No children with DSED-no RAD had CU or CD. All children with RAD had callous-unemotional traits (CU) and 73% had conduct disorder (CD). Mothers rated the children on the Pediatric Behavior Scale assessing oppositional behavior, conduct problems, ADHD, anxiety, depression, and other symptoms.įive of the 20 children with RAD/DSED had DSED without RAD, 15 had RAD with DSED, and none had RAD without DSED. The symptoms associated with each of these types can vary. The two varieties of RAD are inhibited reactive attachment disorder and disinhibited reactive attachment disorder. Children with RAD can exhibit any of the two types if it isn't treated at its initial stages. Children with RAD/DSED were removed from their neglectful environments at a mean of 4 years and were a mean 10 years when studied. There are two major types of reactive attachment disorder or RAD. Samples included 4-17-year-olds, 20 with RAD and/or DSED, 933 with autism, and 895 with ADHD. DSM-5 Reactive Attachment Disorder (RAD) and Disinhibited Social Engagement Disorder (DSED) are rare, understudied, and controversial disorders.Ĭomorbidity in children diagnosed with RAD or DSED was compared with comorbidity in ADHD and autism to determine if RAD/DSED comorbidity differed from that for the two most common disorders in child psychiatric clinics.
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