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Resumen Los Trastornos del Espectro Autista (TEA) y los Tras tornos por Déficit de Atención Hiperactividad (TDAH) son Trastornos del Neurodesarrollo (TN) que coexisten frecuentemente y que tienen factores etiológicos, bio lógicos, clínicos en común. La comorbilidad de ambos TN se asocia a un retraso en el diagnóstico del TEA o un diagnóstico que nunca llegan a recibir y es frecuente el desarrollo de alteraciones perceptivas, emocionales, cognitivas y conductuales relacionadas con la Desregu lación Emocional (DE). Cuando ambos TN no son diag nosticados en infancia, frecuentemente reciben diag nósticos equivocados en edades más tardías, siendo el más frecuente el Trastorno Límite de Personalidad (TLP). Se analiza la presentación clínica de la asociación del TEA y el TDAH, la asociación con DE, diferenciación del TLP y evaluación e intervención. La comorbilidad TEA, TDAH, DE, es un trastorno más severo, asociado a poli farmacología y a ingresos hospi talarios.
Abstract Autism Spectrum Disorders (ASD) and Attention Defi cit Hyperactivity Disorders (ADHD) are Neurodevelop mental Disorders (ND) that frequently coexist together and have etiological, biological, and clinical factors in common. The comorbidity of both neurodevelopmental disorders is associated with a delay or lack of ASD di agnosis and the development of perceptual, emotional, cognitive and behavioral alterations related to Emotional Dysregulation (ED) is common. When both TN are not diagnosed in childhood, they frequently receive wrong diagnoses at later ages, the most frequent being Border line Personality Disorder (BPD). The clinical presentation of the association of ASD and ADHD, the association with ED, differentiation of BPD, and evaluation and intervention are here analyzed. The comorbidity ASD, ADHD, ED is a more severe disorder associated to polypharmacology and hospital admissions.
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Abstract Emotional dysregulation (ED) is related to problems in understanding, perceiving, and regulating emotions. The aim is to find the psychometric properties of an instrument that measures ED and classifies the high/low ED group membership with the least possible error. For statistical purposes (factor analysis), two independent samples of males and females (n1 = 476) and (n2 = 562) were obtained, with ages sample 1 (15 -19 years; M= 15.8; SD=0.71) and sample 2 (15-19 years; M=15.6; SD= 0.69). Three factors were formed by sex, males with 14 items and females with 13 items, each loading on a single factor (total α=0.71 - 0.78 ɷ =0.67- 0.79 females; α= 0.70 - 0.79 ɷ=0.73 - 0.75 males) and good fit indices. In sum, a validated cut version instrument (DERSR-B), a risk screening instrument, was obtained.
Resumen La desregulación emocional (DE) se relaciona con problemas para comprender, percibir y regular las emociones. Determinar las propiedades psicométricas de un instrumento que mide DE y que clasifica con el menor error posible la pertenencia de grupo alto/bajo de DE se propuso como el objetivo de este estudio. Para propósitos estadísticos (análisis factoriales) se obtuvieron dos muestras independientes de hombres y mujeres (n1 = 476) y (n2 = 562) respectivamente, con edades para muestra 1 (15-19 años; M= 15.8; DE= 0.71) y muestra 2 (15-19 años; M=15.6; DE= 0.69). Se obtuvieron tres factores por sexo, hombres con 14 ítems y mujeres con 13 ítems cada uno cargando en un solo, un único factor (total α =0.71 - 0.78 ɷ =0.67- 0.79 mujeres; α=0.70 - 0.79 ɷ=0.73-0.75 hombres) y con índices de ajuste aceptables. Se obtuvo un instrumento válido en versión corta de detección rápida de riesgo de Desregulación Emocional (DERSR-B).
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Background: Emotional dysregulation is a core feature of borderline personality disorder (BPD). Previous studies have reported that abnormal grey matter volume is associated with the limbic-cortical circuit and default mode network (DMN) in patients with BPD. However, alterations of cortical thickness in adolescents with BPD have not been well evaluated.Objective: The aim of this study was to assess cortical thickness and its association with emotional dysregulation in adolescents with BPD.Method: This prospective study enrolled 52 adolescents with BPD and 39 age- and sex-matched healthy controls (HCs). Assessments included brain magnetic resonance imaging (MRI) acquisition with structural and resting-state functional MRI data, and clinical assessment for emotional dysregulation using the Difficulties in Emotion Regulation Scale (DERS). Cortical thickness and seed-based functional connectivity were analysed with FreeSurfer 7.2 software. Correlation analysis between cortical thickness and the scores from emotional assessment was performed with Spearman analysis.Results: Compared to HCs, there was altered cortical thickness in the DMN and limbic-cortical circuit in adolescents with BPD (Monte Carlo correction, all p < .05). These regions with altered cortical thickness were significantly associated with emotional dysregulation (all p < .05). There were also alterations of functional connectivity, i.e. with increased connectivity of the right prefrontal cortex with bilateral occipital lobes, or with the limbic system, and with decreased connectivity among the DMN regions (voxel p < .001, cluster p < .05, family-wise error corrected).Conclusions: Our results suggest that the altered cortical thickness and altered functional connectivity in the limbic-cortical circuit and DMN may be involved in emotional dysregulation in adolescents with BPD.
Emotional dysregulation is a core feature of borderline personality disorder, but the underlying neural correlates are not well known.There was altered cortical thickness and functional connectivity in the DMN and limbiccortical circuit in adolescents with borderline personality disorder.Altered cortical thickness was associated with emotional dysregulation in adolescents with borderline personality disorder.
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Transtorno da Personalidade Borderline , Humanos , Adolescente , Transtorno da Personalidade Borderline/diagnóstico por imagem , Transtorno da Personalidade Borderline/psicologia , Estudos Prospectivos , Encéfalo , Emoções/fisiologia , Córtex Pré-Frontal/diagnóstico por imagemRESUMO
BACKGROUND: Given the highly stressful environment surrounding the SARS-CoV-2 pandemic, healthcare workers (HCW) and public safety personnel (PSP) are at an elevated risk for adverse psychological outcomes, including posttraumatic stress disorder (PTSD) and alcohol/substance use problems. As such, the study aimed to identify associations between PTSD severity, related dissociation and emotion dysregulation symptoms, and alcohol/substance use problems among HCWs and PSP. METHODS: A subset of data (N = 498; HCWs = 299; PSP = 199) was extracted from a larger study examining psychological variables among Canadian HCWs and PSP during the pandemic. Structural equation modelling assessed associations between PTSD symptoms and alcohol/substance use-related problems with dissociation and emotion dysregulation as mediators. RESULTS: Among HCWs, dissociation fully mediated the relation between PTSD and alcohol-related problems (indirect effect ß = .133, p = .03) and emotion dysregulation partially mediated the relation between PTSD and substance-related problems (indirect effect ß = .151, p = .046). In PSP, emotion dysregulation fully mediated the relation between PTSD and alcohol-related problems (indirect effects ß = .184, p = .005). For substance-related problems among PSP, neither emotion dysregulation nor dissociation (ps >.05) had any effects. CONCLUSION: To our knowledge, this is the first study examining associations between PTSD severity and alcohol/substance use-related problems via mediating impacts of emotion dysregulation and dissociation among HCWs and PSP during the SARS-CoV-2 pandemic. These findings highlight dissociation and emotion dysregulation as important therapeutic targets for structured interventions aimed at reducing the burden of PTSD and/or SUD among Canadian HCWs or PSP suffering from the adverse mental health impacts of the SARS-CoV-2 pandemic.
Among healthcare workers, dissociation mediated relation between posttraumatic stress disorder (PTSD) severity and alcohol-related problems and emotion dysregulation mediated relation between PTSD severity and substance-related problems.Among public safety personnel, emotion dysregulation mediated relation between PTSD severity and alcohol-related problems. Neither dissociation nor emotion dysregulation mediated relation between PTSD severity and substance-related problems.Results underscore dissociation and emotion dysregulation as potential key therapeutic targets for intervention for healthcare workers and public safety personnel struggling with PTSD and comorbid alcohol/substance use-related problems.
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COVID-19 , Transtornos Relacionados ao Uso de Substâncias , Humanos , Emoções , SARS-CoV-2 , Pandemias , COVID-19/epidemiologia , Canadá/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/terapia , Pessoal de SaúdeRESUMO
Background: Emotion dysregulation is a hallmark characteristic of psychopathology following trauma. Yet, emotion dysregulation is multifaceted, and little is known about which aspects of emotion dysregulation predict depression and posttraumatic stress disorder (PTSD) symptom severity following traumatic injury.Objective: The aim of this longitudinal study was to evaluate how facets of dysregulation differentially predicted the severity of PTSD symptom clusters and depressive symptoms six months after a traumatic injury requiring medical treatment.Methods: Traumatically injured adults (N = 99) presenting to a Level 1 trauma centre completed a measure of emotion dysregulation 2 weeks post-injury, and PTSD and depression were assessed at 2-weeks and 6 months later.Results: Using stepwise regressions controlling for baseline symptoms, age, gender, race, and injury severity, results showed baseline emotion dysregulation significantly predicted the four symptom clusters of PTSD 6 months post-injury. Notably, hyperarousal symptoms and negative alterations in mood and cognition were predicted by a lack of clarity. On the other hand, depressive symptoms were significantly predicted by difficulty accessing emotion regulation strategies.Conclusion: Results highlight that specific facets of emotion dysregulation predict PTSD and depression symptom severity differentially after injury. Indeed, lack of emotional clarity appears to predict PTSD symptomatology, suggesting a potential mechanism driving worsening symptoms. Lack of clarity could also be detrimental to engagement in PTSD treatment. Conversely, lack of regulation strategies may represent a sense of helplessness in managing depression after trauma. As such, future research should elucidate whether interventions targeting aspects of emotion dysregulation based on symptom presentations are useful in treating PTSD and depression following injury.
Specific facets of emotion dysregulation are differentially associated with PTSD symptom clusters and depression symptom severity after injury.Findings suggest that targeting lack of emotional clarity may be critical for patients with prominent hyperarousal and trauma-related changes in mood and cognitions (i.e. two PTSD symptom clusters).Patients with depressive symptoms following trauma may especially benefit from the development of emotion regulation strategies.
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Transtornos de Estresse Pós-Traumáticos , Adulto , Humanos , Pré-Escolar , Transtornos de Estresse Pós-Traumáticos/terapia , Depressão/psicologia , Estudos Longitudinais , Síndrome , EmoçõesRESUMO
Resumen El consumo de sustancias psicoactivas [SPA] es un problema de salud pública, y constituye uno de los principales factores de riesgo para la salud. Se ha observado que el consumo de SPA está mediado por diferentes variables, una de ellas es la desregulación emocional, y se requiere mayor investigación del comportamiento de esta variable y su relación con los niveles de riesgo asociado al consumo. El objetivo del presente estudio fue determinar si existen diferencias en la desregulación emocional según el nivel de riesgo asociado al consumo de sustancias en una muestra de universitarios. Para tal efecto se adelantó un estudio descriptivo por comparación de grupos con una muestra de 721 estudiantes. Los resultados indicaron altas prevalencias de consumo de SPA; diferencias en los puntajes de desregulación emocional según el nivel de riesgo para tranquilizantes y cocaína, y que, a nivel general, aquellos universitarios con menor nivel de riesgo son quienes presentan menores puntajes de desregulación emocional, lo que sugiere que la desregulación emocional es una variable predictora de un mayor nivel de riesgo asociado al consumo de SPA.
Abstract The use of psychoactive substances is a public health problem, and it is one of the main health risk factors. It has been observed that the use of drugs is mediated by different variables, one of them is the emotional dysregulation, and more research is required on the behavior of this variable and its relationship with the levels of risk in the consumption. The aim of this study was to determine whether there are differences in emotional dysregulation according to the level of risk associated with substance use in a sample of 721 university students. For this purpose, a descriptive study was carried out by comparing groups. The results indicated high prevalence of PAS consumption, differences in emotional dysregulation scores according to the risk level for tranquilizer pills and cocaine. In general, the students with a lower risk level are those who present lower emotional dysregulation scores, suggesting that emotional dysregulation is a predictor variable of a higher level of risk associated with PAS consumption.
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Resumen La desregulación emocional es un constructo multidimensional determinado por formas poco adaptativas de responder frente a las emociones. Las personas adultas emergentes (i.e., entre 18 y 25/30 años de edad), particularmente universitarias, son vulnerables a involucrarse en comportamientos riesgosos en contextos emocionales. La Escala de Dificultades en la Regulación Emocional Estado (S-DERS) resulta adecuada para medir dimensiones de desregulación emocional momentánea en esta población; sin embargo, no se conocen estudios confirmatorios de su estructura factorial ni estudios de adaptación al idioma español. El objetivo del presente estudio fue examinar las propiedades psicométricas de la S-DERS. Se evaluaron 178 adultos emergentes universitarios argentinos (18-28 años; 53.9% mujeres; Medad= 22.03; DE ±2.06). Se analizó la estructura y la consistencia interna del modelo original (S-DERS; cuatro factores: aceptación, conciencia, claridad y modulación) y un modelo alternativo (S-DERS-R; 3 factores) sin el factor claridad. Ambos modelos presentaron un ajuste satisfactorio de su estructura factorial y valores aceptables de consistencia interna, a excepción de la subescala claridad. Mayormente, para las subescalas aceptación y modulación y puntajes totales de ambos modelos, se obtuvieron evidencias de validez convergente con dos escalas de desregulación emocional rasgo concurrente con una escala de afecto positivo y negativo y predictiva con una medida de activación emocional. Los resultados muestran propiedades psicométricas adecuadas. S-DERS-R, que prescinde del factor claridad, mejora el ajuste y mantiene valores de consistencia interna aceptables respecto a S-DERS. Se espera que este instrumento sea útil en estudios transversales y longitudinales de la desregulación emocional estado en universitarios.
Abstract: Emotion dysregulation is a multidimensional construct determined by maladaptive ways of responding to emotions. Emerging adults (i.e., aged from 18 to 25/30), particularly college students, are vulnerable to involvement in risky behaviors under emotions. The State Difficulties in Emotion Regulation Scale (S-DERS) became suitable to measure facets of momentary emotion dysregulation in this population; however, there are no confirmatory studies or studies of adaptation to the Spanish language. The aim of this study was to examine psychometric properties of S-DERS. A sample of 178 Argentine emerging college-age adults was evaluated (18-28 years old; 53.9% women; Mage= 22.03; DE ± 2.06). Internal structure and consistency of the original model (i.e., S-DERS; four factors: Nonacceptance, Awareness, Clarity, Modulation) and an alternative model without Clarity (i.e., S-DERS-R; three factors) was analyzed. Both models presented a factor structure with satisfactory fit and acceptable values of internal consistency, with the exception of the Clarity subscale. Mainly to Nonacceptance and Modulation subscales, we observed evidence of convergent validity with two-trait emotion dysregulation scales, concurrent validity with a positive and negative affect scale, and predictive validity with an emotion arousal measure. Results show suitable sychometric properties. The S-DERS-R model (i.e., without Clarity factor) improves the model fit and maintains acceptable internal consistency values with respect to the S-DERS model. This instrument is expected to be useful in cross-sectional and longitudinal studies of state emotion dysregulation in college students.
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Humanos , Masculino , Feminino , Adolescente , Adulto , Análise Fatorial , Ajustamento Emocional , Regulação Emocional , Argentina , Estudantes , UniversidadesRESUMO
Resumen El proceso de regulación emocional está siendo foco de gran cantidad de investigaciones en la actualidad. Se estima que se encuentra asociada al desarrollo y mantenimiento del 75 % de los trastornos mentales del Manual Diagnóstico y Estadístico de los Trastornos Mentales (DSM, por sus siglas en inglés). En esta línea se han estado estudiando en los últimos años, a nivel global, protocolos transdiagnósticos que tienen, como foco de tratamiento, dicho proceso. El objetivo de este estudio consistió en explorar la familiaridad de los profesionales de la salud mental, de hospitales públicos del área metropolitana de Buenos Aires, con el constructo de la desregulación emocional y los protocolos diseñados para el tratamiento de pacientes con dichas características. A su vez, se buscó conocer el grado de acercamiento de los profesionales clínicos a las investigaciones sobre psicoterapias. A estos fines, se diseñó un cuestionario con 40 preguntas de respuestas abiertas y opción múltiple que fue completado por 75 profesionales (psicólogos y psiquiatras) de hospitales públicos del área metropolitana de Buenos Aires. La mayoría reportó conocer el constructo de desregulación emocional, pero al pedirles que conceptualicen un caso diseñado para este estudio muy pocos utilizaron el constructo. En cuanto a los protocolos transdiagnósticos diseñados para intervenir en la desregulación emocional, son muy poco implementados. Por su parte, menos de la mitad reportó haber leído investigaciones empíricas. Los cursos elegidos para continuar la formación son en su mayoría psicoanalíticos y la participación en congresos internacionales es escasa. Se propone la necesidad de fomentar el uso de intervenciones basadas en evidencia en hospitales públicos y la divulgación de protocolos transdiagnósticos con evidencia para la desregulación emocional.
Abstract A substantial amount of evidence regarding comorbidity among mental disorders has been accumulated during the last years. Moreover, it has been identified that there is a great variability within nosological categories. These limitations of categorical systems lead to the development of the transdiagnostic paradigm which contemplates the existence of underlying processes common to different diagnoses. The process of emotional regulation is currently the focus of many investigations. It is estimated that it is associated with the development and maintenance of 75 % of DSM mental disorders. Emotional dysregulation is being studied particularly as a common factor in depression and anxiety, the two most prevalent disorders in Argentina. Related to this, transdiagnostic protocols aiming this process have been studied in the last years at a global level. The Unified Protocol has been developed by Barlow from a transdiagnostic perspective aiming to offer an evidence-based intervention that could be faithfully used in heterogeneous groups. It was created for emotional disorders with a specific focus on emotional dysregulation, contemplating comorbidity and heterogeneity. This makes the Unified Protocol a proper and valid intervention for the most prevalent disorders in Argentina. The objective of this study was to explore the familiarity of mental health practitioners, of public hospitals in the metropolitan area of Buenos Aires, with the emotional dysregulation construct and protocols designed for the treatment of patients with these characteristics. Moreover, the degree in which clinicians approach psychotherapy research was evaluated. For this purpose, a cross-sectional descriptive study was carried on. A questionnaire was designed with 40 questions (25 with closed answer and 15 with short open answer) that investigated five thematic areas: demographic characteristics, therapeutic approach, knowledge about the emotional dysregulation construct and treatment protocols, knowledge about the transdiagnostic paradigm and approach to empirical research. The questionnaire was completed by 75 practitioners (psychologists and psychiatrists) from public hospitals of the metropolitan area of Buenos Aires. After analyzing the results, it can be said that the most prominent theoretical framework from which practitioners work in public hospitals is psychoanalysis. The most prevalent diagnoses are anxiety and depression and comorbidity is frequent (M = 2.23, SD = .707). When studying the familiarity to the construct of emotional dysregulation, it was observed that even though most of them reported knowing the emotional dysregulation construct (89.3 %), when asked to conceptualize a person with intense and long-lasting emotional distress and difficulty in controlling their behavior and recognizing their emotions, very few mentioned difficulties in the regulation of emotions (13.51 %). Individual format treatment was the most chosen by psychologists for patients with these characteristics (69 %). Psychiatrists reported pharmacotherapy as the most chosen treatment (87.5 %). Group format is not frequently used. In regards to transdiagnostic protocols designed to intervene in emotional dysregulation, they are very poorly implemented. Dialectical Behavioral Therapy was reported to be known by 80 % of the sample, but used by 33.9 %, while the Unified Protocol was referred to be known by 34.7 % and used by 7.69 % of them. On the other hand, the gap between clinical practice and research seems to be wide. Less than half of the practitioners reported reading empirical research (44 %). And the transdiagnostic paradigm is known by 46.7 % of practitioners. When asked to mention the most influential authors in their practice, Freud and Lacan (classical psychoanalytic authors) were mentioned by the majority. The courses chosen to continue their training are mostly psychoanalytic and participation in international congresses is low (10.45 %). These results show the need to look for ways to encourage the use of evidence-based interventions in public hospitals and specifically the dissemination of transdiagnostic protocols with evidence for emotional dysregulation, being emotional disorders the most prevalent.
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Resumen El trastorno por déficit de atención e hiperactividad (TDAH) constituye un trastorno del neurodesarrollo, cuyos síntomas nucleares constituyen la inatención, la hiperactividad y la impulsividad. Esta última puede ser verbal, motora y cognitiva, también emocional. Se expresa por la desregulación emocional y afecta la capacidad de autorregularse emocionalmente e inhibir las emociones. Por lo anterior, el objetivo de este documento es realizar una aproximación teórica-descriptiva desde diferentes autores sobre la desregulación emocional presente en la población con TDAH. Es importante la revisión de este concepto, porque la regulación emocional constituye una de las funciones ejecutivas que se afecta en las personas con TDAH al originar un impacto en el funcionamiento personal y social a lo largo de la vida. A partir de la revisión, se concluyó que hay un auge en el estudio y el análisis de este tema en la comunidad científica en las últimas décadas, que validan la importancia del conocimiento y del abordaje de la desregulación emocional en esta población, pues brinda elementos clínicos que facilitan el diagnóstico diferencial y la identificación de comorbilidades que este trastorno podría presentar. Finalmente, la desregulación emocional, junto con la inatención, la hiperactividad y la impulsividad constituyen parte de los síntomas que deben considerarse en el tratamiento multimodal del TDAH.
Abstract: Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder, whose nuclear symptoms constitute inattention, hyperactivity and impulsivity, the latter may be verbal, motor and cognitive, but also emotional, expressed by emotional dysregulation, which affects a person's ability to emotionally self-regulate and inhibit emotions. Therefore, the objective of this document is to take a descriptive theoretical approach from different authors about the emotional dysregulation present in the population with ADHD. It is important to review this concept since emotional regulation is one of the Executive Functions that is affected in people with ADHD, causing an impact on the person and their social functioning throughout life. From this review, we concluded that there has been a boom in the study and analysis of this topic in the scientific community during the last decade. This validates the importance of knowledge about and approach to emotional dysregulation in this population, since it provides clinical elements that facilitate differential diagnoses and the identification of comorbidities that this disorder could present. Finally, emotional dysregulation, along with inattention, hyperactivity and impulsivity, is part of the symptoms that should be considered in the multimodal treatment of ADHD.
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Humanos , Transtorno do Deficit de Atenção com Hiperatividade , Diagnóstico Diferencial , Transtornos do Neurodesenvolvimento/diagnóstico , Terapia Combinada , Comportamento ImpulsivoRESUMO
INTRODUCCIÓN: El perfil de desregulación (PD) es una entidad clínica de interés en el área infantojuvenil, puesto que se asocia a psicopatología futura. El PD se define a partir del instrumento Child Beha vior Checklist (CBCL), combinando síntomas internalizantes (ansiedad/depresión) y externalizantes (agresividad, problemas de atención). OBJETIVO: Estudiar la frecuencia del perfil de PD por CBCL en una muestra de preescolares chilenos. PACIENTES Y MÉTODO: Se aplicó una encuesta sociodemográfica y Cuestionario CBCL 1% - 5 a cuidadores de niños entre 30 y 48 meses de edad, en una muestra representativa nacional de usuarios de red pública. Se estimó la frecuencia utilizando el método de Kim y colaboradores y se realizó un modelo explicativo mediante regresión logística binaria del PD utilizando variables del cuidador, del niño y del contexto. RESULTADOS: La muestra fue de 1429 pre escolares y sus cuidadores. La frecuencia de PD fue de 11,6% (IC 95% 9,9-13,5%). Las variables que permiten predecir el PD en un 88,6% fueron: Síntomas depresivos actuales en el cuidador principal (OR: 2,24; IC95%: 1,37-3,67); Número de eventos vitales estresantes vividos por el cuidador principal (p = 0,005); Número de elementos disponibles para estimulación en el hogar (p = 0,001); Número de enfermedades crónicas del niño (p = 0,006). CONCLUSIONES: PD tiene una frecuencia alta en preesco lares, lo que implica una carga en salud mental relevante, apuntando a la necesidad de intervenciones en esta área, además de seguimiento longitudinal de esta subpoblación.
INTRODUCTION: The dysregulation profile (DP) is a relevant clinical entity in the children and ado lescent area since its association with future psychopathology. DP is defined by the Child Behavior Checklist (CBCL), combining internalizing symptoms (anxiety/depression) and externalizing ones (aggressiveness, attention problems). OBJECTIVES: To study the frequency of CBCL-DP in a sample of Chilean preschoolers. PATIENTS AND METHOD: A sociodemographic survey and CBCL 1.5-5 was applied to caregivers of children aged 30 to 48 months in a national representative sample of public health system users. Frequency was estimated using the Kim et al. method and an explanatory model was made using binary logistic regression of DP using the child, caregiver, and contextual variables. RESULTS: The sample size was n = 1,429 preschool children and their caregivers. The frequency of DP was 11.6% (95% CI 9.9-13.5%). The variables that allow to classify DP in 88.6% of cases were: current depressive symptoms in the main caregiver (OR: 2.24; 95% CI 1.37-3.67); number of stressful events experienced by the main caregiver (p = 0.005); number of available elements for child development stimulation in the home (p = 0.001); number of chronic diseases of the child (p = 0.006). CONCLUSIONS: DP has a high frequency in preschoolers, which implies a relevant mental health burden. This finding points to the need for interventions in this area and also longitudinal monitoring of this subgroup.
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Humanos , Masculino , Feminino , Pré-Escolar , Escalas de Graduação Psiquiátrica , Transtornos do Comportamento Infantil/diagnóstico , Modelos Logísticos , Transtornos do Comportamento Infantil/psicologia , Transtornos do Comportamento Infantil/epidemiologia , Chile/epidemiologia , Cuidadores/psicologia , Efeitos Psicossociais da Doença , Modelos PsicológicosRESUMO
La Escala de Dificultades en la Regulación Emocional (DERS, por sus siglas en inglés) es un instrumento diseñado para medir la Desregulación Emocional. El presente estudio buscó identificar la consistencia de los factores incluidos en el DERS, y la relevancia de los ítems en cada uno de ellos. Los participantes fueron 251 estudiantes, 68% mujeres, de una universidad en Bogotá-Colombia. En esta investigación se evaluaron los componentes del DERS: (a) no-aceptación, (b) metas, (c) impulsividad, (d) estrategias, (e) conciencia, y (f) claridad. El Análisis Factorial mostró que los ítems de la DERS se reunían en dos factores principales en lugar de seis, y la reducción de datos demostró que 15 de los 36 ítems originales contribuyeron significativamente a la varianza. Se recomienda incrementar las investigaciones en contextos de la salud, y con población clínica y no clínica en Colombia para validar el DERS, y desarrollar un puntaje total de esta escala.
The Difficulties in Emotion Regulation Scale (DERS) is an instrument designed to assess emotional dysregulation. The current study sought to identify consistency of DERS factors and items relevance for each one of them. Participants were 251 students, 68% female, from a university in Bogotá-Colombia. This research assessed the DERS factors: (a) non-acceptance, (b) goals, (c) impulse, (d) strategies, (e) awareness, and (f) clarity. Factor Analysis found that DERS items are gathered in two main factors rather than six, and data reduction demonstrated that only 15 of the 36 items in the original scale contributed significantly to factors variance. It is recommended extending the research to health contexts and to clinical and non-clinical population in Colombia in order to validate the DERS and develop a total score for the scale.
A Escala de Dificuldades de Regulação Emocional (DERS, por sua sigla em inglês) é um instrumento desenhado para medir a desregulação emocional. O presente estudo buscou identificar a consistência dos fatores incluídos na DERS e a relevância dos itens em cada um deles. Os participantes foram 251 estudantes, 68% mulheres, de uma universidade em Bogotá (Colômbia). Nesta pesquisa, avaliaram-se os componentes da DERS: 1) não aceitação; 2) metas; 3) impulsividade; 4) estratégias; 5) consciência e 6) clareza. A análise fatorial mostrou que os itens da DERS se reuniam em dois fatores principais em lugar de seis, e a redução de dados mostrou que 15 dos 36 itens originais contribuíram significativamente para a variação. Recomendase aumentar o número de pesquisas em contextos da saúde e com população clínica e não clínica na Colômbia para validar a DERS e desenvolver uma pontuação total dessa escala.