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Reactive attachment disorder (RAD) is associated with early childhood
maltreatment and has unknown population prevalence beyond infancy.
To estimate RAD prevalence in a deprived population of children.
All 1646 children aged 6-8 years old in a deprived sector of an urban UK
centre were screened for RAD symptoms. Parents of high and low scorers
were interviewed using semi-structured interviews probing for
psychopathology and individuals likely to have RAD were offered
Questionnaire data were available from 92.8% of teachers and 65.8% of
parents. Assessments were conducted with 50% of those invited and missing
data were imputed - based on the baseline data - for the rest. We
calculated that there would be 23 children with definite RAD diagnoses,
suggesting that the prevalence of RAD in this population was 1.40% (95%
In this deprived general population, RAD was not rare.
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