Attachment disordered behavior and other forms of psychopathology
Presentatie (Engelstalig) van Hans Giltaij tijdens het 4e IASSIDD Europe Congres in Wenen in juli 2014.
The absence of a long-term relationship with a sensitive caregiver in which the child can find safety, comfort and nurturance can result in maladaptive attachment behavior and mental health problems. Children with an intellectual disability have a 3 to 4 times higher risk for such a maladaptive development (Einfeld et al. 2011).
In this study (N=55) we examined in children (age 6-12) with ID (IQ 50-85), referred to Dutch Centre’s for psychiatric assessment, the association between maladaptive attachment behavior and a psychiatric classification. Behavioral signs for attachment disorders (according to DSM-IV) were assessed using the Disturbances of Attachment Interview (DAI, Smyke & Zeanah 1999) and psychopathology (e.g. mood, anxiety, behavior, autism) was scored using the NIMH Diagnostic Interview Schedule for Children, version IV (DISC-IV, Shaffer et al. 2000) and AUTI-R (Berckelaer-Onnes & Hoekman 1991).
18 children (32,7%) scored positive on RAD; 45 children (81,8%) scored positive on mood, anxiety, behavior or autism disorders. No significant association was found between clusters of maladaptive attachment behavior (RAD inhibited and/or disinhibited), and the classification of DSM-IV psychiatric disorders. Conclusions: The DAI seems to measure a specific pattern of maladaptive behavior, that is discriminative from other disorders.