The Preliminary Study of the Relationship Between Emotion Regulation Diﬃculties, Callous-Unemotional Traits and the Emergence of Oppositional Deﬁant Disorder in Outpatient Adolescents

Palizyan, Arezoo; Sajadi, Seyede Fateme; Mehrabizade Honarmand, Mahnaz; Arshadi, Nasrin

doi:10.30483/rijm.2016.115392

The Preliminary Study of the Relationship Between Emotion Regulation Diﬃculties, Callous-Unemotional Traits and the Emergence of Oppositional Deﬁant Disorder in Outpatient Adolescents

Authors

¹ Department of Psychology, Shahid Chamran University of Ahvaz, Ahvaz, IR Iran

² Department of Psychology, Shahid Chamran University, Ahvaz, IR Iran

³ Young Researchers and Elite Club, Shiraz, IR Iran

10.30483/rijm.2016.115392

Abstract

Background: Previous researchhasdemonstratedthatoppositionaldeﬁant is a strongpredictorofmental illness that cause signiﬁcant distress for adolescents whomanifest the disorder and pose remarkable costs for society.

Objectives: The aim of this study was to investigate the role of callous-unemotional traits and emotion regulation diﬃculties in pre- dicting oppositional deﬁant disorder.

Methods: This is a descriptive-correlative study performed on a sample of 320 male high school students, chosen via multi-stage random sampling. Instruments used to collect data are inclusive of oppositional deﬁant behavior inventory (ODBI), diﬃ- culties in emotion regulation strategies scale (DERS) and inventory of callous-unemotional traits (ICU).

Results: The results suggest a signiﬁcant relationship between oppositional deﬁant behavior, impulse control diﬃculties and callous- ness. Regression analysis revealed that 16% variance of oppositional deﬁant behavior can be explained by impulse control diﬃculties and callousness.

Conclusions: Our ﬁndings highlight the importance of callousness and impulse control diﬃculties in development of oppositional deﬁantdisorder. Moving forward, clinicians should consider the importance of these variables intheir future researchto identifymech- anismthrough which callousness and impulse control diﬃculties enhances risk of oppositional deﬁant disorder

Keywords

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

References

1. Frick PJ, Lahey BB, Loeber R, Tannenbaum L, Van Horn Y, Christ MAG, et al. Oppositional defiant disorder and conduct disorder: A meta-analytic review of factor analyses and cross-validation in a clinic sample. Clin Psychol Rev. 1993;13(4):319-40. https://doi.org/10.1016/0272-7358(93)90016-F

2. Whelan YM, Stringaris A, Maughan B, Barker ED. Developmental continuity of oppositional defiant disorder subdimensions at ages 8, 10, and 13 years and their distinct psychiatric outcomes at age 16 years. J Am Acad Child Adolesc Psychiatry. 2013;52(9):961-9. [PubMed: 23972698]. https://doi.org/10.1016/j.jaac.2013.06.013 PMid:23972698 PMCid:PMC4026040

3. Nock MK, Kazdin AE, Hiripi E, Kessler RC. Lifetime prevalence, correlates, and persistence of oppositional defiant disorder: results from the National Comorbidity Survey Replication. J Child Psychol Psychiatry. 2007;48(7):703-13. [PubMed: 17593151]. https://doi.org/10.1111/j.1469-7610.2007.01733.x PMid:17593151

4. Burke JD, Rowe R, Boylan K. Functional outcomes of child and adolescent oppositional defiant disorder symptoms in young adult men. J Child Psychol Psychiatry. 2014;55(3):264-72. [PubMed: 24117754]. Razavi Int J Med. 2016; 4(1):e34204. 5 Palizyan A et al. https://doi.org/10.1111/jcpp.12150 PMid:24117754 PMCid:PMC3944082

5. Frick PJ, Nigg JT. Current issues in the diagnosis of attention deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorder. Annu Rev Clin Psychol. 2012;8:77-107. [PubMed: 22035245]. https://doi.org/10.1146/annurev-clinpsy-032511-143150 PMid:22035245 PMCid:PMC4318653

6. Boylan K, Vaillancourt T, Boyle M, Szatmari P. Comorbidity of internalizing disorders in children with oppositional defiant disorder. Eur Child Adolesc Psychiatry. 2007;16(8):484-94. [PubMed: 17896121]. https://doi.org/10.1007/s00787-007-0624-1 PMid:17896121

7. Burke JD, Hipwell AE, Loeber R. Dimensions of oppositional defiant disorder as predictors of depression and conduct disorder in preadolescent girls. J Am Acad Child Adolesc Psychiatry. 2010;49(5):484-92. [PubMed: 20431468]. https://doi.org/10.1097/00004583-201005000-00009 PMid:20431468 PMCid:PMC2880833

8. Ambrosini PJ, Bennett DS, Elia J. Attention deficit hyperactivity disorder characteristics: II. Clinical correlates of irritable mood. J Affect Disord. 2013;145(1):70-6. [PubMed: 22868057]. https://doi.org/10.1016/j.jad.2012.07.014 PMid:22868057 PMCid:PMC3496809

9. Gratz KL, Roemer L. Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale. J Psychopathol Behavl Assess. ;26(1):41-54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94

10. Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: A meta-analytic review. Clin Psychol Rev. 2010;30(2):217-37. [PubMed: 20015584]. https://doi.org/10.1016/j.cpr.2009.11.004 PMid:20015584

11. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders (DSM-5). USA: American Psychiatric Pub; 2013. https://doi.org/10.1176/appi.books.9780890425596

12. Schechter DS, Willheim E. Disturbances of attachment and parental psychopathology in early childhood. Child Adolesc Psychiatr Clin N Am. 2009;18(3):665-86. [PubMed: 19486844]. https://doi.org/10.1016/j.chc.2009.03.001 PMid:19486844 PMCid:PMC2690512

13. Spencer TJ, Faraone SV, Surman CBH, Petty C, Clarke A, Batchelder H, et al. Toward defining deficient emotional self-regulation in children with attention-deficit/hyperactivity disorder using the Child Behavior Checklist: a controlled study. Postgrad med. 2011;123(5):50-9. https://doi.org/10.3810/pgm.2011.09.2459 PMid:21904086 PMCid:PMC3737570

14. Calkins SD, Leerkes EM. In: Handbook of self-regulation: Research, theory and applications. 2nd ed. Vohs DK, Baumeister RF, editors ; 2010. p. 355-73.Early attachment processes and the development of emotional self-regulation.

15. Morris AS, Silk JS, Steinberg L, Myers SS, Robinson LR. The role of the family context in the development of emotion regulation. Soc dev. 2007;16(2):361-88. https://doi.org/10.1111/j.1467-9507.2007.00389.x PMid:19756175 PMCid:PMC2743505

16. Frick PJ, Cornell AH, Barry CT, Bodin SD, Dane HE. Callousunemotional traits and conduct problems in the prediction of conduct problem severity, aggression, and self-report of delinquency. J Abnorm Child Psychol. 2003;31(4):457-70. [PubMed: 12831233].

17. Pardini DA, Fite PJ. Symptoms of conduct disorder, oppositional defiant disorder, attention-deficit/hyperactivity disorder, and callousunemotional traits as unique predictors of psychosocial maladjustment in boys: advancing an evidence base for DSM-V. J Am Acad Child Adolesc Psychiatry. 2010;49(11):1134-44. [PubMed: 20970701]. https://doi.org/10.1016/j.jaac.2010.07.010 PMid:20970701 PMCid:PMC3064931

18. Stringaris A, Goodman R. Three dimensions of oppositionality in youth. J Child Psychol Psychiatry. 2009;50(3):216-23. [PubMed: 19166573]. https://doi.org/10.1111/j.1469-7610.2008.01989.x PMid:19166573

19. Burke JD. In: Personality disorders in childhood. Bell A, Reinecke M, editors. New York: Wiley; 2007. pp. 429-94.APD in childhood and adolescenc.

20. Loeber R. The stability of antisocial and delinquent child behavior: a review. Child Dev. 1982;53(6):1431-46. [PubMed: 6756808]. https://doi.org/10.1111/j.1467-8624.1982.tb03465.x PMid:6756808

21. Frick PJ, White SF. Research review: the importance of callousunemotional traits for developmental models of aggressive and antisocial behavior. J Child Psychol Psychiatry. 2008;49(4):359-75. [PubMed: 18221345]. https://doi.org/10.1111/j.1469-7610.2007.01862.x PMid:18221345

22. Frick PJ, Ellis M. Callous-unemotional traits and subtypes of conduct disorder. Clin Child Fam Psychol Rev. 1999;2(3):149-68. [PubMed: 11227072].

23. Harada Y, Saitoh K, Iida J, Sasayama D, Sakai A, Imai J, et al. Establishing the cut-off point for the Oppositional Defiant Behavior Inventory. Psychiatry Clin Neurosci. 2008;62(1):120-2. [PubMed: 18289151]. https://doi.org/10.1111/j.1440-1819.2007.01771.x PMid:18289151

24. Harada Y, Saitoh K, Iida J, Sakuma A, Iwasaka H, Imai J, et al. The reliability and validity of the Oppositional Defiant Behavior Inventory. Eur Child Adolesc Psychiatry. 2004;13(3):185-90. [PubMed: 15254847]. https://doi.org/10.1007/s00787-004-0376-0 PMid:15254847

25. Sharp C, Pane H, Ha C, Venta A, Patel AB, Sturek J, et al. Theory of mind and emotion regulation difficulties in adolescents with borderline traits. J Am Acad Child Adolesc Psychiatry. 2011;50(6):563-573 e1. [PubMed: 21621140]. https://doi.org/10.1016/j.jaac.2011.01.017 PMid:21621140

26. Weinberg A, Klonsky ED. Measurement of emotion dysregulation in adolescents. Psychol Assess. 2009;21(4):616-21. [PubMed: 19947794]. https://doi.org/10.1037/a0016669 PMid:19947794

27. Kianpoor M, Ghanizadeh A, Badiei H. The relationship between dissociative experiences and the success of treatment through abstinence from opioid-use disorders. Zahedan J Res Med Sci. 2012;14(10):56-60.

28. Frick PJ, Hare RD. Antisocial process screening device: APSD. Toronto, Canada: Multi-Health Systems; 2001. https://doi.org/10.1037/t00032-000

29. Ciucci E, Baroncelli A, Franchi M, Golmaryami FN, Frick PJ. The Association between Callous-Unemotional Traits and Behavioral and Academic Adjustment in Children: Further Validation of the Inventory of Callous-Unemotional Traits. J Psychopathol Behav Assess. 2013;36(2):189-200. https://doi.org/10.1007/s10862-013-9384-z

30. Garnefski N, Rieffe C, Jellesma F, Terwogt MM, Kraaij V. Cognitive emotion regulation strategies and emotional problems in 9-11-year-old children. Eur Child Adolesc Psychiatry. 2007;16(1):1-9. https://doi.org/10.1007/s00787-006-0562-3 PMid:16791542

31. Eisenberg N, Cumberland A, Spinrad TL, Fabes RA, Shepard SA, Reiser M, et al. The relations of regulation and emotionality to children's externalizing and internalizing problem behavior. Child dev. 2001;72(4):1112-34. https://doi.org/10.1111/1467-8624.00337 PMid:11480937

32. Supple AJ, Ghazarian SR, Peterson GW, Bush KR. Assessing the crosscultural validity of a parental autonomy granting measure comparing adolescents in the United States, China, Mexico, and India. J CrossCult Psychol. 2009;40(5):816-33. https://doi.org/10.1177/0022022109339390

33. Gadow KD, Drabick DAG, Loney J, Sprafkin J, Salisbury H, Azizian A, et al. Comparison of ADHD symptom subtypes as source-specific syndromes. J Child Psychol Psychiatry. 2004;45(6):1135-49. https://doi.org/10.1111/j.1469-7610.2004.00306.x PMid:15257670

34. Christian RE, Frick PJ, Hill NL, Tyler L, Frazer DR. Psychopathy and conduct problems in children: II. Implications for subtyping children with conduct problems. J Am Acad Child Adolesc Psychiatry. 1997;36(2):233-41. [PubMed: 9031576]. https://doi.org/10.1097/00004583-199702000-00014 PMid:9031576

35. Scholte EM, van der Ploeg JD. The development of a rating scale to screen social and emotional detachment in children and adolescents. Int J Methods Psychiatr Res. 2007;16(3):137-49. [PubMed: 17702055]. https://doi.org/10.1002/mpr.222 PMid:17702055 PMCid:PMC6878576

36. Ezpeleta L, Granero R, de la Osa N, Domenech JM. Clinical Characteristics of Preschool Children with Oppositional Defiant Disorder and Callous-Unemotional Traits. PLoS One. 2015;10(9):e0139346. [PubMed: 26418062]. https://doi.org/10.1371/journal.pone.0139346 PMid:26418062 PMCid:PMC4587853

37. Leistico AM, Salekin RT, DeCoster J, Rogers R. A large-scale metaanalysis relating the hare measures of psychopathy to antisocial conduct. Law Hum Behav. 2008;32(1):28-45. [PubMed: 17629778]. https://doi.org/10.1007/s10979-007-9096-6 PMid:17629778

38. Gross JJ. Handbook of emotion regulation. New York City, USA: Guilford publications; 2013.

39. Biederman J, Spencer TJ, Petty C, Hyder LL, O'Connor KB, Surman CB, et al. Longitudinal course of deficient emotional self-regulation CBCL profile in youth with ADHD: prospective controlled study. Neuropsychiatr Dis Treat. 2012;8:267-76. [PubMed: 22848182]. https://doi.org/10.2147/NDT.S29670 PMid:22848182 PMCid:PMC3404687

40. Barkley RA, Fischer M. The unique contribution of emotional impul6 Razavi Int J Med. 2016

4(1):e34204. Palizyan A et al. siveness to impairment in major life activities in hyperactive children as adults. J Am Acad Child Adolesc Psychiatry. 2010;49(5):503-13. [PubMed: 20431470]. https://doi.org/10.1016/j.jaac.2010.01.019

41. Olsen PH, Ambros V. The lin-4 regulatory RNA controls developmental timing in Caenorhabditis elegans by blocking LIN-14 protein synthesis after the initiation of translation. Dev Biol. 1999;216(2):671-80. [PubMed: 10642801]. https://doi.org/10.1006/dbio.1999.9523 PMid:10642801

42. Ackermann KH, Adams N, Adler C, Ahammed Z, Ahmad S, Allgower C, et al. STAR detector overview. Nucl Instrum Methods Phys Res, Sect A. 2003;499(2-3):624-32.

43. Lanza HI, Drabick DA. Family routinemoderates the relation between child impulsivity and oppositional defiant disorder symptoms. J Abnorm Child Psychol. 2011;39(1):83-94. [PubMed: 20690009]. https://doi.org/10.1007/s10802-010-9447-5 PMid:20690009 PMCid:PMC3066087

44. Reid JB, Patterson GR, Snyder JE. American Psychological Association; 2010. Antisocial behavior in children and adolescents: A developmental analysis and model for intervention

45. Kolko DJ, Pardini DA. ODD dimensions, ADHD, and callousunemotional traits as predictors of treatment response in children with disruptive behavior disorders. J Abnorm Psychol. 2010;119(4):713- 25. [PubMed: 21090875]. https://doi.org/10.1037/a0020910 PMid:21090875

46. Kimonis ER, Frick PJ, Skeem JL, Marsee MA, Cruise K, Munoz LC, et al. Assessing callous-unemotional traits in adolescent offenders: Validation of the Inventory of Callous-Unemotional Traits. Int J Law Psychiatry. 2008;31(3):241-52. https://doi.org/10.1016/j.ijlp.2008.04.002 PMid:18514315

47. Skeem JL, Mulvey EP, Grisso T. Applicability of traditional and revised models of psychopathy to the Psychopathy Checklist: screening version. Psychol Assess. 2003;15(1):41-55. [PubMed: 12674723]. https://doi.org/10.1037/1040-3590.15.1.41 PMid:12674723

48. Barker ED, Salekin RT. Irritable oppositional defiance and callous unemotional traits: is the association partially explained by peer victimization?. J Child Psychol Psychiatry. 2012;53(11):1167-75. https://doi.org/10.1111/j.1469-7610.2012.02579.x PMid:22783837 PMCid:PMC3619049

Razavi International Journal of Medicine

The Preliminary Study of the Relationship Between Emotion Regulation Diﬃculties, Callous-Unemotional Traits and the Emergence of Oppositional Deﬁant Disorder in Outpatient Adolescents

References

Volume 4, Issue 1
January 2016

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The Preliminary Study of the Relationship Between Emotion Regulation Diﬃculties, Callous-Unemotional Traits and the Emergence of Oppositional Deﬁant Disorder in Outpatient Adolescents

References

Volume 4, Issue 1January 2016

Files

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How to cite

Statistics

Volume 4, Issue 1
January 2016