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روان شناسی و مشاوره::
اختلال بی نظمی خلق اخلال گر، اختلال بینظمی خلق اخلالگر
Krieger, Leibenluft, Stringaris, and Polanczyk (2013) claimed in their research that chronic irritability has been misdiagnosed as a pediatric bipolar disorder and, instead, support the new DSM-5 diagnosis of disruptive mood dysregulation disorder in youth.
BIPOLAR DISORDER IN YOUTH AND DISRUPTIVE MOOD DYSREGULATION DISORDER
They instead sup- ported the new DSM-5 diagnosis of disruptive mood dysregulation disorder (DMDD).
The diagnostic criteria for DMDD are described in Chapter 10 in this volume.
Research provides strong, albeit suggestive, evidence that DMDD is not a form of bipolar disorder; the most convincing evidence include longitudinal data indicating that youth with DMDD are at ele- vated risk for anxiety and unipolar depressive disorders (Leibenluft, 2011) but not for bipolar disorder in adulthood (Towbin, Axelson, Leibenluft, & Birmaher, 2013).،Disruptive Mood Dysregulation Disorder (DMDD): An RDoC Perspective
DMDD is typically considered a condition of emotion dysregulation.
While irritability has been defined as a negative affective response, the chronicity of this response, which is a core component of DMDD, suggests limited ability to regulate this emotion.
Additionally, severe temper outbursts, which also reflect poor regulation of negative affective responses, are also considered to be a hallmark symptom of DMDD, possibly reflecting a more extreme form of irritability (Stringaris, Cohen, Pine, & Leibenluft, 2009; Leibenluft et al.
We propose that two RDoC constructs within the Cognitive Systems domain that are essential for emotion regulation are relevant to the study of irritability and temper outbursts associated with DMDD.
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