Disinhibited Social Engagement Dsdr
Disinhibited social engagement disorder (DSED) is an attachment disorder. It may make it difficult for children to form deep, meaningful connections to others. It’s one of two attachment disorders that affect children younger than 18 years — the other condition is reactive attachment disorder (RAD).
Cluster Number:
Wiki Number: W063
Diagnosis: Disinhibited Social Engagement Disorder
US Patients:
World Patients :
Sex Ratio:
Age Onset: Age 5
Brain Area:
Symptoms: Children actively approach and interact with strangers with no fear or discomfort
Progression: Usually lasts only till about age 6
Causes: may or may not have had emotional needs by care-giving adults
Medications:
Therapies: “play therapy” or “expressive therapy”
4 CURRENT ARTICLES
FROM PUBMED
The world-wide medical research
reports chosen for each diagnosis
Clicking each title opens the
PubMed article’s summary-abstract.
- Changes in Attachment Disorder symptoms in children internationally adopted and in residential careby Maite Román on September 21, 2021
CONCLUSIONS: Adoption appears to be an effective intervention that promotes recovery of RAD and DSED symptomatology after early adversity, whereas institutionalization causes negative effects.
- Self-esteem in adolescents with reactive attachment disorder or disinhibited social engagement disorderby Astrid R Seim on June 5, 2021
CONCLUSION: Both global and domain-specific self-esteem in adolescents with RAD or DSED should be assessed; developmental support and treatment plans should be adjusted accordingly.
- Sexually Predatory Behavior in an Adolescent Femaleby Michole A Deesing on May 3, 2021
This report describes a rare case of an adolescent female with a history of unspecified depressive disorder, disinhibited social engagement disorder, and significant history of sexual trauma at an early age, who initially presented with suicidal ideation. During the initial evaluation, the patient was found to have engaged in sexually predatory behavior toward younger boys, including solicitation and inappropriate sexual behavior. This report discusses relevant literature on the prevalence, risk...
- Meta-Analyses of the Associations Between Disinhibited Social Engagement Behaviors and Child Attachment Insecurity or Disorganizationby Lory Zephyr on February 22, 2021
Children with disinhibited social engagement disorder show reduced reticence with strangers, do not check back with their caregiver after venturing away, and may willingly leave with an unfamiliar adult. The recent DSM-5 has moved away from an attachment framework to understand disinhibited social engagement behavior (DSEB) due to studies indicating its presence in previously institutionalized children even after these children are adopted and show a selective, more secure attachment with their...