Assessment Instruments for Impulsivity and Impulse Control Disorders

Author(s):  
Alexis K. Matusiewicz ◽  
Brady Reynolds ◽  
Carl W. Lejuez

This chapter provides a review of measures used to assess the impulse control disorders (ICDs) included in the Diagnostic and Statistical Manual of Mental Disorders (4th ed., DSM-IV) and those proposed for DSM-V, as well as measures used to assess the related psychological construct of impulsivity implicated in the development and maintenance of ICDs. We first present instruments used to assess ICDs including diagnostic interviews, as well as self-report and clinician-rated measures of symptom severity. Second, we present self-report and behavioral measures of impulsivity. The review includes theoretical rationales, procedural details, and empirical evidence, including detailed psychometric data for each measure to provide a comprehensive guide to the assessment of ICDs and the construct of impulsivity.

Author(s):  
Jon E. Grant ◽  
Marc N. Potenza

Several disorders have been classified together in the American Psychiatric Association’s Diagnostic and Statistical Manual (4th ed.; DSM-IV) as impulse control disorders not elsewhere classified. These impulse control disorders have been grouped together based on perceived similarities in clinical presentation and hypothesized similarities in pathophysiologies. The question exists whether these disorders belong together or whether they should be categorized elsewhere. Examination of the family of impulse control disorders generates questions regarding the distinct nature of each disorder: whether each is unique or whether they represent variations of each other or other psychiatric disorders. Neurobiology may cut across disorders, and identifying important intermediary phenotypes will be important in understanding impulse control disorders and related entities. The distress of patients with impulse control disorders highlights the importance of examining these disorders. More comprehensive information has significant potential for advancing prevention and treatment strategies for those who suffer from disorders characterized by impaired impulse control.


2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Mercy García ◽  
Ernestina Tamami ◽  
Giovanni Rojas-Velasco ◽  
Carolina Posso ◽  
Galo Sánchez del Hierro ◽  
...  

Introducción.- Los síntomas somáticos causan malestar y afectan la calidad de  vida de los pacientes, incrementando la frecuencia del uso de los servicios de salud. En Ecuador no existe un instrumento validado que evalúe somatización. La escala Somatic Symtom Scale-8 (SSS-8), es un instrumento usado como medida de referencia en the Diagnostic and Statistical Manual of Mental Disorders(DSM-V), para evaluar la carga de síntomas somáticos, validada en inglés y adaptada culturalmente a los idiomas alemán y japonés. Objetivos.- En esta investigación el propósito fue validar la escala “Somatic Symptom Scale-8” y determinar sus propiedades métricas. Métodos.- Investigación descriptiva y transversal en la que se realizó la validación de la herramienta clínica SSS-8 en 401 pacientes en la consulta externa del hospital Pedro Vicente Maldonado, desde mayo a julio de 2017. Para el análisis de datos se utilizaron los programas estadísticos SPSS versión 23, Latent gold y EpiDat 3.1. Resultados.- El grupo mayoritario fue de 30 a 47 años, con ligero predominio del sexo masculino (con 52,6%) sobre el femenino (47,4%). El SSS-8 mostró adecuadas propiedades métricas (alfa de Cronbach de 0,73). Mediante este análisis se obtuvo que, los pacientes que respondieron: algo, bastante o muchísimo en las dimensiones sentirse cansado, dolor de cabeza, dolor de brazos y dolor de espalda; tenían un 99% de probabilidades de presentar somatización. Conclusiones.- En este estudio, el SSS-8 demostró ser una herramienta útil para evaluar los síntomas somáticos en pacientes que acuden a consulta externa, ya que presentó buenas propiedades métricas: consistencia interna elevada, buena validez y una apropiada capacidad discriminativa.


2019 ◽  
Vol 4 (2) ◽  

Delirium is defined in the Diagnostic and Statistical Manual of Mental Disorders: Fifth edition (DSM-V) as a “disturbance and change in attention and awareness from baseline that develops over a short period of time, with fluctuating course” [1]. Delirium occurs as a result of factors related to primary illness, the treatment of that illness, and stressful and disorientating environment of the hospital [2]. There are limited data to describe the incidence of delirium in children hospitalized with cancer [3]. Delirium occurs frequently in adults and is an independent predictor of mortality, increased length of stay, and increased risk for long-term cognitive deficits [3]. The prevalence of delirium in hospitalized adults ages 18-56 with cancer ranges from 18%-44% [4]. Most pediatric studies on delirium focus on the critically ill child in the pediatric intensive care unit (PICU). It is estimated that the incidence of delirium in this population is as high as 29% [5].


2021 ◽  
Vol 31 ◽  
Author(s):  
Camila Costa e Silva ◽  
Daniela Sacramento Zanini

Abstract Screening instruments to detect symptoms of Autistic Spectrum Disorder (ASD) in the school setting are still needed. The study aimed to develop the Autistic Spectrum Disorder Behavior Scale (ASD-BS) according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). The scale consists of 31 items, divided into communication; social interactions; restrictive, repetitive and ritual behaviors; and other indicators. The content validity included five expert judges and a pilot sample with 29 children between six and 12 years old. The results were shown to be adequate, all items reached agreement rates above 80% and Kappa of 0.84. Exploratory statistical analyzes showed Cronbach’s alpha equal to 0.78, sensitivity values ranging from 86 to 93% and specificity from 34 to 100%. ASD-BS is of quick implementation, uses the teacher as an informant and contributes to psychological assessment.


2014 ◽  
Vol 7 (2) ◽  
pp. 148-161
Author(s):  
Jefferson Cabral Azevedo ◽  
Carlos Henrique Medeiros de Souza ◽  
Giovane do Nascimento

RESUMO: O presente artigo visa utilizar conceitos de diversas áreas, proporcionando uma perspectiva multicausal e dialógica sobre os processos nosológicos de dependência de tecnologias digitais e as influências dos mecanismos motivacionais e emocionais sobre a aprendizagem de comportamentos compulsivos. A metodologia aplicada ao estudo é de caráter qualitativo e quantitativo, pois abrange tanto os fatores conceituais obtidos através de revisão bibliográfica como o desenvolvimento de resultados estatísticos através das análises dos resultados dos questionários aplicados no estudo em questão. Este breve constructo teórico busca evidenciar comportamentos patológicos na utilização das tecnologias digitais, principalmente dos usuários de internet e redes sociais digitais, utilizando os parâmetros da neuropsicologia, psicologia, psiquiatria e descrições presentes no DSM V, Manual Diagnóstico e Estatístico de Transtornos Mentais, e o CID 10, Compêndio Internacional de Doenças.PALAVRAS-CHAVE: dependência; tecnologias digitais; motivação; emoção; neuropsicologia; psicologia; psiquiatria.ABSTRACT: This research apply concepts from different areas, aiming to provide a multicausal and dialogical perspective on the nosologic process of dependence upon digital technologies and the influences of motivational and emotional mechanisms on learning compulsive behaviors. The data is approached both qualitatively and quantitatively, since its analysis covers the conceptual factors obtained from literature review and the development of statistical results obtained from the questionnaires applied. This brief theoretical research pursues to reveal pathological behaviors in the use of digital technologies, especially in the actions of internet users in online social networks. The parameters of neuropsychology, psychology, psychiatry are combined with descriptions contained in the DSM V, Diagnostic and Statistical Manual of Mental Disorders, and the ICD 10, International Compendium of Diseases.KEYWORDS: addiction, digital technologies; motivation; emotion; neuropsychology; psychology; psychiatry.


2010 ◽  
pp. 53-66

Vengono presentati i principali sistemi di diagnosi psichiatrica, e precisamente le ultime edizioni del Diagnostic and Statistical Manual (DSM) dell'American Psychiatric Association (il DSM-III del 1980, il DSM-III-R del 1987, il DSM-IV del 1994, il DSM-IV-TR del 2000, e il DSM-V previsto per il 2013), la 10a edizione dell'International Classification of Diseases (ICD-10) proposta nel 1992 dall'Organizzazione Mondiale della Sanitŕ (OMS), e il Manuale Diagnostico Psicodinamico (PDM) prodotto dalla comunitŕ psicoanalitica internazionale nel 2006. A proposito dei DSM, vengono discussi alcuni problemi metodologici quali le dicotomie validitŕ/attendibilitŕ, categorie/dimensioni e politetico/monotetico, e anticipati alcuni dibattiti critici a proposito del futuro DSM-V. Infine, vengono discusse le seguenti problematiche: la psicopatologia "descrittiva" e "strutturale"; la diagnosi come "difesa" del terapeuta; l'aspetto scientifico e l'aspetto filosofico della diagnosi; i tentativi di "sospensione" del giudizio e dei nostri preconcetti; la dicotomia nomotetico-idiografico.


2007 ◽  
Vol 42 (4) ◽  
pp. 259-267 ◽  
Author(s):  
Helena Chmura Kraemer ◽  
Patrick E. Shrout ◽  
Maritza Rubio-Stipec

2016 ◽  
Vol 6 (1) ◽  
pp. 46-51
Author(s):  
Basak Baglama

Understanding the needs of indivudals with mental disabilities is really important in terms of improving quality of life, intervention and promotion. Diagnostic and Statistical Manual of Mental Disorders (DSM-V) is widely used book for mental health professionals in order to make diagnosis. The present study discusses the usefulness of DSM in diagnosing mental health problems by emphasizing it’s advantages and criticisms. This study used document analysis method in order to provide an overview and discussion of recent literature regarding advantages and criticisms of DSM. Various issues have been discussed and conclusions have been made based on the literature review of this study. 


2009 ◽  
Vol 21 (3) ◽  
pp. 687-713 ◽  
Author(s):  
Jennifer L. Tackett ◽  
Steve Balsis ◽  
Thomas F. Oltmanns ◽  
Robert F. Krueger

AbstractProposed changes in the fifth edition of theDiagnostic and Statistical Manual of Mental Disorders(DSM-V) include replacing current personality disorder (PD) categories on Axis II with a taxonomy of dimensional maladaptive personality traits. Most of the work on dimensional models of personality pathology, and on personality disorders per se, has been conducted on young and middle-aged adult populations. Numerous questions remain regarding the applicability and limitations of applying various PD models to early and later life. In the present paper, we provide an overview of such dimensional models and review current proposals for conceptualizing PDs inDSM-V. Next, we extensively review existing evidence on the development, measurement, and manifestation of personality pathology in early and later life focusing on those issues deemed most relevant for informingDSM-V. Finally, we present overall conclusions regarding the need to incorporate developmental issues in conceptualizing PDs inDSM-Vand highlight the advantages of a dimensional model in unifying PD perspectives across the life span.


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