Diagnosing disruptive mood dysregulation disorder: Integrating semi-structured and unstructured interviews

Abstract

The newest iteration of the Diagnostic and Statistical Manual-fifth edition (DSM-5), is the first to include the diagnosis of disruptive mood dysregulation disorder (DMDD). The assessment and diagnosis of psychopathology in children are complicated, particularly for mood disorders. Practice can be guided by the use of well-validated instruments. However, as this is a new diagnosis existing instruments have not yet been evaluated for the diagnosis of DMDD. This study seeks to provide a method for using existing structured interview instruments to assess for this contemporary diagnosis. The Children's Interview for Psychiatric Syndromes (ChIPS) and the Mini-International Neuropsychiatric Interview for Children and Adolescents (MINI-KID) are reviewed and existing items consistent with a diagnosis of DMDD are identified. Finally, a case is presented using both measures and applying the theoretical items identified to illustrate how one might use these measures to assess DMDD. Limitations and future directions are discussed.

Understanding the socio-economic and environmental impacts of Ghana's change in economic status on the upstream cocoa supply chain

“…Open-ended semi-structured questions (McIntosh and Morse, 2015; Cachia and Millward, 2011), unstructured interviews (McTate and Leffler, 2017; Chauhan, 2019) and informal as well as direct participatory observations (Clow and Makriyannis, 2011) were used during interactions with key stakeholders. This approach allowed for follow-up questions that enhanced the clarity of thoughts and emergence of themes in the interviewee's context.…”

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“…The final technique of the study was semi-structured individual interviews which were conducted to acquire a sufficient comprehension of the topic, and to enable additional questioning based on a participant's response (McTate and Leffler, 2017). Semi-structured individual interviews seek to provide a deeper comprehension and exploration of the complex problems, structures, operations and policies that pervade participants' stories (Ahorbo, 2014; Manly, 2016).…”

Disruptive Mood Dysregulation Disorder

“…4 McTate and Leffler's review of existing structured interview instruments has suggested the Children's Interview for Psychiatric Syndromes, while diagnostically narrow, as a useful screening tool for DMDD. 25 The Mini-International Neuropsychiatric Interview for Children and Adolescents is considered weak due to a lack of items specific for DMDD symptoms. 25 Other tools such as Development and Wellbeing Assessment or Clinical Global Impression scale are much broader and are used as part of psychiatric evaluation.…”

“…25 The Mini-International Neuropsychiatric Interview for Children and Adolescents is considered weak due to a lack of items specific for DMDD symptoms. 25 Other tools such as Development and Wellbeing Assessment or Clinical Global Impression scale are much broader and are used as part of psychiatric evaluation. These scales are not diagnostic for irritability in DMDD because the symptom is considered a nonspecific indicator and is related to several other psychiatric disorders.…”