SEVERE AND NONEPISODIC IRRITABILITIES IN CHILDREN: DIAGNOSTIC DEBATES AND DSM ROLE

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SHIRAZI ELHAM; SHABANI AMIR; ALAGHBAND RAD JAVAD

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Journal: Iranian Journal of Psychiatry and Clinical Psychology Year:2014 | Volume:20 | Issue:1 (76) Page(s): 14-28

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Information Journal Paper

Title

SEVERE AND NONEPISODIC IRRITABILITIES IN CHILDREN: DIAGNOSTIC DEBATES AND DSM ROLE

Author(s)

SHIRAZI ELHAM | SHABANI AMIR | ALAGHBAND RAD JAVAD | Issue Writer Certificate

Keywords

BIPOLAR DISORDERQ2

IRRITABLE MOODQ2

CHILDQ2

DSM-5Q2

Abstract

Objectives: Severe and nonepisodic irritabilities are prevalent in 3.3% of CHILDren and needs intensive clinical care. Diagnostic and Statistical Manual of Mental Disorders (DSM) lacks any guidance on their diagnosis and this has led to controversies among clinicians in their diagnosis and treatment. Workgroups of DSM-5 have tried to remove this paucity.Method: Data were collected through review of the literature appeared until the end of 2012 by searching in relevant English and Persian databases. Of retrieved materials, 66 studies including systematic reviews, meta-analyses, original articles and case reports were extracted. Full-texts of 46 studies and inevitably 20 abstracts were reviewed. The quality of studies was checked separately and qualified ones were reviewed.Results: There has been a controversy among professionals about significance of irritability in diagnosing psychiatric disorders in CHILDren and adolescents. The dominant clinical school in past decade, formulated severe and nonepisodic irritabilities as being characteristic of BIPOLAR DISORDER in CHILDren. Studies suggest that the diagnostic value of irritability depends on its severity and being episodic or nonepisodic. It seems that irritability can have diagnostic and predictive value for BIPOLAR DISORDER, only if being severe and episodic. In DSM-5, this condition is called Disruptive Mood Dysregulation Disorder (DMDD) and its criteria is established.Conclusion: It is important that CHILDren suffering severe no episodic irritabilities have a home in DSM-5 to eliminate clinicians’ confusion, while facilitating precise research for classifying them accurately according to diagnosis and treatment.

Cites

DEFINITION OF CYCLE AND EPISODE IN RAPID CYCLING BIPOLAR DISORDER: AN AREA OF DEBATE IN DIAGNOSIS AND RESEARCH

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APA: Copy

SHIRAZI, ELHAM, SHABANI, AMIR, & ALAGHBAND RAD, JAVAD. (2014). SEVERE AND NONEPISODIC IRRITABILITIES IN CHILDREN: DIAGNOSTIC DEBATES AND DSM ROLE. IRANIAN JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY, 20(1 (76)), 14-28. SID. https://sid.ir/paper/16772/en

Vancouver: Copy

SHIRAZI ELHAM, SHABANI AMIR, ALAGHBAND RAD JAVAD. SEVERE AND NONEPISODIC IRRITABILITIES IN CHILDREN: DIAGNOSTIC DEBATES AND DSM ROLE. IRANIAN JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY[Internet]. 2014;20(1 (76)):14-28. Available from: https://sid.ir/paper/16772/en

IEEE: Copy

ELHAM SHIRAZI, AMIR SHABANI, and JAVAD ALAGHBAND RAD, “SEVERE AND NONEPISODIC IRRITABILITIES IN CHILDREN: DIAGNOSTIC DEBATES AND DSM ROLE,” IRANIAN JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY, vol. 20, no. 1 (76), pp. 14–28, 2014, [Online]. Available: https://sid.ir/paper/16772/en

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