Disruptive Mood Dysregulation Disorder: A New Diagnostic Approach to Chronic Irritability in Youth

作者:Roy Amy Krain; Lopes Vasco; Klein Rachel G*
来源:American Journal of Psychiatry, 2014, 171(9): 918-924.
DOI:10.1176/appi.ajp.2014.13101301

摘要

Disruptive mood dysregulation disorder (DMDD), a newcomer to psychiatric nosology, addresses the need for improved classification and treatment of children exhibiting chronic nonepisodic irritability and severe temper outbursts. In recent years, many of these children have been diagnosed with bipolar disorder, despite the lack of distinct mood episodes. This diagnostic practice has raised concerns, in part because of the escalating prescription of atypical antipsychotics. This article provides an overview of the limited literature on DMDD, including its history and relevant studies of assessment and treatment. A case study is included to illustrate key points, including diagnostic issues that clinicians may encounter when considering a diagnosis of DMDD.

  • 出版日期2014-9