3.18 Examining Trends and Interactions in the Diagnoses of Pediatric Bipolar Disorders and Disruptive Mood Dysregulation Disorder (DMDD) in Kentucky Children and Adolescents Receiving Medicaid

The newest iteration of the Diagnostic and Statistical Manual–fifth edition (DSM-5), is the first to include the diagnosis of disruptive mood dysregulation disorder (DMDD). The assessment and diagnosis of psychopathology in children are complicated, particularly for mood disorders. Practice can be guided by the use of well-validated instruments. However, as this is a new diagnosis existing instruments have not yet been evaluated for the diagnosis of DMDD. This study seeks to provide a method for using existing structured interview instruments to assess for this contemporary diagnosis. The Children’s Interview for Psychiatric Syndromes (ChIPS) and the Mini-International Neuropsychiatric Interview for Children and Adolescents (MINI-KID) are reviewed and existing items consistent with a diagnosis of DMDD are identified. Finally, a case is presented using both measures and applying the theoretical items identified to illustrate how one might use these measures to assess DMDD. Limitations and future directions are discussed.

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Disruptive Mood Dysregulation Disorder and its Impact on Rates of Bipolar Disorder among Children and Adolescents

Current Psychiatry Research and Reviews ◽

10.2174/2666082216999200909113835 ◽

2021 ◽

Vol 16 (3) ◽

pp. 154-157

Author(s):

Waleed A. Alghamdi

Keyword(s):

Bipolar Disorder ◽

Children And Adolescents ◽

Pediatric Bipolar Disorder ◽

Rapid Rise ◽

Scientific Databases ◽

Disruptive Mood Dysregulation Disorder ◽

Dsm 5 ◽

The Past ◽

The Impact ◽

Mood Dysregulation

Background: In 2013, Disruptive Mood Dysregulation Disorder (DMDD) was introduced in the DSM-5 in part to curb the rapid rise in the rates of bipolar diagnosis among children and adolescents during the decade before the DSM-5 publication. DMDD proved to be a controversial diagnosis for many reasons. Objective: This brief review aims to provide an overview of the DMDD diagnosis and its origins and summarize available data on the impact of the introduction of the DMDD diagnosis on the rates of bipolar disorder among children and adolescents. Methods: Multiple scientific databases were searched using the related terms “DMDD”, “Disruptive Mood Dysregulation”, and “pediatric bipolar disorder” in combination with the terms “diagnosis” and “impact”. The retrieved articles were reviewed carefully. Results: The DMDD diagnosis rates have steadily increased since its introduction. Furthermore, available data show a decrease in the rates of bipolar disorder diagnosis among children and adolescents over the past few years. Conclusion: The very limited available data since 2013 show a decline in the diagnosis of bipolar disorder among children and adolescents. More time and further research are needed to more accurately determine the impact of the DMDD diagnosis on the rates of bipolar disorder in this population.

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Disruptive Mood Dysregulation Disorder Among Children and Adolescents

FOCUS The Journal of Lifelong Learning in Psychiatry ◽

10.1176/appi.focus.20150039 ◽

2016 ◽

Vol 14 (1) ◽

pp. 20-25

Author(s):

Gabrielle A. Carlson ◽

Caroly Pataki

Keyword(s):

Children And Adolescents ◽

Disruptive Mood Dysregulation Disorder ◽

Mood Dysregulation

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An exploratory clinical study of disruptive mood dysregulation disorder in children and adolescents from India

Asian Journal of Psychiatry ◽

10.1016/j.ajp.2016.02.005 ◽

2016 ◽

Vol 21 ◽

pp. 37-40 ◽

Cited By ~ 3

Author(s):

Rashmi Tiwari ◽

Vivek Agarwal ◽

Amit Arya ◽

Pawan Kumar Gupta ◽

Pooja Mahour

Keyword(s):

Clinical Study ◽

Children And Adolescents ◽

Disruptive Mood Dysregulation Disorder ◽

Mood Dysregulation

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The therapeutic process of a child diagnosed with disruptive mood dysregulation disorder.

Psychoanalytic Psychology ◽

10.1037/pap0000134 ◽

2017 ◽

Vol 34 (4) ◽

pp. 488-498 ◽

Cited By ~ 5

Author(s):

Vera Regina Röhnelt Ramires ◽

Lucia Belina Rech Godinho ◽

Geoff Goodman

Keyword(s):

Therapeutic Process ◽

Disruptive Mood Dysregulation Disorder ◽

Mood Dysregulation

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Disruptive Mood Dysregulation Disorder

Kinder- und Jugendmedizin ◽

10.1055/s-0038-1629358 ◽

2013 ◽

Vol 13 (05) ◽

pp. 354-361 ◽

Cited By ~ 1

Author(s):

A. Witt ◽

J. Straub ◽

J.M. Fegert ◽

P.L. Plener

Keyword(s):

Disruptive Mood Dysregulation Disorder ◽

Dsm 5 ◽

Mood Dysregulation

ZusammenfassungDisruptive Mood Dysregulation Disorder (DMDD), übersetzbar als disruptive Störung der Stimmungsregulation, findet sich als neues eigenständiges Krankheitsbild im DSM-5. Im Gegensatz zu anderen disruptiven Störungsbildern wurde DMDD in den Bereich der depressiven Störungen gelegt. Der vorliegende Beitrag soll sich mit den diagnostischen Kriterien, der Prävalenz sowie den Behandlungsoptionen dieses neuen Störungsbildes, basierend auf einer selektiven Literaturübersicht auseinandersetzen. Aus Deutschland liegen keine Studien vor, die aufbauend auf den neuen diagnostischen Kriterien erstellt wurden; eine Prävalenzschätzung ist daher schwierig. Aus den USA wurden Prävalenzraten von ca. 1% aus nicht klinischen Stichproben berichtet. Die spezifischen therapeutischen Optionen zur Behandlung dieses neu geschaffenen Störungsbildes sind in ihrer Evidenz kaum überprüft. Essenziell scheinen die Trennung des Störungsbildes von bipolaren Störungen und die Beachtung von DMDD als möglicher Vorläufer einer depressiven Entwicklung.

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