Irritability in child and adolescent psychopathology: An integrative review for ICD-11.
In preparation for the World Health Organization's development of the Eleventh Revision of the International Classification of Diseases and Related Health Problems (ICD-11) chapter on Mental and Behavioral Disorders, this article reviews the literature pertaining to severe irritability in child and adolescent psychopathology. First, research on severe mood dysregulation suggests that youth with irritability and temper outbursts, among other features of hyperactivity and arousal, demonstrate cross-sectional correlates and developmental outcomes that distinguish them from youth with bipolar disorder. Second, other evidence points to an irritable dimension of Oppositional Defiant Disorder symptomatology, which is uniquely associated with concurrent and subsequent internalizing problems. In contrast to the Diagnostic and Statistical Manual of Mental Disorders' (5th ed.) Disruptive Mood Dysregulation Disorder, our review of the literature supports a different solution: a subtype, Oppositional Defiant Disorder with chronic irritability/anger (proposal included in Appendix). This solution is more consistent with the available evidence and is a better fit with global public health considerations such as harm/benefit potential, clinical utility, and cross-cultural applicability. Implications for assessment, treatment, and research are discussed.
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Related Subject Headings
- Irritable Mood
- International Classification of Diseases
- Humans
- Clinical Psychology
- Child Behavior Disorders
- Child
- Bipolar Disorder
- Attention Deficit and Disruptive Behavior Disorders
- Affective Symptoms
- Adolescent
Citation
Published In
DOI
EISSN
ISSN
Publication Date
Volume
Start / End Page
Related Subject Headings
- Irritable Mood
- International Classification of Diseases
- Humans
- Clinical Psychology
- Child Behavior Disorders
- Child
- Bipolar Disorder
- Attention Deficit and Disruptive Behavior Disorders
- Affective Symptoms
- Adolescent