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Diagnostic classification of irritability and oppositionality in youth: a global field study comparing ICD-11 with ICD-10 and DSM-5 / Spencer C. EVANS in Journal of Child Psychology and Psychiatry, 62-3 (March 2021)
[article]
Titre : Diagnostic classification of irritability and oppositionality in youth: a global field study comparing ICD-11 with ICD-10 and DSM-5 Type de document : Texte imprimé et/ou numérique Auteurs : Spencer C. EVANS, Auteur ; Michael C. ROBERTS, Auteur ; Jared W. KEELEY, Auteur ; Tahilia J. REBELLO, Auteur ; Francisco DE LA PEÑA, Auteur ; John E. LOCHMAN, Auteur ; Jeffrey D. BURKE, Auteur ; Paula J. FITE, Auteur ; Lourdes EZPELETA, Auteur ; Walter MATTHYS, Auteur ; Eric A. YOUNGSTROM, Auteur ; Chihiro MATSUMOTO, Auteur ; Howard F. ANDREWS, Auteur ; María ELENA MEDINA-MORA, Auteur ; José L. AYUSO-MATEOS, Auteur ; Brigitte KHOURY, Auteur ; Mayya KULYGINA, Auteur ; Rebeca ROBLES, Auteur ; Pratap SHARAN, Auteur ; Min ZHAO, Auteur ; Geoffrey M. REED, Auteur Article en page(s) : p.303-312 Langues : Anglais (eng) Mots-clés : International Classification of Diseases (ICD-11) child and adolescent mental health irritability mood dysregulation oppositional defiant disorder Index. décimale : PER Périodiques Résumé : BACKGROUND: Severe irritability has become an important topic in child and adolescent mental health. Based on the available evidence and on public health considerations, WHO classified chronic irritability within oppositional defiant disorder (ODD) in ICD-11, a solution markedly different from DSM-5's (i.e. the new childhood mood diagnosis, disruptive mood dysregulation disorder [DMDD]) and from ICD-10's (i.e. ODD as one of several conduct disorders without attention to irritability). In this study, we tested the accuracy with which a global, multilingual, multidisciplinary sample of clinicians were able to use the ICD-11 classification of chronic irritability and oppositionality as compared to the ICD-10 and DSM-5 approaches. METHODS: Clinicians (N = 196) from 48 countries participated in an Internet-based field study in English, Spanish, or Japanese and were randomized to review and use one of the three diagnostic systems. Through experimental manipulation of validated clinical vignettes, we evaluated how well clinicians in each condition could identify chronic irritability versus nonirritable oppositionality, episodic bipolar disorder, dysthymic depression, and normative irritability. RESULTS: Compared to ICD-10 and DSM-5, ICD-11 led to more accurate identification of severe irritability and better differentiation from boundary presentations. Participants using DSM-5 largely failed to apply the DMDD diagnosis when it was appropriate, and they more often applied psychopathological diagnoses to developmentally normative irritability. CONCLUSIONS: The formulation of irritability and oppositionality put forth in ICD-11 shows evidence of clinical utility, supporting accurate diagnosis. Global mental health clinicians can readily identify ODD both with and without chronic irritability. En ligne : http://dx.doi.org/10.1111/jcpp.13244 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=443
in Journal of Child Psychology and Psychiatry > 62-3 (March 2021) . - p.303-312[article] Diagnostic classification of irritability and oppositionality in youth: a global field study comparing ICD-11 with ICD-10 and DSM-5 [Texte imprimé et/ou numérique] / Spencer C. EVANS, Auteur ; Michael C. ROBERTS, Auteur ; Jared W. KEELEY, Auteur ; Tahilia J. REBELLO, Auteur ; Francisco DE LA PEÑA, Auteur ; John E. LOCHMAN, Auteur ; Jeffrey D. BURKE, Auteur ; Paula J. FITE, Auteur ; Lourdes EZPELETA, Auteur ; Walter MATTHYS, Auteur ; Eric A. YOUNGSTROM, Auteur ; Chihiro MATSUMOTO, Auteur ; Howard F. ANDREWS, Auteur ; María ELENA MEDINA-MORA, Auteur ; José L. AYUSO-MATEOS, Auteur ; Brigitte KHOURY, Auteur ; Mayya KULYGINA, Auteur ; Rebeca ROBLES, Auteur ; Pratap SHARAN, Auteur ; Min ZHAO, Auteur ; Geoffrey M. REED, Auteur . - p.303-312.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 62-3 (March 2021) . - p.303-312
Mots-clés : International Classification of Diseases (ICD-11) child and adolescent mental health irritability mood dysregulation oppositional defiant disorder Index. décimale : PER Périodiques Résumé : BACKGROUND: Severe irritability has become an important topic in child and adolescent mental health. Based on the available evidence and on public health considerations, WHO classified chronic irritability within oppositional defiant disorder (ODD) in ICD-11, a solution markedly different from DSM-5's (i.e. the new childhood mood diagnosis, disruptive mood dysregulation disorder [DMDD]) and from ICD-10's (i.e. ODD as one of several conduct disorders without attention to irritability). In this study, we tested the accuracy with which a global, multilingual, multidisciplinary sample of clinicians were able to use the ICD-11 classification of chronic irritability and oppositionality as compared to the ICD-10 and DSM-5 approaches. METHODS: Clinicians (N = 196) from 48 countries participated in an Internet-based field study in English, Spanish, or Japanese and were randomized to review and use one of the three diagnostic systems. Through experimental manipulation of validated clinical vignettes, we evaluated how well clinicians in each condition could identify chronic irritability versus nonirritable oppositionality, episodic bipolar disorder, dysthymic depression, and normative irritability. RESULTS: Compared to ICD-10 and DSM-5, ICD-11 led to more accurate identification of severe irritability and better differentiation from boundary presentations. Participants using DSM-5 largely failed to apply the DMDD diagnosis when it was appropriate, and they more often applied psychopathological diagnoses to developmentally normative irritability. CONCLUSIONS: The formulation of irritability and oppositionality put forth in ICD-11 shows evidence of clinical utility, supporting accurate diagnosis. Global mental health clinicians can readily identify ODD both with and without chronic irritability. En ligne : http://dx.doi.org/10.1111/jcpp.13244 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=443 The Affective Reactivity Index: a concise irritability scale for clinical and research settings / Argyris STRINGARIS in Journal of Child Psychology and Psychiatry, 53-11 (November 2012)
[article]
Titre : The Affective Reactivity Index: a concise irritability scale for clinical and research settings Type de document : Texte imprimé et/ou numérique Auteurs : Argyris STRINGARIS, Auteur ; Robert GOODMAN, Auteur ; Sumudu FERDINANDO, Auteur ; Varun RAZDAN, Auteur ; Eli MUHRER, Auteur ; Ellen LEIBENLUFT, Auteur ; Melissa A. BROTMAN, Auteur Année de publication : 2012 Article en page(s) : p.1109-1117 Langues : Anglais (eng) Mots-clés : Mood dysregulation Affective Reactivity Index irritability depression bipolar Index. décimale : PER Périodiques Résumé : Background: Irritable mood has recently become a matter of intense scientific interest. Here, we present data from two samples, one from the United States and the other from the United Kingdom, demonstrating the clinical and research utility of the parent- and self-report forms of the Affective Reactivity Index (ARI), a concise dimensional measure of irritability. Methods: The US sample (n = 218) consisted of children and adolescents recruited at the National Institute of Mental Health meeting criteria for bipolar disorder (BD, n = 39), severe mood dysregulation (SMD, n = 67), children at family risk for BD (n = 35), or were healthy volunteers (n = 77). The UK sample (n = 88) was comprised of children from a generic mental health setting and healthy volunteers from primary and secondary schools. Results: Parent- and self-report scales of the ARI showed excellent internal consistencies and formed a single factor in the two samples. In the US sample, the ARI showed a gradation with irritability significantly increasing from healthy volunteers through to SMD. Irritability was significantly higher in SMD than in BD by parent-report, but this did not reach significance by self-report. In the UK sample, parent-rated irritability was differentially related to emotional problems. Conclusions: Irritability can be measured using a concise instrument both in a highly specialized US, as well as a general UK child mental health setting. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02561.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=182
in Journal of Child Psychology and Psychiatry > 53-11 (November 2012) . - p.1109-1117[article] The Affective Reactivity Index: a concise irritability scale for clinical and research settings [Texte imprimé et/ou numérique] / Argyris STRINGARIS, Auteur ; Robert GOODMAN, Auteur ; Sumudu FERDINANDO, Auteur ; Varun RAZDAN, Auteur ; Eli MUHRER, Auteur ; Ellen LEIBENLUFT, Auteur ; Melissa A. BROTMAN, Auteur . - 2012 . - p.1109-1117.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 53-11 (November 2012) . - p.1109-1117
Mots-clés : Mood dysregulation Affective Reactivity Index irritability depression bipolar Index. décimale : PER Périodiques Résumé : Background: Irritable mood has recently become a matter of intense scientific interest. Here, we present data from two samples, one from the United States and the other from the United Kingdom, demonstrating the clinical and research utility of the parent- and self-report forms of the Affective Reactivity Index (ARI), a concise dimensional measure of irritability. Methods: The US sample (n = 218) consisted of children and adolescents recruited at the National Institute of Mental Health meeting criteria for bipolar disorder (BD, n = 39), severe mood dysregulation (SMD, n = 67), children at family risk for BD (n = 35), or were healthy volunteers (n = 77). The UK sample (n = 88) was comprised of children from a generic mental health setting and healthy volunteers from primary and secondary schools. Results: Parent- and self-report scales of the ARI showed excellent internal consistencies and formed a single factor in the two samples. In the US sample, the ARI showed a gradation with irritability significantly increasing from healthy volunteers through to SMD. Irritability was significantly higher in SMD than in BD by parent-report, but this did not reach significance by self-report. In the UK sample, parent-rated irritability was differentially related to emotional problems. Conclusions: Irritability can be measured using a concise instrument both in a highly specialized US, as well as a general UK child mental health setting. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02561.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=182 Preschool irritability predicts child psychopathology, functional impairment, and service use at age nine / Lea R. DOUGHERTY in Journal of Child Psychology and Psychiatry, 56-9 (September 2015)
[article]
Titre : Preschool irritability predicts child psychopathology, functional impairment, and service use at age nine Type de document : Texte imprimé et/ou numérique Auteurs : Lea R. DOUGHERTY, Auteur ; Victoria C. SMITH, Auteur ; Sara J. BUFFERD, Auteur ; Ellen KESSEL, Auteur ; Gabrielle A. CARLSON, Auteur ; Daniel N. KLEIN, Auteur Article en page(s) : p.999-1007 Langues : Anglais (eng) Mots-clés : Preschool irritability longitudinal mood dysregulation Index. décimale : PER Périodiques Résumé : Background Little is known about the predictive validity and clinical significance of chronic irritability during early childhood. This prospective, longitudinal study examined associations of preschool chronic irritability with psychiatric disorders, functional impairment, and service use at age nine in a large community sample. Methods Four hundred and forty-six children were assessed at age three and again at age nine. Child psychopathology and functional impairment were assessed at age three with the Preschool Age Psychiatric Assessment (PAPA) with parents and at age nine with the Kiddie-Schedule of Affective Disorders and Schizophrenia (K-SADS) with parents and children. Items from the PAPA were used to create a dimensional measure of chronic irritability at age three. At age nine, mothers, fathers, and youth completed the Child Depression Inventory (CDI) and the Screen for Anxiety Related Disorders (SCARED). Results Chronic irritability at age three predicted any current and lifetime anxiety disorders at age nine, current and lifetime generalized anxiety disorder, and current separation anxiety, after controlling for baseline anxiety disorders. In addition, preschool irritability predicted increases in anxiety and disruptive behavior disorder symptoms on the K-SADS, and maternal and paternal reports of depressive and anxiety symptoms on the CDI and SCARED. Lastly, preschool irritability predicted greater functional impairment and outpatient treatment use, even after controlling for all psychiatric disorders at baseline. Conclusions Findings underscore the central role of irritability in developmental psychopathology and support the importance of early detection and interventions targeting preschool irritability. En ligne : http://dx.doi.org/10.1111/jcpp.12403 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=267
in Journal of Child Psychology and Psychiatry > 56-9 (September 2015) . - p.999-1007[article] Preschool irritability predicts child psychopathology, functional impairment, and service use at age nine [Texte imprimé et/ou numérique] / Lea R. DOUGHERTY, Auteur ; Victoria C. SMITH, Auteur ; Sara J. BUFFERD, Auteur ; Ellen KESSEL, Auteur ; Gabrielle A. CARLSON, Auteur ; Daniel N. KLEIN, Auteur . - p.999-1007.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 56-9 (September 2015) . - p.999-1007
Mots-clés : Preschool irritability longitudinal mood dysregulation Index. décimale : PER Périodiques Résumé : Background Little is known about the predictive validity and clinical significance of chronic irritability during early childhood. This prospective, longitudinal study examined associations of preschool chronic irritability with psychiatric disorders, functional impairment, and service use at age nine in a large community sample. Methods Four hundred and forty-six children were assessed at age three and again at age nine. Child psychopathology and functional impairment were assessed at age three with the Preschool Age Psychiatric Assessment (PAPA) with parents and at age nine with the Kiddie-Schedule of Affective Disorders and Schizophrenia (K-SADS) with parents and children. Items from the PAPA were used to create a dimensional measure of chronic irritability at age three. At age nine, mothers, fathers, and youth completed the Child Depression Inventory (CDI) and the Screen for Anxiety Related Disorders (SCARED). Results Chronic irritability at age three predicted any current and lifetime anxiety disorders at age nine, current and lifetime generalized anxiety disorder, and current separation anxiety, after controlling for baseline anxiety disorders. In addition, preschool irritability predicted increases in anxiety and disruptive behavior disorder symptoms on the K-SADS, and maternal and paternal reports of depressive and anxiety symptoms on the CDI and SCARED. Lastly, preschool irritability predicted greater functional impairment and outpatient treatment use, even after controlling for all psychiatric disorders at baseline. Conclusions Findings underscore the central role of irritability in developmental psychopathology and support the importance of early detection and interventions targeting preschool irritability. En ligne : http://dx.doi.org/10.1111/jcpp.12403 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=267