Disruptive Mood Dysregulation Disorder Symptoms by Age in Autism, ADHD, and General Population Samples

Susan Mayes, Cari Kokotovich, Christine Mathiowetz, Raman Baweja, Susan Calhoun, James Waxmonsky

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Disruptive mood dysregulation disorder (DMDD) is a controversial DSM-5 diagnosis. It is not known how DMDD symptoms vary by age and if differences are similar for autism, ADHD, and general population samples. Our study analyzed the two DMDD symptoms (irritable-angry mood and temper outbursts) in 1,827 children with autism or ADHD (with or without oppositional defiant disorder/ODD) and 657 general-population children 2–16 years of age. DMDD symptoms were rated by mothers on the Pediatric Behavior Scale. For all age groups, mean DMDD scores were less than sometimes a problem in the general population and ADHD-Inattentive (ADHD-I) samples, greater than sometimes but less than often a problem in autism and ADHD-Combined (ADHD-C), and greater than often a problem in children with autism or ADHD who also had ODD. DMDD symptoms were unrelated to age in children six and older. Preschool children with ADHD-C, ADHD-I, and ODD had more DMDD symptoms than school-age children, but DMDD symptoms did not differ by age in autism. DMDD symptoms were found in 45% of children with autism and were common at all ages. Evidence-based interventions are discussed.

Original languageEnglish (US)
Pages (from-to)345-359
Number of pages15
JournalJournal of Mental Health Research in Intellectual Disabilities
Volume10
Issue number4
DOIs
StatePublished - Oct 2 2017

Fingerprint

Autistic Disorder
Mood Disorders
Population
Irritable Mood
Attention Deficit and Disruptive Behavior Disorders
Preschool Children
Age Groups
Mothers
Pediatrics

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

Cite this

@article{dff7761350aa45b49d9fa89aedd4ab7a,
title = "Disruptive Mood Dysregulation Disorder Symptoms by Age in Autism, ADHD, and General Population Samples",
abstract = "Disruptive mood dysregulation disorder (DMDD) is a controversial DSM-5 diagnosis. It is not known how DMDD symptoms vary by age and if differences are similar for autism, ADHD, and general population samples. Our study analyzed the two DMDD symptoms (irritable-angry mood and temper outbursts) in 1,827 children with autism or ADHD (with or without oppositional defiant disorder/ODD) and 657 general-population children 2–16 years of age. DMDD symptoms were rated by mothers on the Pediatric Behavior Scale. For all age groups, mean DMDD scores were less than sometimes a problem in the general population and ADHD-Inattentive (ADHD-I) samples, greater than sometimes but less than often a problem in autism and ADHD-Combined (ADHD-C), and greater than often a problem in children with autism or ADHD who also had ODD. DMDD symptoms were unrelated to age in children six and older. Preschool children with ADHD-C, ADHD-I, and ODD had more DMDD symptoms than school-age children, but DMDD symptoms did not differ by age in autism. DMDD symptoms were found in 45{\%} of children with autism and were common at all ages. Evidence-based interventions are discussed.",
author = "Susan Mayes and Cari Kokotovich and Christine Mathiowetz and Raman Baweja and Susan Calhoun and James Waxmonsky",
year = "2017",
month = "10",
day = "2",
doi = "10.1080/19315864.2017.1338804",
language = "English (US)",
volume = "10",
pages = "345--359",
journal = "Journal of Mental Health Research in Intellectual Disabilities",
issn = "1931-5864",
publisher = "Taylor and Francis Ltd.",
number = "4",

}

TY - JOUR

T1 - Disruptive Mood Dysregulation Disorder Symptoms by Age in Autism, ADHD, and General Population Samples

AU - Mayes, Susan

AU - Kokotovich, Cari

AU - Mathiowetz, Christine

AU - Baweja, Raman

AU - Calhoun, Susan

AU - Waxmonsky, James

PY - 2017/10/2

Y1 - 2017/10/2

N2 - Disruptive mood dysregulation disorder (DMDD) is a controversial DSM-5 diagnosis. It is not known how DMDD symptoms vary by age and if differences are similar for autism, ADHD, and general population samples. Our study analyzed the two DMDD symptoms (irritable-angry mood and temper outbursts) in 1,827 children with autism or ADHD (with or without oppositional defiant disorder/ODD) and 657 general-population children 2–16 years of age. DMDD symptoms were rated by mothers on the Pediatric Behavior Scale. For all age groups, mean DMDD scores were less than sometimes a problem in the general population and ADHD-Inattentive (ADHD-I) samples, greater than sometimes but less than often a problem in autism and ADHD-Combined (ADHD-C), and greater than often a problem in children with autism or ADHD who also had ODD. DMDD symptoms were unrelated to age in children six and older. Preschool children with ADHD-C, ADHD-I, and ODD had more DMDD symptoms than school-age children, but DMDD symptoms did not differ by age in autism. DMDD symptoms were found in 45% of children with autism and were common at all ages. Evidence-based interventions are discussed.

AB - Disruptive mood dysregulation disorder (DMDD) is a controversial DSM-5 diagnosis. It is not known how DMDD symptoms vary by age and if differences are similar for autism, ADHD, and general population samples. Our study analyzed the two DMDD symptoms (irritable-angry mood and temper outbursts) in 1,827 children with autism or ADHD (with or without oppositional defiant disorder/ODD) and 657 general-population children 2–16 years of age. DMDD symptoms were rated by mothers on the Pediatric Behavior Scale. For all age groups, mean DMDD scores were less than sometimes a problem in the general population and ADHD-Inattentive (ADHD-I) samples, greater than sometimes but less than often a problem in autism and ADHD-Combined (ADHD-C), and greater than often a problem in children with autism or ADHD who also had ODD. DMDD symptoms were unrelated to age in children six and older. Preschool children with ADHD-C, ADHD-I, and ODD had more DMDD symptoms than school-age children, but DMDD symptoms did not differ by age in autism. DMDD symptoms were found in 45% of children with autism and were common at all ages. Evidence-based interventions are discussed.

UR - http://www.scopus.com/inward/record.url?scp=85021434112&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85021434112&partnerID=8YFLogxK

U2 - 10.1080/19315864.2017.1338804

DO - 10.1080/19315864.2017.1338804

M3 - Article

AN - SCOPUS:85021434112

VL - 10

SP - 345

EP - 359

JO - Journal of Mental Health Research in Intellectual Disabilities

JF - Journal of Mental Health Research in Intellectual Disabilities

SN - 1931-5864

IS - 4

ER -