Is the distinction between tonic and phasic irritability meaningful in 3-year-old children?
Irritability encompasses both normative misbehavior in early childhood and clinically significant problems across development. Recent studies have distinguished between tonic (i.e., persistently angry or grumpy mood) and phasic (i.e., temper tantrums or outbursts) forms of irritability and shown tha...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 32; no. 9; pp. 1755 - 1764 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=170716026&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 170716026 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Sep2023 vid: 32 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 170716026 156699875 170716026 170716026 10.1007/s00787-022-01995-8 170716026 ppf: 1755 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Is the distinction between tonic and phasic irritability meaningful in 3-year-old children? aug: au: Silver, Jamilah Bufferd, Sara J. Dougherty, Lea R. Goldstein, Brandon L. Carlson, Gabrielle A. Klein, Daniel N. affil: Department of Psychology, Stony Brook University, 11794, Stony Brook, NY, USA sug: subj: Anger Diagnosis Affective Disorders Classification Child Behavior Disorders Diagnosis Human Child, Preschool Psychopathology Child Adolescence Factor Analysis Parental Attitudes Disruptive Behavior Generalized Anxiety Disorder Funding Source Semi-Structured Interview Child Behavior Checklist Checklists Questionnaires Scales DSM Depression Anxiety Attention Deficit Hyperactivity Disorder Parenting Data Analysis Software Linear Regression Impulsive Behavior Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years ab: Irritability encompasses both normative misbehavior in early childhood and clinically significant problems across development. Recent studies have distinguished between tonic (i.e., persistently angry or grumpy mood) and phasic (i.e., temper tantrums or outbursts) forms of irritability and shown that they have different implications for psychopathology and functioning. However, data on this distinction in young (i.e., preschool aged) children are nonexistent. We utilized data from a longitudinal study of a community sample of 462 3-year-olds followed to age 15. We conducted confirmatory factor analysis (CFA) using items from a diagnostic interview and several parent-report inventories and examined concurrent and prospective associations with clinically relevant variables. The CFA identified dimensions consistent with tonic and phasic irritability. Tonic irritability was independently associated with concurrent parent-reported temperamental negative affectivity and surgency, and depressive and oppositional defiant (ODD) disorders, and predicted higher rates of disruptive behavior disorders (DBD) and suicidal behavior in later childhood and adolescence. Phasic irritability was independently associated with concurrent laboratory observations of child impulsivity, parent-reported temperamental negative affectivity, surgency, and low effortful control, maladaptive parenting, and generalized anxiety disorder (GAD), attention-deficit hyperactivity disorder (ADHD), and ODD, but it did not predict later psychopathology. Tonic and phasic irritability are separable in 3-year-old children, but their correlates and outcomes are not as distinct as in older youth. This may reflect the greater difficulty characterizing normative and pathological irritability in the preschool period. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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