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Distilling Heterogeneity among Children with Disruptive Behavior: Associations between Symptom Patterns and Social Functioning

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Abstract

Children with disruptive behavior (DB) are a heterogeneous group who exhibit several characteristics that may contribute to poor social functioning. The present study identified profiles of reactive aggression, proactive aggression, callous-unemotional (CU) traits, and prosocial behavior in a sample of children with DB. Associations with social functioning (social interaction, social status) were then examined, along with sex differences in profile membership. Parent ratings of 304 clinic-referred children ages 6–12 years with DB were analyzed using latent profile analysis. Five profiles were identified: 1) Moderate prosocial behavior, reactive aggression, and CU, and low proactive aggression (labelled Moderate); 2) Relatively high prosocial behavior and low reactive and proactive aggression and CU traits (Prosocial); 3) High prosocial behavior and reactive aggression, moderate proactive aggression, and low-moderate CU (Reactive-Prosocial); 4) Low prosocial behavior, high CU, high-moderate reactive aggression, and low-moderate proactive aggression (Reactive-CU); and 5) Low prosocial behavior and high reactive and proactive aggression and CU (Aggressive-CU). Profiles characterized by CU traits, reactive aggression, and low prosocial behavior were associated with the most problematic parent-rated social interaction and social status. The results highlight the need to differentiate profiles of psychopathology in children with DB to better address factors most associated with social functioning.

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Acknowledgements

We are grateful to Marcos Sanches for his guidance regarding the analyses.

Funding

Dr. Andrade’s research is funded by a New Investigator Fellowship (Ontario Mental Health Foundation) and Career Development Award (Canadian Child Health Clinician-Scientist Program).

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Authors and Affiliations

  1. Centre for Addiction and Mental Health, Child, Youth and Emerging Adult Program, 80 Workman Way, Toronto, ON, M6J 1H4, Canada

    Madison Aitken, Shanelle Henry & Brendan F. Andrade

  2. Department of Applied Psychology and Human Development, Ontario Institute for Studies in Education, University of Toronto, 252 Bloor Street West, 9th floor, Toronto, ON, M5S 1V6, Canada

    Shanelle Henry

  3. Department of Psychiatry, University of Toronto, 250 College Street, 8th floor, Toronto, ON, M5T 1R8, Canada

    Brendan F. Andrade

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  1. Madison Aitken
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Correspondence to Brendan F. Andrade.

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Aitken, M., Henry, S. & Andrade, B.F. Distilling Heterogeneity among Children with Disruptive Behavior: Associations between Symptom Patterns and Social Functioning. J Abnorm Child Psychol 46, 1241–1252 (2018). https://doi.org/10.1007/s10802-017-0350-1

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