Abstract

Childhood Disintegrative Disorder (CDD) is a rare and little researched developmental disorder characterised by regression in language and social skills after a period of seemingly normal development until at least the age of 2 years. The study contacted all parents of CDD patients in Norway to assess patient symptomatology and parents’ experiences of regression via questionnaire or interview. There were 12 participants. Symptomatology was in-line with previous studies, with universal regression in language and social skills and onset predominantly at 2–4 years. Regression was connected to feelings of ‘loss’ and uncertainty over the prognosis for CDD patients. The study supported CDD diagnostic criteria and showed that CDD patient regression has profound implications for parental well-being.

Highlights

  • Childhood Disintegrative Disorder (CDD) is a rare and little understood form of pervasive developmental disorder (PDD)

  • The ICD-10 includes under the category ‘other childhood disintegrative disorder’ (F84.3): ‘dementia infantilis’, ‘disintegrative psychosis’, ‘Heller syndrome’, and ‘symbiotic psychosis’

  • This study focuses on parental responses regarding CDD patient symptomatology and responses regarding parents’ experiences surrounding the regression of the CDD patient

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Summary

Introduction

Childhood Disintegrative Disorder (CDD) is a rare and little understood form of pervasive developmental disorder (PDD). The ICD-10 includes under the category ‘other childhood disintegrative disorder’ (F84.3): ‘dementia infantilis’, ‘disintegrative psychosis’, ‘Heller syndrome’, and ‘symbiotic psychosis’. Following the concerns in Mehra et al (2018) about diagnostic classification changes potentially making it more challenging to identify patients with late-onset regression, and in light of the significant amount of research suggesting that the distinctive symptomatology of patient cases with late onset regression argues persuasively for CDD constituting a distinct diagnosis (Pelphrey et al, 2012; Mehra et al, 2018; Mouridsen, 2003; Kurita et al, 2005; Volkmar & Rutter, 1994; Bray et al, 2002), this study maintains usage of the term CDD for the patient group

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