Talk:Disruptive mood dysregulation disorder

Vioaltion against APAs copyright

Following link from APA says one need permission at first to reproduce DSM. Furthermore, it seems they only consider reproduction when it comes to password protected websites, or for educational purposes. Anyhow, I doubt there is any permission here.

https://www.appi.org/Support/Customer-Information/Permissions#Reprints

Redirect

The topic Disruptive Mood Dysregulation Disorder (DMDD) was redirected to the topic Childhood Bipolar Disorder. I deleted this redirect because DMDD is actually a different disorder than Bipolar Disorder. Then, I wrote new text for the topic of DMDD. I hope others find it useful. I will continue to work on this topic over the next few weeks.--Skinner's Pigeon (talk) 14:53, 25 March 2015 (UTC)

I have extensively worked on the page, but there are still quite a number of problems. Please have a close look at WP:MEDMOS, WP:MEDRS, WP:MSH and take note that we don't use the word "recently" on Wikipedia, as it becomes dated. Page numbers are needed on all book sources. We must take GREAT care in duplicating DSM criteria, as they guard copyright and have come after Wikipedia in the past. This article utilizes mostly primary sources, does not cite page numbers on books, and relies heavily on one source (the Weis book). I removed the 2000 Papolos book, and restructured the article to MEDMOS sections, along with copyediting and link fixing and other general cleanup. Other problems can be understood by stepping back through my edit summaries. Please include PMIDs on sources so others can more easily identify and deal with primary sources. SandyGeorgia (Talk) 20:42, 4 April 2015 (UTC)

Skinner's Pigeon, could you please identify any COI issues on your user page, particularly wrt WP:SELFCITE? Thanks, SandyGeorgia (Talk) 15:23, 9 April 2015 (UTC)

Edit to Treatment Section

This paragraph could be placed before the Medication and Psychosocial sections under Treatment. I think it should be listed first under Treatment since it is important to know that there have not been any established guidelines for treating the disorder, only treatment for some symptoms.

Since Disruptive Mood Dysregulation Disorder is new to DSM 5 there are not any thorough reviews or set guidelines for treating it. Therefore, treating the main symptoms (chronic irritability and aggression/outburst) individually has been the primary treatment option for this disorder. These symptoms also fall under the diagnostic criteria for Severe Mood Dysregulation which has treatment studies that can be compared for DMDD as well. However, clinical trials are still needed to effectively determine safe treatment options for DMDD specifically.

This article is a peer-review of studies from Pubmed, Medline, PsychINFO and PsychINDEXplus.PMID 26336379 Tourian, L., LeBoeuf, A., Breton, J., Cohen, D., Gignac, M., Labelle, R.. . Renaud, J. (2015). Treatment options for the cardinal symptoms of disruptive mood dysregulation disorder. Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal De l'Académie Canadienne De Psychiatrie De l'Enfant Et De l'Adolescent, 24(1), 41-54.

LauraDeem (talk) 05:48, 13 October 2015 (UTC)

Edit to Differential Diagnosis

It should be added that a DMDD was created by DSM-5 Work Groups in order to more properly diagnose children with "severe, nonepisodic irritable mood" who were previously being incorrectly diagnosed with Bipolar disorder. These Work Groups recognize the limited supporting evidence of a distinct DMDD diagnosis (talk) 00:29, 14 October 2015 (UTC)MwoodmanseeMwoodmansee (talk) 00:29, 14 October 2015 (UTC)

I definitely agree with you that it should be noted that DMDD was added to the DSM-5 in order to properly diagnose children with "sever nonepisodic irritable mood". It should also be noted that there was an increase in bipolar disorder diagnosis in children, which is also a reason behind the addition of DMDD. Another important factor, to possibly include is that although DMDD decreases the rate of diagnosis of bipolar disorder in children, it depends on if history or observation is used for diagnosis. Kcwiley12 (talk) 09:58, 5 December 2015 (UTC)

References

References

Unrelated sources

I'll be working on updating some of the sources and wording because some of the current references pre-date publication of DSM-5 and the finalized formulation for DMDD wasn't exactly the same as some of the earlier papers. Also, a couple of the sources don't mention DMDD at all and at least one of them pre-dates the development of the DMDD task force for the DSM-5 yet is used to support statements about specific symptoms and diagnosis. So I'll just be verifying all of the sources and updating the wording as I go. I'll probably go back and tweak the lead when I'm finished with the body. If anyone wants to help verify sources or has suggestions of better ones, that would be awesome. So far these 2 are definitely good:

• Diagnostic and statistical manual of mental disorders (DSM, 5th ed.). Washington, DC: American Psychiatric Association. 2013. ISBN 9780890425541.
• Weis, Robert (2014). Introduction to abnormal child and adolescent psychology (2nd ed.). Los Angeles, CA: SAGE. p. 477. ISBN 9781452225258.

It looks like some of the ones previously mentioned on this talkpage might be good too, so I'll check those out. —PermStrump(talk) 19:51, 29 May 2016 (UTC)

Wiki Education assignment: WikiProject Medicine Winter 2024 UCF COM

This article was the subject of a Wiki Education Foundation-supported course assignment, between 8 January 2024 and 2 February 2024. Further details are available on the course page. Student editor(s): Psyched 2024 (article contribs).

— Assignment last updated by Psyched 2024 (talk) 17:13, 9 January 2024 (UTC)

I posted the workplan below Psyched 2024 (talk) 20:49, 9 January 2024 (UTC)

Workplan

Summary: Planning on expanding a bit on this by including some of the signs and symptoms and some of the treatment options to give a more comprehensive overview

Diagnosis (*New Section*): Planning to add a section on the DSM-V criteria and any other well-established community consensus on Diagnosis.

Signs and symptoms: There is a sub-section here titled Note that I think can be distributed and possibly put into the separate epidemiology section. Most of this section will be absorbed into the Diagnosis section.

Minor edit: Making Comorbidity part from the Signs and Symptoms its own section.

Causes (*Minor Edit: Rename to Pathophysiology*): I would like to flush this out and look at the research to see what the different theories are on DMDD pathophysiology. Currently, the section focuses on only 1 citation.

Epidemiology: Move the Difference between typical irritability and severe irritability section likely into the diagnosis section. Look for more information because there is only 1 citation for this section. Psyched 2024 (talk) 20:44, 9 January 2024 (UTC)

Hey! You made some excellent edits to thus page that I think improved its readability and structure. Here are some of my peer review suggestions:

Summary:

-       Clear, succinct opening paragraph with appropriate references to updated DSM-V, particularly liked your inclusion of the article that distinguishes the changes that were made from the previous DSM

-       Medscape reference may not be the best since inaccessible unless reader creates an account

-       Enjoyed the simplicity of your description of the disorder and how it is different from bipolar disorder due to a lack of hypomanic/manic episodes

-       May benefit from a link to ‘mood disorder’ Wiki page in “DMDD first appeared as a disorder in the DSM-V in 2013[6] and is classified as a mood disorder.” for curious people

-       Made some edits -> Re-used your references to have one for every/every other statement

Diagnosis:

-       “DSM-V Diagnostic Criteria” -> Fantastic section addition with well-organized criteria that made it simple for me to follow along; Might even benefit from a chart to summarize criteria

-       “Evaluation” -> I would like to see an explanation of what kind of ‘professional/clinician’ has authority to make such a diagnosis to protect patients/patient guardians

Signs and symptoms:

-       Excellent organization of subsections, succinct information for each co-morbidity

-       Not sure if Wiki-links for each disorder/DSM-V required again since linked in summary paragraph but I left them in so we can ask about this

-       Mostly 2018+ & open access references used, nice!

-       “Children with MDD often present differently, however, with young children between the ages of 3 and 8 years old often presenting with somatic complaints (such as stomach aches), more irritability, symptoms of anxiety, general behavioral problems, and usually less of the typical depression and sadness commonly seen in adults.” -> consider chunking up into multiple sentences and stating plainly “MDD often presents differently when comparing children and adults”

Causes:

-       Excellent additions to this section with valuable, updated references; super interesting!

-       Consider Wiki-links to ‘Ellen Leibenlift’, ‘functional magnetic resonance imaging (fMRI)’ -> earlier use in first paragraph, ‘event-related potentials (ERP)’, & ‘magnetoencephalography’

-       Still may be appropriate to rename this section “Pathophysiology” (?)

Treatment:

-       ‘Psychotherapeutic’ -> “Because many youths with DMDD show problems with ADHD and ODD, experts initially tried to treat these children using contingency management, an intervention which involves teaching parents to reinforce children's appropriate behavior and extinguish (usually through systematic ignoring or time out) inappropriate behavior.” -> citation would be useful

-       Wiki-link to ‘Adlerian Play Therapy (AdPT)’ (?)

Epidemiology:

-       Not sure if link to ‘Epidemiological studies’ is indicated, but sentence it is used in could benefit from a citation

Other thoughts/comments:

-       Overall, a really interesting and understandable read, thanks for your contributions to this topic!! I definitely learned something

-       There were some grammatical errors & run-on sentences that could use shortening/simplification to adhere to readability guidelines

o   Example: “Previous studies have found an association between frequent and consistent irritability during early adolescence predicted ADHD developing in late adolescence.” -> “Previous studies have found an association between frequent and consistent irritability during early adolescence and the development of ADHD in late adolescence” or “Studies suggest frequent and consistent irritability during early adolescence may predict ADHD development in late adolescence.” Ssleeper37 (talk) 22:04, 30 January 2024 (UTC)

Hello @Ssleeper37, thanks for the wonderful feedback! I'll go through and address some of your comments (mine is in italics)

Summary:

-Regarding the Medscape article, I decided to keep it as a citation since it had pretty solid and unbiased information. We were also told that behind paywalls is okay, and I think for this information, it made sense to keep.

-Great suggestion on linking the mood disorder. I completed this.

Diagnosis:

-For the summarizing chart, I created an HTML table of the paragraph that I wrote in the Wikipedia page to avoid copyright issues. Great suggestion! I added it to that section.

-Addressed clarifying the professional/clinician by adding "usually a child psychiatrist and/or psychologist" in the first sentence of the section.

Signs and symptoms:

-Regarding the wiki-links, I tried to re-link them at least once in the main area for ease of access outside of the introduction. Open to having these removed.

-  “Children with MDD often present differently, however, with young children between the ages of 3 and 8 years old often presenting with somatic complaints (such as stomach aches), more irritability, symptoms of anxiety, general behavioral problems, and usually less of the typical depression and sadness commonly seen in adults.” -> consider chunking up into multiple sentences and stating plainly “MDD often presents differently when comparing children and adults” ----> Took this advice and rewrote to "MDD often presents differently when comparing children and adults. Young children between 3 and 8 years old present with somatic complaints (such as stomach aches), more irritability, symptoms of anxiety, general behavioral problems, and less of the typical sadness commonly seen in adults."

Causes:

- Consider Wiki-links to ‘Ellen Leibenlift’, ‘functional magnetic resonance imaging (fMRI)’ -> earlier use in first paragraph, ‘event-related potentials (ERP)’, & ‘magnetoencephalography’ -- Added the links, thank you!

- Wasn't sure about renaming it from causes to pathophysiology, so I'm glad you said something. I agree, and changed it.

Treatment:

- ‘Psychotherapeutic’ -> “Because many youths with DMDD show problems with ADHD and ODD, experts initially tried to treat these children using contingency management, an intervention which involves teaching parents to reinforce children's appropriate behavior and extinguish (usually through systematic ignoring or time out) inappropriate behavior.” -> citation would be useful ----> citation is after the next senetence (citation 6) because both sentences are from the same source. Thanks!

- Wiki-link to ‘Adlerian Play Therapy (AdPT)’ (?) --> I tried, but the wiki-page for this doesn't exist (nor does it exist just for Adlerian Play)

Epidemiology:

-Not sure if link to ‘Epidemiological studies’ is indicated, but sentence it is used in could benefit from a citation ---> citation is after the next senetence (citation 6) because both sentences are from the same source. Thanks!

Other thoughts/comments:

-Overall, a really interesting and understandable read, thanks for your contributions to this topic!! I definitely learned something

-There were some grammatical errors & run-on sentences that could use shortening/simplification to adhere to readability guidelines

o   Example: “Previous studies have found an association between frequent and consistent irritability during early adolescence predicted ADHD developing in late adolescence.” -> “Previous studies have found an association between frequent and consistent irritability during early adolescence and the development of ADHD in late adolescence” --> changed to this suggested sentence, thank you! Also made some other grammatical changes and shortened sentences.

Psyched 2024 (talk) 18:21, 31 January 2024 (UTC)

Images for page

@The Squirrel Conspiracy Hello! I saw you removed my image for "inappropriate fantasy art". Could you explain a little more what made it both inappropriate and fantasy? Also, what kind of images would you suggest adding instead?

Thank you! Psyched 2024 (talk) 17:42, 22 January 2024 (UTC)