RAD is seen to have an impact on developmental impairment and has clinical implications however, they believe it should be investigated further to non-institutionalized risk populations. They were trying to discover how it was supported by the DSM-5 and how it could be improved to be generalizable across settings. They wanted to know the prevalence of reactive attachment disorder symptoms in children environments in non-institutionalized children from a developed country. Throughout the study, they had many questions they tried to answer. Kay and Green used different methods to discover how RAD behaviors impact non-institutionalized risk behaviors from those who have experienced physical, sexual, and emotional abuse and neglect. While the symptoms of disinhibited RAD may include: willing to go with an unfamiliar adult without hesitation, not checking back with their parents, and indiscriminate sociability.
Symptoms of inhibited RAD include but are not limited to being: detached, rarely seeks comfort when distressed, limited positive emotions, and socially and emotionally withdrawn to others. There are two types of RAD: inhibited and disinhibited. They wanted to conduct the first systematic study on children from an industrialized country because previous research is not generalizable to this population. The purpose of this study was to scrutinize RAD from a different perspective that has not been studied before.
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