Prevalence, stability, and predictive utility of the Multidimensional Assessment of Preschoolers Scales clinically optimized irritability score: Pragmatic early assessment of mental disorder risk.
Prevalence, stability, and predictive utility of the Multidimensional Assessment of Preschoolers Scales clinically optimized irritability score: Pragmatic early assessment of mental disorder risk.
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DOI：
10.1002/mpr.1991
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发表时间：
2023-11
影响因子：
3.1
通讯作者：
Wakschlag, Lauren S.
中科院分区：
文献类型：
--
作者：
Wiggins, Jillian Lee;Rosario, Ana Urena;MacNeill, Leigha A.;Krogh-Jespersen, Sheila;Briggs-Gowan, Margaret;Smith, Justin D.;Wakschlag, Lauren S.
表征幼儿易怒的范围和重要性对于在现实世界中实现这一可靠的跨诊断精神健康风险指标至关重要。因此，我们利用实用评估来确定临床意义的早期儿童易怒的患病率、稳定性和预测效用。数据包括两个独立的、多样化的学龄前儿童社区样本（N = 1857; N = 1490），其中一个子集的风险较高（N = 425），从幼儿期到青春期前（~ 4-9岁）进行纵向评估。一个有效的，简短的（2项）量表实用地评估临床显著的易怒。在纵向亚样本中，临床访谈评估内化/外化障碍。五分之一的学龄前儿童有临床显著的易怒，这是独立重复的。易怒在青春期前是高度稳定的。与没有临床意义的早期儿童易怒相比，早期发作、持续性内化/外化障碍的几率更大。实用评估有效地筛选出了低风险儿童，并确定了2/3的早发性持续性精神病理儿童。临床意义上的早期儿童易怒患病率与儿童肥胖患病率相似，可能需要类似的普遍筛查/干预。此外，易怒的稳定性证明了“他们会慢慢摆脱它”的普遍指导是错误的。最后，实用的易怒评估具有跨诊断的预测能力，并解决了对标记风险的可行措施的需求。
Characterizing the scope and import of early childhood irritability is essential for real‐world actualization of this reliable indicator of transdiagnostic mental health risk. Thus, we utilize pragmatic assessment to establish prevalence, stability, and predictive utility of clinically significant early childhood irritability. Data included two independent, diverse community samples of preschool age children (N = 1857; N = 1490), with a subset enriched for risk (N = 425) assessed longitudinally from early childhood through preadolescence (∼4–9 years old). A validated, brief (2‐item) scale pragmatically assessed clinically significant irritability. In the longitudinal subsample, clinical interviews assessed internalizing/externalizing disorders. One in five preschool‐age children had clinically significant irritability, which was independently replicated. Irritability was highly stable through preadolescence. Children with versus without clinically significant early childhood irritability had greater odds of early onset, persistent internalizing/externalizing disorders. The pragmatic assessment effectively screened out low‐risk children and identified 2/3 of children with early‐onset, persistent psychopathology. Clinically significant early childhood irritability prevalence is akin to the pediatric obesity epidemic and may warrant similar universal screening/intervention. Also, irritability's stability demonstrates the common guidance “they'll grow out of it” to be false. Finally, pragmatic irritability assessment has transdiagnostic predictive power and addresses a need for feasible measures to flag risk.
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影响因子：
4.8
作者：
Birmaher B;Ehmann M;Axelson DA;Goldstein BI;Monk K;Kalas C;Kupfer D;Gill MK;Leibenluft E;Bridge J;Guyer A;Egger HL;Brent DA
通讯作者：
Brent DA
影响因子：
3.1
作者：
Hirsch, Emily;Alam, Tasmia;Kirk, Nathan;Bevans, Katherine B.;Briggs-Gowan, Margaret;Wakschlag, Lauren S.;Wiggins, Jillian L.;Roy, Amy K.
通讯作者：
Roy, Amy K.
DOI：
10.1146/annurev-clinpsy-032816-044941
发表时间：
2017-01-01
期刊：
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, VOL 13
影响因子：
--
作者：
Brotman, Melissa A.;Kircanski, Katharina;Leibenluft, Ellen
通讯作者：
Leibenluft, Ellen
影响因子：
3.7
作者：
Wakschlag, Lauren S;Krogh-Jespersen, Sheila;Estabrook, Ryne;Hlutkowsky, Christina O;Anderson, Erica L;Burns, James;Briggs-Gowan, Margaret J;Petitclerc, Amelie;Perlman, Susan B
通讯作者：
Perlman, Susan B
影响因子：
120.7
作者：
Grossman, David C.;Bibbins-Domingo, Kirsten;Tseng, Chien-Wen
通讯作者：
Tseng, Chien-Wen