Disruptive mood dysregulation disorder: Difference between revisions
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{{CMG}} {{AE}} {{KS}} {{Y.A}} | {{CMG}} {{AE}} {{KS}} {{Y.A}} | ||
==Overview== | ==Overview== | ||
Disruptive mood dysregulation disorder is defined as severe verbal or behavioral temper outbursts out of proportion to the situation that occur several times a week for at least 12 months. | Disruptive mood dysregulation disorder is defined as severe verbal or behavioral temper outbursts out of proportion to the situation that occur several times a week for at least 12 months. This occurs in children and adolescents, and symptoms are similar to those of [[attention deficit hyperactivity disorder]] (ADHD) and [[oppositional defiant disorder]] (ODD).<ref>{{cite book | last = LastName | first = FirstName | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association,American Psychiatric Association | location = Arlington, VA Washington, D.C | year = 2013 | isbn = 9780890425541 }}</ref> | ||
==Historical Perspective== | ==Historical Perspective== | ||
Disruptive mood dysregulation disorder was first added to the DSM-V in 2013, being put under the [[depression]] disorder module. | |||
==Classification== | ==Classification== | ||
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
Disruptive mood dysregulation disorder can be differentiated from the following diseases with similar symptoms: | |||
*[[Autism spectrum disorder]] | *[[Autism spectrum disorder]] | ||
*[[Attention-deficit/hyperactivity disorder]] | *[[Attention-deficit/hyperactivity disorder]] | ||
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==Risk Factors== | ==Risk Factors== | ||
The risk factors associated with disruptive mood dysregulation disorder are:<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | |||
*[[Anxiety disorder]]s | *[[Anxiety disorder]]s | ||
*[[ADHD|Attention-deficit/hyperactivity disorder (ADHD)]] | *[[ADHD|Attention-deficit/hyperactivity disorder (ADHD)]] | ||
*[[Anxiety disorder]] | *[[Anxiety disorder]] | ||
*[[Major depressive disorder]] | *[[Major depressive disorder]] | ||
==Screening== | ==Screening== | ||
There is insufficient evidence to recommend routine screening for disruptive mood dysregulation disorder. | |||
==Natural History, Complications, and Prognosis== | ==Natural History, Complications, and Prognosis== | ||
*Natural history of disruptive mood dysregulation disorder are unknown. | |||
*Complications of disruptive mood dysregulation disorder are unknown. | |||
*Prognosis of disruptive mood disregulation disorder are unknown. | |||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
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==Treatment== | ==Treatment== | ||
===Medication=== | ===Medication=== | ||
*While mood stabilizing medication can be used to help treat disruptive mood dysregulation disorder, it has not proven to be effective on it's own. | *While mood stabilizing medication can be used to help treat disruptive mood dysregulation disorder, it has not proven to be effective on it's own.<ref name="weis">{{cite book | last = Weis | first = Robert | title = Introduction to abnormal child and adolescent psychology | publisher = SAGE | location = Los Angeles | year = 2014 | isbn = 9781452225258 }}</ref> | ||
*Mood stabilizers, when combined with Amantadine, have an 85% success rate in children with disrputive mood dysregulation disorder. | *Mood stabilizers, when combined with Amantadine, have an 85% success rate in children with disrputive mood dysregulation disorder. | ||
=== | ===Psychotherapy=== | ||
*Contingency management, in which parents reward good behavior and punish negative behavior, has been proven useful in treating ADHD and ODD symptoms, which are found in many individuals who have disruptive mood dysregulation disorder, but is not effective in treating disruptive mood dysregulation disorder itself.<ref | *Contingency management, in which parents reward good behavior and punish negative behavior, has been proven useful in treating ADHD and ODD symptoms, which are found in many individuals who have disruptive mood dysregulation disorder, but is not effective in treating disruptive mood dysregulation disorder itself.<ref name="weis" /> | ||
==References== | ==References== | ||
Latest revision as of 18:29, 9 January 2019
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2] Yashasvi Aryaputra[3]
Overview
Disruptive mood dysregulation disorder is defined as severe verbal or behavioral temper outbursts out of proportion to the situation that occur several times a week for at least 12 months. This occurs in children and adolescents, and symptoms are similar to those of attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD).[1]
Historical Perspective
Disruptive mood dysregulation disorder was first added to the DSM-V in 2013, being put under the depression disorder module.
Classification
There is no established system for the classification of disruptive mood dysregulation disorder.
Pathophysiology
The exact pathogenesis of disruptive mood dysregulation disorder is not fully understood.
Differential Diagnosis
Disruptive mood dysregulation disorder can be differentiated from the following diseases with similar symptoms:
- Autism spectrum disorder
- Attention-deficit/hyperactivity disorder
- Bipolar disorders
- Intermittent explosive disorder
- Major depressive disorder
- Oppositional defiant disorder[2]
Epidemiology and Demographics
Prevalence
Among children and adolescents, the 6 to 12 month prevalence of disruptive mood dysregulation disorder is 2,000-5,000 per 100,000 (2%-5%).[2]
Risk Factors
The risk factors associated with disruptive mood dysregulation disorder are:[2]
- Anxiety disorders
- Attention-deficit/hyperactivity disorder (ADHD)
- Anxiety disorder
- Major depressive disorder
Screening
There is insufficient evidence to recommend routine screening for disruptive mood dysregulation disorder.
Natural History, Complications, and Prognosis
- Natural history of disruptive mood dysregulation disorder are unknown.
- Complications of disruptive mood dysregulation disorder are unknown.
- Prognosis of disruptive mood disregulation disorder are unknown.
Diagnostic Criteria
DSM-V Diagnostic Criteria for Disruptive Mood Dysregulation Disorder [2]
| “ |
proportion in intensity or duration to the situation or provocation. AND
AND
AND
AND
symptoms in Criteria A-D. AND
AND
AND
AND
Note:Developmentally appropriate mood elevation, such as occurs in the context of a highly positive event or its anticipation, should not be considered as a symptom of mania or hypomania .
Note: This diagnosis cannot coexist with oppositional defiant disorder, intermittent explosive disorder, or bipolar disorder, though it can coexist with others, including major depressive disorder, attention-deficit/hyperactivity disorder, conduct disorder, and substance use disorders. Individuals whose symptoms meet criteria for both disruptive mood dysregulation disorder and oppositional defiant disorder should only be given the diagnosis of disruptive mood dysregulation disorder. If an individual has ever experienced a manic or hypomanic episode, the diagnosis of disruptive mood dysregulation disorder should not be assigned. AND
|
” |
Treatment
Medication
- While mood stabilizing medication can be used to help treat disruptive mood dysregulation disorder, it has not proven to be effective on it's own.[3]
- Mood stabilizers, when combined with Amantadine, have an 85% success rate in children with disrputive mood dysregulation disorder.
Psychotherapy
- Contingency management, in which parents reward good behavior and punish negative behavior, has been proven useful in treating ADHD and ODD symptoms, which are found in many individuals who have disruptive mood dysregulation disorder, but is not effective in treating disruptive mood dysregulation disorder itself.[3]
References
- ↑ LastName, FirstName (2013). Diagnostic and statistical manual of mental disorders : DSM-5. Arlington, VA Washington, D.C: American Psychiatric Association,American Psychiatric Association. ISBN 9780890425541.
- ↑ 2.0 2.1 2.2 2.3 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.
- ↑ 3.0 3.1 Weis, Robert (2014). Introduction to abnormal child and adolescent psychology. Los Angeles: SAGE. ISBN 9781452225258.