tailieunhanh - Báo cáo y học: "Irritable mood and the Diagnostic and Statistical Manual of Mental Disorders"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Irritable mood and the Diagnostic and Statistical Manual of Mental Disorders. | Child and Adolescent Psychiatry and Mental Health BioMed Central Open Access Irritable mood and the Diagnostic and Statistical Manual of Mental Disorders Daniel J Safer Address Departments of Psychiatry and Pediatrics Johns Hopkins University School of Medicine Baltimore Maryland USA Email Daniel J Safer - dsafer@ Published 24 October 2009 Received 13 October 2009 Child and Adolescent Psychiatry and Mental Health 2009 3 35 doi l753-2000-3-35 Accepted 24 October 2009 This article is available from http content 3 1 35 2009 Safer licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background The terms irritable mood and irritability have been applied to describe and define a variety of different categories in the Diagnostic and Statistical Manual of Mental Disorders DSM . More precise diagnostic terms and concepts are needed. Methods A concise critical historical review of DSM categories characterized by irritability anger and aggression is presented followed by recommendations. Results This analysis describes the broad ranging and imprecise use of the term irritability since the first DSM in 1952. A more age-appropriate and functional realignment of psychiatric categories linked to dysfunctional anger is suggested. Among other recommendations this realignment would remove irritability as a problematic definer in the present DSM mood categories expand oppositional defiant disorder to include adults link the callous unemotional subtype of conduct disorder in adolescents to antisocial personality disorder move intermittent explosive disorder to an appropriate category and expand the term mood to apply also to dysfunctional anger and anxiety. Conclusion The non-specific term irritability .