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J Atten Disord. 2015 Oct;19(10):895-900. doi: 10.1177/1087054712462884. Epub 2012 Dec 4.

Deficient Emotional Self-Regulation in ADHD Assessed Using a Unique Profile of the Child Behavior Checklist (CBCL): Replication in an Italian Study.

Author information

  • 1ASL RM B Sandro Pertini Hospital Rome, Italy.
  • 2ASL RM B Rome, Italy.
  • 3University Sapienza, Rome, Italy
  • 4Yawkey Center for Outpatient Care, Boston, MA, USA.



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.


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).


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.


The findings replicate previous results highlighting the utility of the CBCL as a means of identifying DESR in children with ADHD.

© 2012 SAGE Publications.


ADHD; emotional self-regulation; sensitivity; specificity

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