DSM-5: Disruptive mood dysregulation disorder

Rao, Uma

doi:10.1016/j.ajp.2014.03.002

Cited by 26 publications

(12 citation statements)

References 48 publications

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“…Adolescents with irritability and subclinical depressive symptoms who were followed prospectively were at increased risk for adulthood suicidality as well (Pickles et al 2010). Although this profile of mood dysfunction is tied especially to increased risk for later depression, among adolescents whose affective symptoms are episodic rather than chronic in nature, it may indicate elevated risk for later bipolar disorder (Rao 2014). Of note, a combination of inappropriate and intense negative affect, chronic dysphoria, and suicidal ideation or attempts may also indicate increased risk for adulthood borderline personality disorder (Beauchaine et al 2009; Rogosch and Cicchetti 2005; Stepp et al 2013).…”

Section: Discussionmentioning

confidence: 99%

Differential Risk for Late Adolescent Conduct Problems and Mood Dysregulation Among Children with Early Externalizing Behavior Problems

Okado

Bierman

2014

J Abnorm Child Psychol

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To investigate the differential emergence of antisocial behaviors and mood dysregulation among children with externalizing problems, the present study prospectively followed 317 high-risk children with early externalizing problems from school entry (ages 5–7) to late adolescence (ages 17–19). Latent class analysis conducted on their conduct and mood symptoms in late adolescence revealed three distinct patterns of symptoms, characterized by: 1) criminal offenses, conduct disorder symptoms, and elevated anger (“conduct problems”), 2) elevated anger, dysphoric mood, and suicidal ideation (“mood dysregulation”), and 3) low levels of severe conduct and mood symptoms. A diathesis-stress model predicting the first two outcomes was tested. Elevated overt aggression at school entry uniquely predicted conduct problems in late adolescence, whereas elevated emotion dysregulation at school entry uniquely predicted mood dysregulation in late adolescence. Experiences of low parental warmth and peer rejection in middle childhood moderated the link between early emotion dysregulation and later mood dysregulation but did not moderate the link between early overt aggression and later conduct problems. Thus, among children with early externalizing behavior problems, increased risk for later antisocial behavior or mood dysfunction may be identifiable in early childhood based on levels of overt aggression and emotion dysregulation. For children with early emotion dysregulation, however, increased risk for mood dysregulation characterized by anger, dysphoric mood, and suicidality – possibly indicative of disruptive mood dysregulation disorder – emerges only in the presence of low parental warmth and/or peer rejection during middle childhood.

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Section: Discussionmentioning

confidence: 99%

Differential Risk for Late Adolescent Conduct Problems and Mood Dysregulation Among Children with Early Externalizing Behavior Problems

Okado

Bierman

2014

J Abnorm Child Psychol

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“…Disruptive Mood Dysregulation Disorder (DMDD) is a new addition to the depressive disorder category in DSM-5 (Rao, 2014). This diagnosis evolved from “Severe Mood Dysregulation SMD” (Leibenluft, 2011) and “Temper Dysregulation Disorder with Dysphoria” during the development phase of DSM-5 (Stringaris, 2011).…”

Section: Introductionmentioning

confidence: 99%

Assessment of irritability in school-aged children by pediatric, family practice, and psychiatric providers

Hameed

Dellasega

Scandinaro

2019

Clin Child Psychol Psychiatry

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Background: Irritability, a common behavioral problem for school-aged children, is often first assessed by primary care providers, who manage about a third of mental health conditions in children. Until recent changes in the Diagnostic and Statistical Manual of Mental Disorders (DSM), irritability was often associated with mood disorders, which may have led to increases in bipolar disorder diagnosis and prescription of mood stabilizing medication. Objective: Our aim was to explore differences between the approaches psychiatric and primary care providers use to assess irritability. Methods: A single trained interviewer conducted detailed interviews and collected demographic data from a homogeneous group of physicians that saturated with a sample size of 17 pediatric, family medicine, and psychiatric providers who evaluate and treat school-aged children. Qualitative and quantitative data were collected and analyzed. Results: In general, primary care providers chose to refer children with irritability to mental health specialists when medication management became complex, while the psychiatric providers chose behavior modification and parent education strategies rather than medications. The psychiatric group had a significantly higher caseload mix, prior experience with irritability, and more confidence in their assessment capabilities. There was lack of continuing medical education about irritability in all groups. Conclusion: This preliminary study highlights the importance of collaboration between primary care and subspecialties to promote accurate assessment and subsequent treatment of school-aged children with irritability, who can represent a safety concern for self and others. More research is needed to establish an efficient method of assessing and managing irritability in primary care and better utilization of specialists.

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“…Hawes provides a comprehensive account of the introduction of the specifier 'limited prosocial emotions' referred to in scientific literature as callous unemotional (CU) traits in CD along with its implications for management. The new diagnostic category of disruptive mood dysregulation disorder (DMDD) is the focus of the article by Rao (2014). This new entity has brought about much debate with significant polarization in views.…”

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confidence: 98%

Changes to child psychiatric disorders in DSM-5: The good, the bad and everything in between

Eapen

2014

Asian Journal of Psychiatry

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DSM-5: Disruptive mood dysregulation disorder

Cited by 26 publications

References 48 publications

Differential Risk for Late Adolescent Conduct Problems and Mood Dysregulation Among Children with Early Externalizing Behavior Problems

Differential Risk for Late Adolescent Conduct Problems and Mood Dysregulation Among Children with Early Externalizing Behavior Problems

Assessment of irritability in school-aged children by pediatric, family practice, and psychiatric providers

Changes to child psychiatric disorders in DSM-5: The good, the bad and everything in between

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