The Strengths and Difficulties Questionnaire (SDQ) [23] was used by TEDs (ages 4, 7, 9, 16) and CATSS (age 15). The SDQ is a 25-item questionnaire designed to measure common mental health problems during childhood and adolescence. Ratings were on a three-point scale (with response options ‘not true’, ‘somewhat true’ and ‘certainly true’). The 25 items form 5 scales, emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problem and prosocial behaviour. The conduct problem scale was used as a proxy for aggressive behaviour.