Disruptive Mood Dysregulation Disorder in a Norwegian Clinical Child Population.

IF 1.8 4区医学 Q3 PSYCHIATRY Clinical Child Psychology and Psychiatry Pub Date : 2024-04-01 Epub Date: 2023-05-19 DOI:10.1177/13591045231176928

Marit Coldevin, Astrid Brænden, Pål Zeiner, Anne-Siri Øyen, Annika Melinder, Jan Stubberud

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Abstract

Background: Disruptive Mood Dysregulation Disorder was included in DSM-5 to accommodate new research addressing aspects of emotional dysregulation in children suffering from disruptive behavior problems. Despite growing interest in Disruptive Mood Dysregulation Disorder, few studies have looked at prevalence rates in European clinical populations. The primary objective of this study was to examine the prevalence and characteristics associated with Disruptive Mood Dysregulation Disorder in a Norwegian clinical sample.

Methods: The present study assessed children 6-12 years of age referred to a mental health clinic for evaluation and treatment (N = 218, M_age = 9.6, 60.4% boys) and compared those who did and did not meet Disruptive Mood Dysregulation Disorder diagnostic criteria. Diagnoses were determined using K-SADS-PL 2013. Associated difficulties at home and in school were measured by Achenbach Systems of Empirically Based Assessment battery.

Results: In this clinical sample, 24% met the diagnostic criteria for Disruptive Mood Dysregulation Disorder. Children with Disruptive Mood Dysregulation Disorder were more likely than those without Disruptive Mood Dysregulation Disorder to be male (77% vs. 55%, p = .008), be living in poverty, have multiple mental health diagnoses (79% vs. 53%, p = .001), and have lower global functioning levels as measured by Children's Global Assessment Scale (range 0-100, M = 47, SD = 8.5 vs. M = 57, SD = 11.4, p=<.001). Finally, parents and teachers of children with Disruptive Mood Dysregulation Disorder reported lower overall competence and adaptive functioning, and higher total symptom load than children with other diagnoses.

Conclusion: Disruptive Mood Dysregulation Disorder is highly prevalent in a Norwegian clinical sample and displays a high symptom load. Our results are in accordance with similar studies. Consistent findings across the world may support Disruptive Mood Dysregulation Disorder as a valid diagnostic category.

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挪威临床儿童群体中的破坏性情绪失调症。

背景：破坏性情绪失调症（Disruptive Mood Dysregulation Disorder）被纳入《儿童疾病分类》（DSM-5），以适应针对儿童破坏性行为问题中情绪失调方面的新研究。尽管人们对破坏性情绪失调症越来越感兴趣，但很少有研究对欧洲临床人群的患病率进行调查。本研究的主要目的是调查挪威临床样本中破坏性情绪失调症的患病率和相关特征：本研究对转诊到心理健康诊所接受评估和治疗的 6-12 岁儿童（人数 = 218，年龄 = 9.6，60.4% 为男孩）进行了评估，并对符合和不符合破坏性情绪失调症诊断标准的儿童进行了比较。诊断采用 K-SADS-PL 2013。家庭和学校中的相关困难由阿亨巴赫实证评估系统电池进行测量：在这一临床样本中，24% 的儿童符合 "破坏性情绪失调症 "的诊断标准。与无破坏性情绪失调症的儿童相比，有破坏性情绪失调症的儿童更有可能是男性（77% 对 55%，p = .008）、生活在贫困中、有多种心理健康诊断（79% 对 53%，p = .001），而且根据儿童总体评估量表（Children's Global Assessment Scale），他们的总体功能水平较低（范围为 0-100，M = 47，SD = 8.5 对 M = 57，SD = 11.4，p = 结论：破坏性情绪失调症的儿童比无破坏性情绪失调症的儿童更有可能是男性（77% 对 55%，p = .008）、生活在贫困中、有多种心理健康诊断（79% 对 53%，p = .001）：在挪威的临床样本中，破坏性情绪失调症的发病率很高，症状负荷也很重。我们的研究结果与类似的研究结果一致。全球一致的研究结果可能支持将破坏性情绪失调症作为一个有效的诊断类别。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Child Psychology and Psychiatry PSYCHIATRY-PSYCHOLOGY

CiteScore

3.60

自引率

5.60%

发文量

130

期刊介绍： Clinical Child Psychology and Psychiatry brings together clinically oriented, peer reviewed work of the highest distinction from an international and multidisciplinary perspective, offering comprehensive coverage of clinical and treatment issues across the range of treatment modalities. Clinical Child Psychology and Psychiatry is interested in advancing theory, practice and clinical research in the realm of child and adolescent psychology and psychiatry and related disciplines. The journal directs its attention to matters of clinical practice, including related topics such as the ethics of treatment and the integration of research into practice. Multidisciplinary in approach, the journal includes work by, and is of interest to, child psychologists, psychiatrists and psychotherapists, nurses, social workers and all other professionals in the fields of child and adolescent psychology and psychiatry.