Irritability in children and adolescents: past concepts, current debates, and future opportunities

Krieger, Fernanda Valle; Leibenluft, Ellen; Stringaris, Argyris; Polanczyk, Guilherme

doi:10.1590/1516-4446-2013-s107

Cited by 54 publications

(38 citation statements)

References 52 publications

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“…Irritability has been conceptualized as a “low threshold to experience anger in response to frustration.” (p. S32, Krieger, F. V., Leibenluft, E., Stringaris, A., & Polanczyk, 2013). Relatedly, temper outbursts are the behavioral manifestations of these anger responses.…”

Section: Frustration Reward and Non-rewardmentioning

confidence: 99%

Disruptive Mood Dysregulation Disorder (DMDD): An RDoC perspective

Meyers

DeSerisy

Roy

2017

Journal of Affective Disorders

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In recent years, there has been much debate regarding the most appropriate diagnostic classification of children exhibiting emotion dysregulation in the form of irritability and severe temper outbursts. Most recently, this has resulted in the addition of a new diagnosis, Disruptive Mood Dysregulation Disorder (DMDD) in the DSM 5. The impetus for including this new disorder was to reduce the number of diagnoses that these children would typically receive; however, there is concern that it has only complicated matters rather than simplifying them. For example, a recent epidemiologic study shows that DMDD cannot be differentiated from oppositional defiant disorder (ODD) based on symptoms alone. Thus, these children are an ideal population in which to apply RDoC constructs in order to obtain greater clarity in terms of underlying processes and ultimately, inform nosology and appropriate interventions. The aim of this article is to provide a foundation for future research by examining extant theoretical and empirical evidence for the role of four key RDoC constructs in DMDD.

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Section: Frustration Reward and Non-rewardmentioning

confidence: 99%

Disruptive Mood Dysregulation Disorder (DMDD): An RDoC perspective

Meyers

DeSerisy

Roy

2017

Journal of Affective Disorders

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“…These data can improve the assessment of normative mood behaviors in young children to better understand which children may be at risk. In addition, these data can clarify issues pertinent to controversies associated with the distinction between pathologizing normative behavior and under-recognizing clinically significant behavior problems [16, 17], and provide quantitative information for child practitioners to make these distinctions.…”

Section: Introductionmentioning

confidence: 99%

Mapping the Frequency and Severity of Depressive Behaviors in Preschool-Aged Children

Bufferd

Dougherty

Olino

2017

Child Psychiatry Hum Dev

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Depressive emotions and behaviors, such as sadness, irritability, and sleep difficulties, are often early-emerging, impairing, and persistent. However, these behaviors are normative in early development, so it is critical to identify the spectrum of behaviors that may be relevant to the development of depression. This study characterizes the frequency and severity of depressive behaviors and impairment in preschool-aged children using a novel daily diary method with 291 parents. A coherent depression dimension was identified, and the specific frequency at which individual behaviors were identified as severe is reported. Behaviors such as sadness, irritability, and tearfulness/sensitivity were found to be relatively normative, whereas other behaviors (e.g., low interest/pleasure, low self-worth) were less normative. These are the first known data to delineate empirical information about the frequency and severity of behaviors that may be relevant to the development of depression; such data provide quantitative information for child practitioners to make distinctions between developmentally typical and problematic behavior, which is essential for improving assessment and minimizing impairing developmental trajectories.

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“…Disruptive behavior in early childhood is a defining feature of many common childhood-onset disorders (Krieger, Leibenluft, Stringaris, & Polanczyk, 2013) and predicts severe forms of psychopathology across the life span (Karalunas et al, 2014; Leibenluft & Stoddard, 2013). A limited number of studies support a mediation model.…”

mentioning

confidence: 99%

Harsh Parenting As a Potential Mediator of the Association Between Intimate Partner Violence and Child Disruptive Behavior in Families With Young Children

Grasso

Henry

Kestler

et al. 2015

J Interpers Violence

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Young children living with intimate partner violence (IPV) are often also exposed to harsh parenting. Both forms of violence increase children’s risk for clinically significant disruptive behavior, which can place them on a developmental trajectory associated with serious psychological impairment later in life. Although it is hypothesized that IPV behaviors may spillover into harsh parenting, and thereby influence risk for disruptive behavior, relatively little is known about these processes in families with young children. The current study examines the overlap of the quality and frequency of psychological and physical forms of IPV and harsh parenting, and tests whether harsh parenting mediates the relationship between IPV and child disruptive behavior in a diverse cross-sectional sample of 81 children ages 4 to 6 years. Results suggest that mothers reporting a greater occurrence of psychologically aggressive IPV (e.g., yelling, name-calling) more often engage in psychological and physical aggression toward their children (odds ratios [ORs] = 4.6–9.9). Mothers reporting a greater occurrence of IPV in the form of physical assault more often engage in mild to more severe forms of physical punishment with potential harm to the child (ORs = 3.8–5.0). Psychological and physical forms of IPV and harsh parenting all significantly correlated with maternal reports of child disruptive behavior (r = .29–.40). Psychological harsh parenting partially mediated the association between psychological IPV and child disruptive behavior. However, a significant direct effect of psychological IPV on preschool children’s disruptive behavior remained. Implications for child welfare policy and practice and intervention, including the need for increased awareness of the negative impact of psychological IPV on young children, are discussed.

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Irritability in children and adolescents: past concepts, current debates, and future opportunities

Cited by 54 publications

References 52 publications

Disruptive Mood Dysregulation Disorder (DMDD): An RDoC perspective

Disruptive Mood Dysregulation Disorder (DMDD): An RDoC perspective

Mapping the Frequency and Severity of Depressive Behaviors in Preschool-Aged Children

Harsh Parenting As a Potential Mediator of the Association Between Intimate Partner Violence and Child Disruptive Behavior in Families With Young Children

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