys who experienced harsh, physically or verbally abusive punitive parenting could develop conduct disorder and violent criminal behaviour in later years.…”

Section: Attachment Disorder Maltreatment Mental Health and Offendingmentioning

confidence: 99%

A study of Attachment Disorders in young offenders attending specialist services

Moran

McDonald²,

Jackson

et al. 2017

Child Abuse & Neglect

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Attachment disorders, specifically Reactive Attachment Disorder (RAD) and Disinhibited Social Engagement Disorder (DSED) are disorders associated with neglect and abuse in which people have significant difficulties relating to others. This study aims to explore Attachment Disorder symptoms and diagnoses in young offenders and factors that may be associated with them such as mental health problems. A cross-sectional design was used with 29 young people who were known to Intensive Services, aged 12-17 (M=16.2, SD=1.3), 29 carers and 20 teachers. They completed measures investigating symptoms of Attachment Disorders and psychopathology. Eighty-six percent of the young people had experienced some form of maltreatment and the rates of an actual or borderline Attachment Disorder was 52%. A positive correlation between Attachment Disorder symptoms and other mental health problems (as rated by carer-report Strengths and Difficulties Questionnaire Total Difficulties Score), accounting for 36% of the variance was found, with a large effect size (r=0.60). Attachment Disorder symptoms were associated with hyperactivity and peer relationship problems.

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Section: Attachment Disorder Maltreatment Mental Health and Offendingmentioning

confidence: 99%

A study of Attachment Disorders in young offenders attending specialist services

Moran

McDonald²,

Jackson

et al. 2017

Child Abuse & Neglect

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“…Dyadic Developmental Psychotherapy (DDP) is the only intervention that we are aware of that incorporates all of the elements suggested by the literature for the treatment of MAPP [ 10 , 11 ]. It is based on the premise that child development is dependent upon, and highly influenced by, the nature of the parent–child relationship and that development of this relationship requires ongoing, dyadic (reciprocal) experiences between parent and child.…”

Section: Introductionmentioning

confidence: 99%

The feasibility of a randomised controlled trial of Dyadic Developmental Psychotherapy

et al. 2014

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BackgroundMaltreated children have significant and complex problems which clinicians find difficult to diagnose and treat. Previous US pilot work suggests that Dyadic Developmental Psychotherapy (DDP) may be effective; however, rigorous evidence from a randomised controlled trial (RCT) is lacking. The purpose of this study is to establish the feasibility of an RCT of DDP by exploring the ways that DDP is operating across different UK sites and the impacts of current practice on the potential set-up of an RCT.MethodsQualitative methods (interviews, focus groups and teleconferences) were used to explore trial feasibility with therapists and service managers from teams implementing both DDP and possible control interventions. Data were analysed thematically and related to various aspects of trial design.ResultsDDP was commonly regarded as having a particular congruence with the complexity of maltreatment-associated problems and a common operating model of DDP was evident across sites. A single control therapy was harder to establish, however, and it is likely to be a non-specific and context-dependent intervention/s offered within mainstream Child and Adolescent Mental Health Services (CAMHS). Because a ‘gold standard’ Treatment as Usual (TAU) does not currently exist, randomisation between DDP and TAU (CAMHS) therefore looks feasible and ethical.The nature of family change during DDP was regarded as multi-faceted, non-linear and relationship-based. Assessment tools need to be carefully considered in terms of their ability to capture change that covers both individual child and family-based functioning.ConclusionsAn RCT of DDP is feasible and timely. This study has demonstrated widespread interest, support and engagement regarding an RCT and permissions have been gained from sites that have shown readiness to participate. As maltreated children are among the most vulnerable in society, and as there are currently no treatments with RCT evidence, such a trial would be a major advance in the field.

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“…Young children coming into foster care are at a high risk of having overlapping problems and should all be considered as potential cases with Maltreatment-Associated Psychiatric Problems (MAPP) [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Minnis [ 15 ] recently described a new concept: Maltreatment-Associated Psychiatric Problems (MAPP), a syndrome of overlapping complex neurodevelopmental problems in children who have experienced abuse or neglect in early life. Minnis argues that the early life events these children face place them at an increased risk of developing problems and that when problems do arise in the context of maltreatment, they are likely to be complex and overlapping.…”

Section: Introductionmentioning

confidence: 99%

Challenges of Assessing Maltreated Children Coming into Foster Care

Pritchett

Hockaday

Anderson

et al. 2016

The Scientific World Journal

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Children who have experienced early adversity have been known to be at risk of developing cognitive, attachment, and mental health problems; therefore, it is crucial that children entering foster care can be properly assessed as early as possible. There are known difficulties in assessing children in foster care, for example, in finding a reliable informant. An ongoing randomised controlled trial in Glasgow, Scotland, recruiting infants entering foster care, provides a unique opportunity to explore some of the issues which need to be considered when assessing these children. The assessment data of 70 infants entering care is described while exploring the reliability of foster carers as informants and the importance of infant engagement with tasks. This group of infants was shown to be having more problems than children from the general population. While correlations were found between a carer's level of concern about a child and the severity of a child's problem, there were still a number of children displaying worrying problem scores whom foster carers did not report concern. The child's engagement in the cognitive task showed associations with the child's attainment on the task. Findings emphasise the importance of a holistic assessment for these children and all should be considered as potential cases with Maltreatment-Associated Psychiatric Problems (MAPP).

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Maltreatment‐Associated Psychiatric Problems: An Example of Environmentally Triggered ESSENCE?

Cited by 17 publications

References 37 publications

A study of Attachment Disorders in young offenders attending specialist services

A study of Attachment Disorders in young offenders attending specialist services

The feasibility of a randomised controlled trial of Dyadic Developmental Psychotherapy

Challenges of Assessing Maltreated Children Coming into Foster Care

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