Diagnostic instruments for the assessment of disruptive mood dysregulation disorder: a systematic review of the literature

Mürner-Lavanchy, Ines; Kaess, Michael; Koenig, Julian (2023). Diagnostic instruments for the assessment of disruptive mood dysregulation disorder: a systematic review of the literature. European child & adolescent psychiatry, 32(1), pp. 17-39. Springer 10.1007/s00787-021-01840-4

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Disruptive mood dysregulation disorder (DMDD) involves non-episodic irritability and frequent severe temper outbursts in children. Since the inclusion of the diagnosis in the DSM-5, there is no established gold-standard in the assessment of DMDD. In this systematic review of the literature, we provide a synopsis of existing diagnostic instruments for DMDD. Bibliographic databases were searched for any studies assessing DMDD. The systematic search of the literature yielded K = 1167 hits, of which n = 110 studies were included. The most frequently used measure was the Kiddie Schedule for Affective Disorders and Schizophrenia DMDD module (25%). Other studies derived diagnostic criteria from interviews not specifically designed to measure DMDD (47%), chart review (7%), clinical diagnosis without any specific instrument (6%) or did not provide information about the assessment (9%). Three structured interviews designed to diagnose DMDD were used in six studies (6%). Interrater reliability was reported in 36% of studies (ranging from κ = 0.6-1) while other psychometric properties were rarely reported. This systematic review points to a variety of existing diagnostic measures for DMDD with good reliability. Consistent reporting of psychometric properties of recently developed DMDD interviews, as well as their further refinement, may help to ascertain the validity of the diagnosis.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy > Research Division

UniBE Contributor:

Mürner-Lavanchy, Ines Mirjam, Kaess, Michael, Koenig, Julian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1018-8827

Publisher:

Springer

Submitter:

Chantal Michel

Date Deposited:

16 Aug 2021 14:09

Last Modified:

09 Feb 2023 00:11

Publisher DOI:

10.1007/s00787-021-01840-4

PubMed ID:

34232390

BORIS DOI:

10.48350/157834

URI:

https://boris.unibe.ch/id/eprint/157834

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