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DSM-5 disruptive mood dysregulation disorder: correlates and predictors in young children

  • L. R. Dougherty (a1), V. C. Smith (a1), S. J. Bufferd (a2), G. A. Carlson (a3), A. Stringaris (a4), E. Leibenluft (a5) and D. N. Klein (a3) (a6)
  • DOI: http://dx.doi.org/10.1017/S0033291713003115
  • Published online: 20 January 2014
Abstract
Background

Despite the inclusion of disruptive mood dysregulation disorder (DMDD) in DSM-5, little empirical data exist on the disorder. We estimated rates, co-morbidity, correlates and early childhood predictors of DMDD in a community sample of 6-year-olds.

Method

DMDD was assessed in 6-year-old children (n = 462) using a parent-reported structured clinical interview. Age 6 years correlates and age 3 years predictors were drawn from six domains: demographics; child psychopathology, functioning, and temperament; parental psychopathology; and the psychosocial environment.

Results

The 3-month prevalence rate for DMDD was 8.2% (n = 38). DMDD occurred with an emotional or behavioral disorder in 60.5% of these children. At age 6 years, concurrent bivariate analyses revealed associations between DMDD and depression, oppositional defiant disorder, the Child Behavior Checklist – Dysregulation Profile, functional impairment, poorer peer functioning, child temperament (higher surgency and negative emotional intensity and lower effortful control), and lower parental support and marital satisfaction. The age 3 years predictors of DMDD at age 6 years included child attention deficit hyperactivity disorder, oppositional defiant disorder, the Child Behavior Checklist – Dysregulation Profile, poorer peer functioning, child temperament (higher child surgency and negative emotional intensity and lower effortful control), parental lifetime substance use disorder and higher parental hostility.

Conclusions

A number of children met DSM-5 criteria for DMDD, and the diagnosis was associated with numerous concurrent and predictive indicators of emotional and behavioral dysregulation and poor functioning.

Copyright
Corresponding author
*Address for correspondence: L. R. Dougherty, Ph.D., Department of Psychology, University of Maryland, College Park, MD 20742, USA. (Email: ldougher@umd.edu)
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