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Diagnostic instruments for the assessment of disruptive mood dysregulation disorder: a systematic review of the literature
European Child & Adolescent Psychiatry ( IF 6.4 ) Pub Date : 2021-07-07 , DOI: 10.1007/s00787-021-01840-4
Ines Mürner-Lavanchy 1 , Michael Kaess 1, 2 , Julian Koenig 1, 3
Affiliation  

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.



中文翻译:

评估破坏性情绪失调障碍的诊断工具:对文献的系统回顾

破坏性情绪失调障碍 (DMDD) 涉及儿童的非发作性烦躁和频繁的严重脾气爆发。自从将诊断纳入 DSM-5 以来,DMDD 的评估还没有既定的金标准。在这篇系统的文献综述中,我们提供了现有 DMDD 诊断工具的概要。在书目数据库中搜索了任何评估 DMDD 的研究。文献的系统搜索产生了K  = 1167 次点击,其中n = 110 项研究被纳入。最常用的衡量标准是儿童情感障碍和精神分裂症 DMDD 模块 (25%)。其他研究从并非专门设计用于测量 DMDD (47%)、图表审查 (7%)、没有任何特定仪器的临床诊断 (6%) 或未提供有关评估的信息 (9%) 的访谈中得出诊断标准。六项研究 (6%) 使用了旨在诊断 DMDD 的三项结构化访谈。36% 的研究报告了评分者间信度(范围从κ = 0.6–1) 而其他心理测量属性很少被报道。该系统回顾指出了多种现有的 DMDD 诊断措施,具有良好的可靠性。最近开发的 DMDD 访谈的心理测量特性的一致报告及其进一步完善可能有助于确定诊断的有效性。

更新日期:2021-07-07
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