McTate Emily A, Leffler Jarrod M
1 Cincinnati Children's Hospital Medical Center, USA.
2 Mayo Clinic, USA.
Clin Child Psychol Psychiatry. 2017 Apr;22(2):187-203. doi: 10.1177/1359104516658190. Epub 2016 Sep 15.
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.
《精神疾病诊断与统计手册》第五版（DSM - 5）的最新版本首次纳入了破坏性心境失调障碍（DMDD）的诊断。儿童精神病理学的评估和诊断很复杂，尤其是对于心境障碍。可以使用经过充分验证的工具来指导临床实践。然而，由于这是一种新的诊断，现有的工具尚未针对DMDD的诊断进行评估。本研究旨在提供一种使用现有的结构化访谈工具来评估这一当代诊断的方法。对儿童精神综合征访谈（ChIPS）和儿童青少年版迷你国际神经精神病学访谈（MINI - KID）进行了综述，并确定了与DMDD诊断相符的现有条目。最后，呈现了一个使用这两种测量方法并应用所确定的理论条目的案例，以说明如何使用这些测量方法来评估DMDD。讨论了局限性和未来方向。
