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Distilling Heterogeneity among Children with Disruptive Behavior: Associations between Symptom Patterns and Social
Madison Aitken1, Shanelle Henry1,2, Brendan F Andrade3,4
1Centre for Addiction and Mental Health, Child, Youth and Emerging Adult Program, 80 Workman Way, Toronto, ON, M6J 1H4, Canada.
Children with disruptive behavior (DB) show varied profiles of aggression and callous-unemotional (CU) traits. Identifying these distinct patterns is crucial for understanding and improving social functioning in affected children.
Area of Science:
- Child Psychology
- Developmental Psychopathology
- Behavioral Science
Background:
- Children with disruptive behavior (DB) are a diverse group.
- Various characteristics can negatively impact their social functioning.
- Understanding these differences is key to effective intervention.
Purpose of the Study:
- To identify distinct profiles of children with disruptive behavior.
- To examine associations between these profiles and social functioning.
- To investigate sex differences in profile membership.
Main Methods:
- Latent profile analysis of parent ratings.
- Sample: 304 clinic-referred children (ages 6-12) with DB.
- Assessed reactive aggression, proactive aggression, callous-unemotional (CU) traits, and prosocial behavior.
Main Results:
- Five distinct profiles were identified: Moderate, Prosocial, Reactive-Prosocial, Reactive-CU, and Aggressive-CU.
- Profiles high in CU traits, reactive aggression, and low prosocial behavior were linked to poorer social interaction and status.
- Significant sex differences in profile membership were observed.
Conclusions:
- Children with disruptive behavior are not a monolithic group.
- Specific profiles, particularly those with callous-unemotional traits and reactive aggression, are associated with significant social impairments.
- Differentiating these profiles is essential for targeted interventions to improve social functioning.
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