DSM-5 intermittent explosive disorder: Relationship with Disruptive Mood Dysregulation Disorder

Comprehensive Psychiatry
Emil F Coccaro

Abstract

This study was designed to estimate how many adults with DSM-5 Intermittent Explosive Disorder (IED) would also meet diagnostic criteria for Disruptive Mood Dysregulation Disorder (DMDD). This was done by examining how many individuals with IED would meet the DMDD criterion of being persistently angry in between impulsive aggressive outbursts. The first one-hundred study participants diagnosed with DSM-5 IED in our clinical research program were included in this study. Two questions were added to the IED module from the Structured Clinical Interview for DSM-5 Disorders (SCID) inquiring about the duration of anger in between impulsive aggressive outbursts in IED study participants. Data regarding aggression, impulsivity, anger expression, and related dysphoric variables were also collected. The proportion of time spent as angry in between impulsive aggressive outbursts was <50% of the time (~35%) for the vast majority (92%) of study participants with DSM-5 IED. Despite this, persistently-angry (i.e., angry >50% time in between outbursts) IED study participants displayed no differences from not-persistently-angry IED study participants in dysphoric and aggression/impulsivity related variables. These data indicate that inter-outbu...Continue Reading

Citations

Jun 10, 2020·Child and Adolescent Psychiatry and Mental Health·Karam Radwan, Emil F Coccaro
Apr 15, 2020·Social Psychiatry and Psychiatric Epidemiology·Débora Costa Sena PereiraMaria Carmen Viana
Mar 22, 2021·Child and Adolescent Psychiatric Clinics of North America·Daniel F Connor, Leonard A Doerfler

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