title: Deficient Emotional Self-Regulation in ADHD Assessed Using a Unique Profile of the Child Behavior Checklist (CBCL): Replication in an Italian Study.
abstract: OBJECTIVE
  A unique profile of the empirically derived Child Behavior Checklist-anxious/depressed, attention, and aggression-deficient emotional self-regulation (CBCL-AAA-DESR profile: ≥180 and ≤210) may be used to identify a sizable minority of children with ADHD with associated DESR. The main aim of this study was to replicate these findings in an Italian sample.
  
  
  METHODS
  The sample consisted of 358 children and teenagers aged 6 to 17 years of both sexes with (n = 190) and without a diagnosis of ADHD (n = 168).
  
  
  RESULTS
  In all, 40.0% of children with ADHD had a positive CBCL-DESR profile compared with 3.5% of controls. Receiver-operating characteristic analysis showed that the CBCL-DESR profile cut-off (sensitivity = 97.33, specificity = 79.66, criterion ≥179, ≤210) discriminated the two subsamples.
  
  
  CONCLUSIONS
  The findings replicate previous results highlighting the utility of the CBCL as a means of identifying DESR in children with ADHD.
authors.affiliation: ASL RM B Sandro Pertini Hospital Rome, Italy.
authors.forename: R
authors.initials: R
authors.lastname: Donfrancesco
authors.affiliation: ASL RM B Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Innocenzi
authors.affiliation: University Sapienza, Rome, Italy assunta.marano@uniroma1.it.
authors.forename: A
authors.initials: A
authors.lastname: Marano
authors.affiliation: Yawkey Center for Outpatient Care, Boston, MA, USA.
authors.forename: J
authors.initials: J
authors.lastname: Biederman
mesh_terms: D000293:Adolescent; D000374:Aggression / Q000523:psychology; D001289:Attention Deficit Disorder with Hyperactivity / Q000523:psychology*; D016022:Case-Control Studies; D057189:Checklist / Q000706:statistics & numerical data*; D002648:Child; D002652:Child Behavior; D004644:Emotions; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D011569:Psychiatric Status Rating Scales; D012372:ROC Curve; D000068356:Self-Control; D012680:Sensitivity and Specificity