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Early Predictors and Concurrent Correlates of Tonic and Phasic Irritability in Adolescence.
Sorcher, Leah K; Silver, Jamilah; Chad-Friedman, Emma; Carlson, Gabrielle A; Klein, Daniel N; Dougherty, Lea R.
Afiliación
  • Sorcher LK; Department of Psychology, University of Maryland College Park, College Park, MD, 20742, USA. lsorcher@umd.edu.
  • Silver J; Department of Psychology, Stony Brook University, Stony Brook, NY, USA.
  • Chad-Friedman E; Department of Psychology, University of Maryland College Park, College Park, MD, 20742, USA.
  • Carlson GA; Department of Psychiatry, Stony Brook University School of Medicine, Stony Brook, NY, USA.
  • Klein DN; Department of Psychology, Stony Brook University, Stony Brook, NY, USA.
  • Dougherty LR; Department of Psychology, University of Maryland College Park, College Park, MD, 20742, USA.
Res Child Adolesc Psychopathol ; 52(7): 1105-1117, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38478358
ABSTRACT
Irritability is a common presenting problem in youth mental health settings that is thought to include two components tonic (e.g., irritable, touchy mood) and phasic (e.g., temper outbursts), each with unique correlates and outcomes, including later internalizing and externalizing problems, respectively. However, we are unaware of any studies of early predictors of tonic and phasic irritability. We utilized data from a longitudinal study of a community sample of 3-year-old children followed to age 15 (n = 444). We conducted confirmatory factor analysis (CFA) of items from several self-report irritability measures at age 15, including the Affective Reactivity Index, the International Personality Item Pool, the Schedule for Non-Adaptive and Adaptive Personality Youth Version, and the Child Depression Inventory, and examined their early childhood predictors. The CFA identified dimensions consistent with tonic and phasic irritability. Tonic irritability at age 15 was uniquely associated with concurrent internalizing disorders and suicidal behavior while phasic irritability was uniquely associated with concurrent externalizing disorders. When adolescent tonic and phasic irritability were examined together, female sex and parental depressive and substance use disorders at age 3 uniquely predicted adolescent tonic irritability. Additionally, male sex, less parental education, greater laboratory-observed anger and impulsivity, ODD symptoms, higher irritability, and no parental substance use history at age 3 uniquely predicted adolescent phasic irritability. Youth-reported tonic and phasic irritability at age 15 appear to be distinguishable constructs with distinct concurrent correlates and early antecedents. Findings have important implications for research on the etiology of irritability and developing effective treatments.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Genio Irritable Límite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Res Child Adolesc Psychopathol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Genio Irritable Límite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Res Child Adolesc Psychopathol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos