An empirically based alternative to DSM-5's disruptive mood dysregulation disorder for ICD-11
File(s)
Author(s)
Type
Journal Article
Abstract
The World Health Organization (WHO)’s priorities for
the development of the classification of mental and behavioural
disorders in the ICD-11 include increasing its clinical
utility in global mental health settings (1) and improving the
identification and diagnosis of mental disorders among children
and adolescents (2).
An issue that has been hotly debated in the area of childhood
psychopathology is the assessment, diagnosis and
treatment of children with severe irritability and anger (3,4).
Although virtually all children display irritable and angry
behaviours at times, some children exhibit them more frequently
and more intensely, to the extent that they become
an impairing form of emotional dysregulation. Recent findings
indicate that these children with chronic and severe irritability/anger
have not been adequately identified through
existing classification systems, are at an increased risk for
particular negative outcomes, and have not received appropriate
treatment. To the extent that ICD-11 can help clarify
the clinical picture of irritability/anger, children and families
will benefit from more accurate diagnoses, more useful prognoses,
and more effective interventions.
This paper provides a brief overview of the issue, followed
by several possible options and the current proposal for the
classification of childhood irritability/anger in ICD-11. This
proposal represents a markedly different – but we believe
more scientifically justifiable – solution to the problems in
this area than that selected for DSM-5 (5).
the development of the classification of mental and behavioural
disorders in the ICD-11 include increasing its clinical
utility in global mental health settings (1) and improving the
identification and diagnosis of mental disorders among children
and adolescents (2).
An issue that has been hotly debated in the area of childhood
psychopathology is the assessment, diagnosis and
treatment of children with severe irritability and anger (3,4).
Although virtually all children display irritable and angry
behaviours at times, some children exhibit them more frequently
and more intensely, to the extent that they become
an impairing form of emotional dysregulation. Recent findings
indicate that these children with chronic and severe irritability/anger
have not been adequately identified through
existing classification systems, are at an increased risk for
particular negative outcomes, and have not received appropriate
treatment. To the extent that ICD-11 can help clarify
the clinical picture of irritability/anger, children and families
will benefit from more accurate diagnoses, more useful prognoses,
and more effective interventions.
This paper provides a brief overview of the issue, followed
by several possible options and the current proposal for the
classification of childhood irritability/anger in ICD-11. This
proposal represents a markedly different – but we believe
more scientifically justifiable – solution to the problems in
this area than that selected for DSM-5 (5).
Date Issued
2015-02-05
Date Acceptance
2015-02-05
Citation
World Psychiatry, 2015, 14 (1), pp.30-33
ISSN
1723-8617
Publisher
Wiley
Start Page
30
End Page
33
Journal / Book Title
World Psychiatry
Volume
14
Issue
1
Copyright Statement
© 2015 World Psychiatric Association. This is the peer reviewed version of the following article: Lochman, J. E., Evans, S. C., Burke, J. D., Roberts, M. C., Fite, P. J., Reed, G. M., de la Peña, F. R., Matthys, W., Ezpeleta, L., Siddiqui, S. and Elena Garralda, M. (2015), An empirically based alternative to DSM-5's disruptive mood dysregulation disorder for ICD-11. World Psychiatry, 14: 30–33. doi: 10.1002/wps.20176, which has been published in final form at https://dx.doi.org/10.1002/wps.20176. This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving (http://olabout.wiley.com/WileyCDA/Section/id-820227.html#terms).
Publication Status
Published