Boudjerida Assia, Labelle Réal, Bergeron Lise, Berthiaume Claude, Guilé Jean-Marc, Breton Jean-Jacques
Department of Psychology, Université du Québec à Montréal, Montréal, QC, Canada.
Centre for Research and Intervention on Suicide, Ethical Issues and End-of-Life Practices, Université du Québec à Montréal, Montréal, QC, Canada.
Front Psychiatry. 2022 Feb 17;13:617991. doi: 10.3389/fpsyt.2022.617991. eCollection 2022.
Disruptive mood dysregulation disorder (DMDD) is a new DSM-5 diagnosis. It is observed in youths and is characterized by chronic irritability and temper outbursts. This study aimed (i) to develop a brief questionnaire administered during a semi-structured interview and (ii) to assess its psychometric properties with adolescents 12-15 years old by estimating its internal consistency and its concurrent association with measures of depressive symptoms and borderline personality traits.
A 10-item questionnaire was developed based on the DSM-5 criteria and input from mental health professionals. The questionnaire was administered to 192 adolescents from youth centres, inpatient units and specialized outpatient clinics in Montreal, as were the Schedule for Affective Disorders and Schizophrenia for School-Aged Children (K-SADS-PL), the Abbreviated version of the Diagnostic Interview for Borderlines revised (Ab-DIB), and the Dominic Interactive for Adolescents-Revised (DIA-R).
A DMDD Questionnaire among adolescents from clinic settings is obtained. The content of the instrument's items was initially developed based on DSM-5 criteria and expert judgment to ensure that this new instrument covered the theoretical concepts of DMDD in English and French. Twelve participants (6.3%) met nine or more criteria and 11 youths (5.7%) met the three main criteria of DMDD (A, C, and D), which suggested the likely presence of DMDD. The total Cronbach's alpha was 0.90. In addition, the DMDD Questionnaire was significantly associated with depressive symptoms and borderline personality traits.
The reliability and concurrent validity indices suggest that the questionnaire as a decision-support tool may be used with adolescents in clinical settings. It highlights that the DSM-5 DMDD criteria seem associated with depressive symptoms and borderline personality traits. Finally, future studies will be necessary to establish more robust calculations in relation to the validity and reliability of this questionnaire.
破坏性心境失调障碍（DMDD）是《精神疾病诊断与统计手册》第5版（DSM - 5）中的一种新诊断。它在青少年中被观察到，其特征为慢性易激惹和情绪爆发。本研究旨在：（i）编制一份在半结构化访谈中使用的简短问卷；（ii）通过评估其内部一致性以及与抑郁症状测量和边缘型人格特质测量的并发关联，来评估该问卷在12 - 15岁青少年中的心理测量特性。
基于DSM - 5标准并结合心理健康专业人员的意见，编制了一份包含10个条目的问卷。该问卷被施用于来自蒙特利尔青少年中心、住院部和专科门诊的192名青少年，同时还施测了儿童情感障碍和精神分裂症量表（学龄儿童版，K - SADS - PL）、边缘型人格障碍诊断访谈简版修订版（Ab - DIB）以及青少年多米尼克互动修订版（DIA - R）。
获得了一份针对临床环境中青少年的DMDD问卷。该工具条目的内容最初是基于DSM - 5标准和专家判断编制的，以确保这一新工具涵盖了DMDD在英语和法语方面的理论概念。12名参与者（6.3%）符合九条或更多标准，11名青少年（5.7%）符合DMDD的三条主要标准（A、C和D），这表明可能存在DMDD。总的克朗巴赫α系数为0.90。此外，DMDD问卷与抑郁症状和边缘型人格特质显著相关。
信度和并发效度指标表明，该问卷作为一种决策支持工具可用于临床环境中的青少年。它凸显出DSM - 5的DMDD标准似乎与抑郁症状和边缘型人格特质相关。最后，未来有必要开展更多研究以建立关于该问卷效度和信度的更可靠计算方法。
