Validity of the new A1 and A2 criteria for DSM-5 intermittent explosive disorder
Validity of the new A1 and A2 criteria for DSM-5 intermittent explosive disorder
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DOI：
10.1016/j.comppsych.2013.09.007
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发表时间：
2014-02-01
影响因子：
7.3
通讯作者：
McCloskey, Michael S.
中科院分区：
文献类型：
--
作者：
Coccaro, Emil F.;Lee, Royce;McCloskey, Michael S.
自第一版以来，冲动性攻击障碍就被收录在《精神障碍诊断与统计手册》（DSM）中。在该手册中，这种障碍被编为间歇性爆发性障碍（IED），并且被认为是罕见的。然而，IED的DSM诊断标准可操作性差，对IED的实证研究也很有限，直到过去十年制定了研究标准才有所改善。随后，对冲动性攻击障碍重新产生的兴趣引发了最近一系列基于社区的研究，这些研究现在已经证明IED与许多其他精神障碍一样常见。最近的研究表明，IED的核心（A标准）可以通过确定高频/低强度攻击性爆发（A(1)）和低频/高强度爆发（A(2)）的新标准来界定。本文介绍了有关IED的现象学、共病情况/病程与A(1)和A(2)标准相关的新数据。结合对先前发表的关于有反复性、问题性冲动性攻击个体的家族史、生物标志物和治疗反应的数据的重新分析，这些数据为DSM - 5中IED的A(1)和A(2)标准提供了实证支持。（C）2014爱思唯尔公司。保留所有权利。
A disorder of impulsive aggression has been in the Diagnostic and Statistical Manual for Mental Disorders (DSM) since the first edition. In this disorder was codified as Intermittent Explosive Disorder (IED) and was thought to be rare. However, DSM criteria for IED were poorly operationalized and empiric research in IED was limited until the past decade when research criteria were developed. Subsequently, renewed interest in disorders of impulsive aggression led to a recent series of community based studies that have now documented IED to be as common as many other psychiatric disorders. Recent research indicates that the core of LED (A criteria) can be captured with new criteria that identify high frequency/low intensity aggressive outbursts (A(1)) and low frequency/hi intensity outbursts (A(2)). This paper presents new data regarding the phenomenology, comorbidity/life course of IED as a function of A(1) and A(2) criteria. Together with reanalysis of previously published data regarding family history, biomarkers, and treatment response in individuals with recurrent, problematic, impulsive aggression, these data provide empirical support for both A(1) and A(2) criteria for DSM-5 TED. (C) 2014 Elsevier Inc. All rights reserved.