Exploring temperament and sleep patterns in disruptive mood dysregulation disorder among children and adolescents: implications for clinical practice.
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| Title: | Exploring temperament and sleep patterns in disruptive mood dysregulation disorder among children and adolescents: implications for clinical practice. |
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| Authors: | Abursu, Helin (AUTHOR), Ceylan, Mehmet Fatih (AUTHOR), Tural Hesapcıoglu, Selma (AUTHOR) |
| Source: | Nordic Journal of Psychiatry. Feb2025, Vol. 79 Issue 2, p128-135. 8p. |
| Subjects: | Sleep quality, Sleep, Sleep disorders, Reward (Psychology), Mental depression |
| Abstract: | Background: Disruptive Mood Dysregulation Disorder (DMDD), characterized by severe irritability and temper outbursts, is a relatively new diagnosis included in the DSM-5. The study aimed to investigate the clinical characteristics, temperament, comorbidities, medication use, and sleep quality of children and adolescents diagnosed with DMDD and compare them with Major Depressive Disorder (MDD). Methods: A total of 233 participants (DMDD: n = 106; MDD: n = 127) were assessed using the K-SADS-PL. Evaluation tools included the Children's Temperament and Character Inventory, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Strengths and Difficulties Child and Parent Form, Children's Depression Inventory for children, and sociodemographic form. Results: The DMDD group scored significantly lower in harm avoidance, reward dependence, and cooperation than the MDD group (p ≤ 0.001, p ≤ 0.02, p ≤ 0.002, respectively). DMDD exhibits significantly lower levels of social skill-related temperament traits, such as empathy, compassion, and helpfulness. Furthermore, a higher proportion of patients in the DMDD group received antipsychotic, mood stabilizer, and stimulant medications during treatment. Conclusion: Children and adolescents diagnosed with DMDD demonstrated significantly lower scores in anticipatory worry, fear of uncertainty, shyness, fatigability, sentimentality, dependence, empathy, and helpfulness compared to those with MDD. Conversely, they exhibited higher levels of impulsiveness, disorderliness, and self-acceptance. These findings underscore the necessity of evaluating and enhancing social skills and reward sensitivity in the clinical management of DMDD, as these distinct psychological and behavioral profiles suggest the need for more tailored therapeutic approaches. [ABSTRACT FROM AUTHOR] |
| Copyright of Nordic Journal of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 183596804 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Exploring temperament and sleep patterns in disruptive mood dysregulation disorder among children and adolescents: implications for clinical practice. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Abursu%2C+Helin%22">Abursu, Helin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ceylan%2C+Mehmet+Fatih%22">Ceylan, Mehmet Fatih</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tural+Hesapcıoglu%2C+Selma%22">Tural Hesapcıoglu, Selma</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Nordic+Journal+of+Psychiatry%22">Nordic Journal of Psychiatry</searchLink>. Feb2025, Vol. 79 Issue 2, p128-135. 8p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Sleep+quality%22">Sleep quality</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep%22">Sleep</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+disorders%22">Sleep disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Reward+%28Psychology%29%22">Reward (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Disruptive Mood Dysregulation Disorder (DMDD), characterized by severe irritability and temper outbursts, is a relatively new diagnosis included in the DSM-5. The study aimed to investigate the clinical characteristics, temperament, comorbidities, medication use, and sleep quality of children and adolescents diagnosed with DMDD and compare them with Major Depressive Disorder (MDD). Methods: A total of 233 participants (DMDD: n = 106; MDD: n = 127) were assessed using the K-SADS-PL. Evaluation tools included the Children's Temperament and Character Inventory, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Strengths and Difficulties Child and Parent Form, Children's Depression Inventory for children, and sociodemographic form. Results: The DMDD group scored significantly lower in harm avoidance, reward dependence, and cooperation than the MDD group (p ≤ 0.001, p ≤ 0.02, p ≤ 0.002, respectively). DMDD exhibits significantly lower levels of social skill-related temperament traits, such as empathy, compassion, and helpfulness. Furthermore, a higher proportion of patients in the DMDD group received antipsychotic, mood stabilizer, and stimulant medications during treatment. Conclusion: Children and adolescents diagnosed with DMDD demonstrated significantly lower scores in anticipatory worry, fear of uncertainty, shyness, fatigability, sentimentality, dependence, empathy, and helpfulness compared to those with MDD. Conversely, they exhibited higher levels of impulsiveness, disorderliness, and self-acceptance. These findings underscore the necessity of evaluating and enhancing social skills and reward sensitivity in the clinical management of DMDD, as these distinct psychological and behavioral profiles suggest the need for more tailored therapeutic approaches. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Nordic Journal of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/08039488.2025.2455079 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 128 Subjects: – SubjectFull: Sleep quality Type: general – SubjectFull: Sleep Type: general – SubjectFull: Sleep disorders Type: general – SubjectFull: Reward (Psychology) Type: general – SubjectFull: Mental depression Type: general Titles: – TitleFull: Exploring temperament and sleep patterns in disruptive mood dysregulation disorder among children and adolescents: implications for clinical practice. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Abursu, Helin – PersonEntity: Name: NameFull: Ceylan, Mehmet Fatih – PersonEntity: Name: NameFull: Tural Hesapcıoglu, Selma IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 02 Text: Feb2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 08039488 Numbering: – Type: volume Value: 79 – Type: issue Value: 2 Titles: – TitleFull: Nordic Journal of Psychiatry Type: main |
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