This study investigated the relationship between childhood trauma, emotion dysregulation, dissociative psychopathology, and aggression in adult female ADHD and BPD patients. The study aimed to...Show moreThis study investigated the relationship between childhood trauma, emotion dysregulation, dissociative psychopathology, and aggression in adult female ADHD and BPD patients. The study aimed to determine whether childhood maltreatment predicted aggression and if emotion dysregulation and dissociation mediated this relationship. Methods: The study included eighty-six women (n=29 patients with BPD, n=28 patients with ADHD; and n=29 healthy controls, HC) recruited from the Department of Psychiatry and Psychotherapy at the Central Institute of Mental Health in Mannheim, Germany. Childhood trauma was measured using the Childhood Trauma Questionnaire (CTQ), which assessed various forms of abuse and neglect. Aggression was measured using the Buss Perry Aggression Questionnaire (AQ), which assessed physical aggression, verbal aggression, anger, and hostility. Emotion dysregulation was assessed using the Difficulties in Emotion Regulation Scale (DERS), which measured six dimensions of emotion regulation difficulties. Dissociation was measured using the Dissociative Experience Scale (DES), which assessed various aspects of dissociative psychopathology. Results: The results revealed that childhood maltreatment had a significant effect on aggression, mediated by emotion dysregulation but not dissociation. Furthermore, scores for aggression, emotion dysregulation, and dissociation were higher in the ADHD and BPD groups compared to healthy controls. These findings suggest a need for clinical emphasis on trauma-informed care and emotion regulation strategies. Additionally, the study highlighted the necessity of future research on gender differences in these relationships, providing an impetus for personalised treatment strategies. Conclusion: This study emphasises the crucial role of childhood trauma and emotion dysregulation in managing aggression in female ADHD and BPD patients.Show less
Individuals with pervasive developmental disorders face problems in three areas. They have qualitative impairments in social interactions, in communication and have restricted, repetitive,...Show moreIndividuals with pervasive developmental disorders face problems in three areas. They have qualitative impairments in social interactions, in communication and have restricted, repetitive, stereotyped patterns of behavior, interests and activities. In addition, it is not always clear which disorders co-occur with autism and what the impact is on the psychosocial skills. The thesis is: "What is the relationship between autism, comorbid disorders and psychosocial skills? '. Primary and secondary schools were approached and asked to spread a letter amongst the parents, in which the parents and the child were asked to individually and independently fill in a questionnaire on the internet. The ‘Vragenlijst Psychosociale Vaardigheden’ (VPV) measures the psychosocial skills of young people and is used to compare these skills between different groups of young people. The sample consisted of 432 children and adolescents. The study shows that autism relatively often associates with ADHD and less often with anxiety disorders and ODD / CD. Also, the results show that children and adolescents with autism have developed less relational and affective skills than children and adolescents without a disorder and children and adolescents with a disorder other than autism. Furthermore, the self-awareness of children and adolescents with autism is less developed than that of children and adolescents without a disorder, but better developed than that of children and adolescents with autism and comorbid disorders. In addition, the self-management of young people with autism is less developed than that of children and adolescents without a disorder, are children and young people with autism and ADHD not facing more problems with self-management than the other research groups and are young people with autism and ODD / CD facing problems with all psychosocial skills. Finally, the study shows that the level of psychosocial skills of children and adolescents with autism is lower when comorbid disorders are present.Show less
