{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T01:54:03Z","timestamp":1790733243433,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,6,27]],"date-time":"2019-06-27T00:00:00Z","timestamp":1561593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Adoles Ment Health"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      While considered a rare diagnosis, reactive attachment disorder (\n                      <jats:styled-content style=\"fixed-case\">RAD<\/jats:styled-content>\n                      ) is simultaneously the subject of considerable debate. A recent report suggested that\n                      <jats:styled-content style=\"fixed-case\">RAD<\/jats:styled-content>\n                      is overdiagnosed in community settings and that conduct problems may be used to make a diagnosis of\n                      <jats:styled-content style=\"fixed-case\">RAD<\/jats:styled-content>\n                      (Woolgar &amp; Baldock, Child and Adolescent Mental Health, 20, 2015, 34\u201340). This study seeks to replicate and extend these findings.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Clinical assessment data from 100 consecutive admissions of maltreated foster and adopted children (ages 3\u201317) to a specialty treatment clinic in the United States were reviewed. Measures included semi\u2010structured interviews of\n                      <jats:styled-content style=\"fixed-case\">RAD<\/jats:styled-content>\n                      and disinhibited social engagement disorder (\n                      <jats:styled-content style=\"fixed-case\">DSED<\/jats:styled-content>\n                      ) symptoms and caregiver\u2010report questionnaires of emotional problems, conduct problems, and the quality of the parent\u2013child relationship.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 100 cases reviewed, 39 presented with a diagnostic history of\n                      <jats:styled-content style=\"fixed-case\">RAD<\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">DSED<\/jats:styled-content>\n                      , or \u2018attachment disorder\u2019. Of these cases, three were diagnosed in\u2010clinic with\n                      <jats:styled-content style=\"fixed-case\">DSED<\/jats:styled-content>\n                      ; no cases met diagnostic criteria for\n                      <jats:styled-content style=\"fixed-case\">RAD<\/jats:styled-content>\n                      according to\n                      <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>\n                      \u20105 criteria. However, analyses found that those diagnosed with\n                      <jats:styled-content style=\"fixed-case\">RAD<\/jats:styled-content>\n                      by community\u2010based clinicians were significantly more likely to display conduct problems and to be adopted (as opposed to in foster care).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      These findings confirm those of Woolgar and Baldock (Child and Adolescent Mental Health, 20, 2015, 34\u201340). It appears that the diagnostic criteria of\n                      <jats:styled-content style=\"fixed-case\">RAD<\/jats:styled-content>\n                      are commonly being inaccurately applied in general community\u2010based practice. Clarification of diagnostic criteria for\n                      <jats:styled-content style=\"fixed-case\">RAD<\/jats:styled-content>\n                      in recent revisions of diagnostic taxonomies, the accumulation of empirical data on\n                      <jats:styled-content style=\"fixed-case\">RAD<\/jats:styled-content>\n                      , and improved instrumentation are either poorly disseminated or inadequately implemented in community\u2010based practice settings.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/camh.12338","type":"journal-article","created":{"date-parts":[[2019,6,27]],"date-time":"2019-06-27T06:14:03Z","timestamp":1561616043000},"page":"4-10","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Attachment disorders diagnosed by community practitioners: a replication and 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