The Role of Irritability in the Treatment of Behavior Disorders: A Review of Theory, Research, and a Proposed Framework.
Dimensions
Emotion socialization
Irritability
Oppositional defiant disorder
Treatment
Journal
Clinical child and family psychology review
ISSN: 1573-2827
Titre abrégé: Clin Child Fam Psychol Rev
Pays: United States
ID NLM: 9807947
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
pubmed:
9
1
2019
medline:
9
4
2020
entrez:
9
1
2019
Statut:
ppublish
Résumé
Research provides strong evidence that the symptoms of Oppositional Defiant Disorder (ODD) are comprised of at least two dimensions: irritability and defiance. Given that these two dimensions have distinct etiologies and long-term risk profiles, they may also warrant different treatment approaches. In particular, impaired emotion regulation plays a central role in the irritable dimension of ODD. As such, this subgroup of youth and their families may benefit from greater consideration of and attention to emotion-focused strategies than is standard in traditional Behavioral Parent Training (BPT) approaches. In support of this hypothesis, this review will (1) examine the etiological models guiding the theoretical approach to standard BPT; (2) evaluate theory and research on emotion socialization broadly and its role in the etiology and maintenance of irritability in children with BDs; (3) propose an emotion socialization-based etiological model for the irritable dimension of child oppositionality; and (4) argue for the use of emotion-focused parent training in the treatment of such youth. Clinical implications, gaps in the current state of the literature, and future directions for research will also be discussed.
Identifiants
pubmed: 30617935
doi: 10.1007/s10567-018-00272-y
pii: 10.1007/s10567-018-00272-y
pmc: PMC6634978
mid: NIHMS1524943
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
197-207Subventions
Organisme : NIMH NIH HHS
ID : R01 MH100377
Pays : United States
Organisme : NIMH NIH HHS
ID : R21 MH113887
Pays : United States
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