The child behavior checklist dysregulation profile predicts adolescent DSM-5 pathological personality traits 4 years later

Abstract

Emotional dysregulation in childhood has been associated with various forms of later psychopathology, although no studies have investigated the personality related adolescent outcomes associated with early emotional dysregulation. The present study uses a typological approach to examine how the child behavior checklist-dysregulation profile (CBCL-DP) predicts DSM-5 pathological personality traits (as measured with the personality inventory for the diagnostic and statistical manual of mental disorders 5 or PID-5 by Krueger et al. (Psychol Med 2012)) across a time span of 4 years in a sample of 243 children aged 8-14 years (57.2 % girls). The results showed that children assigned to the CBCL-DP class are at risk for elevated scores on a wide range of DSM-5 personality pathology features, including higher scores on hostility, risk taking, deceitfulness, callousness, grandiosity, irresponsibility, impulsivity and manipulativeness. These results are discussed in the context of identifying early manifestations of persistent regulation problems, because of their enduring impact on a child's personality development.

Prevalence and Correlates of Psychopathology in Children and Adolescents Evaluated with the Strengths and Difficulties Questionnaire Dysregulation Profile in a Clinical Setting

“…Longitudinal studies also suggest that the majority of children who meet CBCL-DP criteria develop various forms of psychopathology later on and become severely impaired in adulthood [5,17,45,48,49]. For example, Althoff et al [45] found that the CBCL-DP condition in children is associated with a 1-5% risk of anxiety, mood, disruptive behavior and drug abuse disorders later in adulthood.…”

“…For example, Althoff et al [45] found that the CBCL-DP condition in children is associated with a 1-5% risk of anxiety, mood, disruptive behavior and drug abuse disorders later in adulthood. Recently, De Caluwé et al [48] have suggested that children assigned to the CBCL-DP group are at risk for elevated scores on a wide range of DSM-5 personality pathology features, including higher scores on hostility, risk taking, deceitfulness, callousness, grandiosity, irresponsibility, impulsivity and manipulativeness. Although the present study does not contrast these findings, SDQ-DP longitudinal studies are needed to help delineate vulnerability conveyed by this dysregulation phenotype.…”

Child behavior checklist dysregulation profile in children with disruptive behavior disorders: A longitudinal study

“…Furthermore, a study that used a typological approach to examine how the CBCL-DP in children predicted pathological personality traits across a time span of 4 years, showed that children with the CBCL-DP were at-risk for elevated scores on a wide range of personality pathological features, including higher scores on hostility, risk taking, deceitfulness, callousness, grandiosity, irresponsibility, impulsivity and manipulativeness (De Caluwè et al, 2013).…”

Callous-Unemotional Traits in Youth from aDSM-5Trait Perspective

“…Moreover, DSM-5 traits as assessed with the PID-5 explain a substantial amount of variance in DSM-IV personality disorders, underscoring the PID-5 traits' validity for predicting DSM-IV personality disorders . A recent study (De Caluwé, Decuyper, & De Clercq, 2013) showed that the PID-5 can be reliably and validly administered in adolescence using maternal ratings. In the present study, maladaptive personality traits in adolescence were assessed using both self-and maternal-rated PID-5 scales.…”