Question: What is the main difference between reactive attachment disorder and disinhibited social engagement disorder? Need Assignment Help? Choose one option. Reactive attachment disorder is the result of childhood neglect and disinhibited social engagement disorder is the result of childhood abuse. Reactive attachment disorder is the result of childhood abuse and disinhibited social engagement disorder is the result of childhood neglect. Reactive attachment disorder is when a child is emotionally withdrawn from adult caregivers and disinhibited social engagement disorder is when a child is excessively friendly with unfamiliar adults. Reactive attachment disorder is when a child is excessively friendly with unfamiliar adults and disinhibited social engagement disorder is when a child is emotionally withdrawn from adult caregivers.