The transdiagnostic approach conceptualizes psychopathology not as distinct disorders, but in terms of broad dimensions of functioning. Research has identified one general vulnerability factor (the p-factor) and three domains: internalizing, externalizing, and psychotic functioning. This perspective aligns with child psychiatric practice, in which both risk and protective factors are taken into account. It is important not only to identify factors contributing to psychopathology, but also to assess the resilience and competencies of the child and family. These can serve as starting points for treatment and for supporting the child’s development. Resilience is viewed as a dynamic and socially relational process.
The aim of the SPARC study (Study of Positive Adaptation and Resilience in young Children) is to develop and validate an instrument to measure mental resilience in young children with severe developmental psychopathology receiving highly specialized mental healthcare. The instrument should be sensitive to changes over time and will be psychometrically validated by examining its associations with clinical functioning and relevant child and parent factors. In addition, the study will investigate how clinicians can best use the instrument’s results to optimize assessment of the child’s functioning and environment, and to support evidence-based treatment planning.
The study population consists of children aged 0-6 years and their parents, referred to the specialized child psychiatry services of the Centrum Jonge Kind Karakter. A mixed-methods design will be used, consisting of quantitative instrument development research and a qualitative component involving interviews and focus groups with parents.