Background

Low self-esteem predicts negative outcomes and mediates the association between childhood adversity and mental health problems in adolescence. Reactive attachment disorder (RAD) and disinhibited social engagement disorder (DSED) are presumably caused by early insufficient care, but their association with self-esteem is unknown.

Objective

Investigate global and domain-specific self-esteem in adolescents with RAD or DSED.

Participants and setting

All adolescents living in Norwegian residential youth care (RYC) (N = 306; age 12–20) were compared with a sample from the general Norwegian adolescent population (N = 10,480; age 12–20).

Methods

Self-esteem for scholastic competence (SC), social acceptance (SA), athletic competence (AC), physical appearance (PA), romantic appeal (RA), close friendship (CF), and self-worth (SW) was investigated using the revised version of the Self-Perception Profile for Adolescents.

Results

Compared to the general population, adolescents with RAD diagnosis had lower SC (mean difference, MD = −0.30, p = .020) and higher CF (MD = 0.25, p = .021), whereas adolescents with DSED diagnosis had lower SC (MD = −0.42, p = .005), SA (MD = −0.40, p = .015), AC (MD = −0.22, p = .038), PA (MD = −0.33, p = .048), and SW (MD = −0.37, p = .013). Compared to adolescents in RYC without RAD/DSED diagnoses, adolescents with DSED diagnoses had lower SA (MD = −0.42, p = .012) and SW (MD = −0.32, p = .037). More RAD symptoms were associated with lower SA (B = −0.051, p = .013), AC (B = −0.048, p = .028), RA (B = −0.053, p = .007), and CF (B = −0.052, p = .005). More DSED symptoms were associated with lower SC (B = −0.125, p = .038).

Conclusion

Both global and domain-specific self-esteem in adolescents with RAD or DSED should be assessed; developmental support and treatment plans should be adjusted accordingly.

中文翻译：

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患有反应性依恋障碍或去抑制性社会参与障碍的青少年的自尊

背景

低自尊预示着负面结果，并调节童年逆境与青春期心理健康问题之间的关联。反应性依恋障碍 (RAD) 和去抑制性社会参与障碍 (DSED) 可能是由早期护理不足引起的，但它们与自尊的关系尚不清楚。

客观的

调查患有 RAD 或 DSED 的青少年的全局和特定领域的自尊。

参与者和设置

将居住在挪威青年寄养机构 (RYC) 的所有青少年（N  = 306；12-20 岁）与来自挪威一般青少年人口的样本（N  = 10,480；12-20 岁）进行了比较。

方法

学习能力（SC）、社会接受度（SA）、运动能力（AC）、外貌（PA）、浪漫吸引力（RA）、亲密友谊（CF）和自我价值（SW）的自尊被调查使用青少年自我认知档案的修订版。

结果

与一般人群相比，诊断为 RAD 的青少年的 SC 较低（平均差，MD = -0.30，p  = .020）和较高的 CF（MD = 0.25，p  = .021），而诊断为 DSED 的青少年的 SC 较低（ MD = -0.42, p  = .005), SA (MD = -0.40, p  = .015), AC (MD = -0.22, p  = .038), PA (MD = -0.33, p  = .048),和 SW (MD = -0.37, p  = .013)。与没有 RAD/DSED 诊断的 RYC 青少年相比，有 DSED 诊断的青少年的 SA (MD = -0.42, p  = .012) 和 SW (MD = -0.32, p  = .037)较低。更多的 RAD 症状与较低的 SA 相关（B  = -0.051，p = .013)、AC ( B  = -0.048, p  = .028)、RA ( B  = -0.053, p  = .007) 和 CF ( B  = -0.052, p  = .005)。更多的 DSED 症状与较低的 SC 相关（B  = -0.125，p  = .038 ）。

结论

应评估患有 RAD 或 DSED 的青少年的整体和特定领域的自尊；应相应调整发育支持和治疗计划。