Gisunterman Alex, Cohn Yoav, Weizman Abraham
Child and Adolescent Department, Jerusalem Mental Health Center, Jerusalem, Israel.
Geha Mental Health Center and Felsenstein Medical Research Center, Petah Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Harefuah. 2018 Aug;157(8):525-528.
The year 2013 saw the publication of a new edition of the Diagnostic and Statistical Manual of Mental Disorders, the DSM-5. In this edition a new diagnosis - Disruptive Mood Dysregulation Disorder (DMDD) - was added. It defines children suffering from irritable and angry moods with frequent severe temper outbursts. The diagnosis is included in the chapter on mood disorders and relates only to children. This diagnosis was suggested in order to prevent over-diagnosis of bipolar disorder and over-use of antipsychotics and mood stabilizers in children. Studies indicate that DMDD constitutes a more significant risk factor for the development of unipolar disorder than for bipolar disorder. To date, no specific diagnostic tools have been developed for this diagnosis and there is relatively little treatment experience. Since this disorder has a wide range of comorbidities, the treatment focus tends to be on treating the comorbidities and includes medicines, cognitive-behavioral intervention and parental guidance.
2013年，新版《精神疾病诊断与统计手册》（DSM - 5）出版。在这一版中增加了一种新的诊断——破坏性心境失调障碍（DMDD）。它定义了那些情绪易怒、愤怒且频繁严重发脾气的儿童。该诊断被纳入心境障碍章节，且仅适用于儿童。提出这一诊断是为了防止儿童双相情感障碍的过度诊断以及抗精神病药物和心境稳定剂的过度使用。研究表明，与双相情感障碍相比，DMDD是单相情感障碍发展的更重要风险因素。迄今为止，尚未针对这一诊断开发出特定的诊断工具，且治疗经验相对较少。由于这种疾病有广泛的共病情况，治疗重点往往在于治疗共病，包括药物治疗、认知行为干预和家长指导。
