Urben Sébastien, Ochoa Williams Ana, Ben Jemia Cécile, Rosselet Amoussou Joëlle, Machado Lazaro Sara, Giovannini Julia, Abi Kheir Marion, Kaess Michael, Plessen Kerstin Jessica, Mürner-Lavanchy Ines
Division of Child and Adolescent Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Medical Library-Cery, Site de Cery, Lausanne University Hospital and University of Lausanne, Prilly, Switzerland.
Eur Child Adolesc Psychiatry. 2025 May;34(5):1497-1509. doi: 10.1007/s00787-024-02591-8. Epub 2024 Oct 8.
Among youths, pathological irritability is highly prevalent and severely disabling. As a frequent symptom, it often leads to referrals to child and adolescent mental health services. Self-regulatory control (SRC) processes are a set of socio-psycho-physiological processes that allow individuals to adapt to their ever-changing environments. This conceptual framework may enhance the current understanding of the cognitive, emotional, behavioural and social dysregulations underlying irritability. The present systematic review (PROSPERO registration: #CRD42022370390) aims to synthesize existing studies that examine irritability through the lens of SRC processes among youths (< 18 years of age). We conducted a comprehensive literature search among six bibliographic databases: Embase.com, Medline ALL Ovid, APA PsycInfo Ovid, Web of Science Core Collection, the Cochrane Database of Systematic Reviews Wiley and ProQuest Dissertations & Theses A&I. Additional searches were performed using citation tracing strategies. The retrieved reports totalled 2612, of which we included 82 (i.e., articles) from 74 studies. More than 85% of reports were published during the last 6 years, highlighting the topicality of this work. The studies sampled n = 26,764 participants (n = 12,384 girls and n = 12,905 boys, n = 1475 no information) with an average age of 8.08 years (SD = 5.26). The included reports suggest that irritability has an association with lower effortful control, lower cognitive control and delay intolerance. Further, evidence indicates both cross-sectional and longitudinal associations between irritability and a lack of regulation skills for positive and negative emotions, particularly anger. Physiological regulation seems to moderate the association between irritability and psychopathology. Finally, the mutual influence between a child's irritability and parenting practice has been established in several studies. This review uses the lens of SRC to illustrate the current understanding of irritability in psychopathology, discusses important gaps in the literature, and highlights new avenues for further research.
在青少年中，病理性易怒非常普遍且严重影响生活。作为一种常见症状，它常常导致被转介至儿童和青少年心理健康服务机构。自我调节控制（SRC）过程是一组社会心理生理过程，使个体能够适应不断变化的环境。这一概念框架可能会增进当前对易怒背后的认知、情感、行为和社会失调的理解。本系统综述（PROSPERO注册号：#CRD42022370390）旨在综合现有研究，这些研究从SRC过程的角度审视青少年（<18岁）的易怒情况。我们在六个书目数据库中进行了全面的文献检索：Embase.com、Medline ALL Ovid、APA PsycInfo Ovid、Web of Science核心合集、Cochrane系统评价数据库Wiley以及ProQuest学位论文与综合文摘库。还使用了引文追踪策略进行额外检索。检索到的报告共计2612份，其中我们纳入了来自74项研究的82篇（即文章）。超过85%的报告是在过去6年发表的，突出了这项工作的时效性。这些研究共抽取了n = 26764名参与者（n = 12384名女孩，n = 12905名男孩，n = 1475名无信息），平均年龄为8.08岁（标准差 = 5.26）。纳入的报告表明，易怒与较低的努力控制、较低的认知控制和延迟不耐受有关。此外，有证据表明易怒与缺乏积极和消极情绪（尤其是愤怒）的调节技能之间存在横断面和纵向关联。生理调节似乎会缓和易怒与精神病理学之间的关联。最后，几项研究已经证实了儿童易怒与养育方式之间的相互影响。本综述从SRC的角度阐述了当前对精神病理学中易怒的理解，讨论了文献中的重要空白，并突出了进一步研究的新途径。
