Underlying mechanisms of disruptive mood dysregulation disorder in children: A systematic review by means of research domain criteria

Abstract Background A systematic overview of underlying mechanisms in the new disruptive mood dysregulation disorder (DMDD) diagnosis is needed. The Research Domain Criteria (RDoC) represent a system of six domains of human functioning, which aims to structure the understanding of the nature of ment...

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Main Authors: Astrid Brænden, Pål Zeiner, Marit Coldevin, Jan Stubberud, Annika Melinder
Format: Article
Language:English
Published: Wiley 2022-03-01
Series:JCPP Advances
Subjects:
Online Access:https://doi.org/10.1002/jcv2.12060
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author Astrid Brænden
Pål Zeiner
Marit Coldevin
Jan Stubberud
Annika Melinder
author_facet Astrid Brænden
Pål Zeiner
Marit Coldevin
Jan Stubberud
Annika Melinder
author_sort Astrid Brænden
collection DOAJ
description Abstract Background A systematic overview of underlying mechanisms in the new disruptive mood dysregulation disorder (DMDD) diagnosis is needed. The Research Domain Criteria (RDoC) represent a system of six domains of human functioning, which aims to structure the understanding of the nature of mental illnesses. By means of the RDoC framework, the objective of this systematic review is to synthesize available data on children and youths <18 years suffering from DMDD as reported in peer reviewed papers. Methods A literature search guided by PRISMA was conducted using Medline, PsychInfo, and Embase, while the RDoC domains were employed to systematize research findings. Risk of bias in the included studies was examined. Results We identified 319 studies. After study selection, we included 29 studies. Twenty‐one of these had findings relating to >1 RDoC domain. The risk of bias assessment shows limitations in the research foundation of current knowledge on mechanisms of DMDD. Discussion Reviewing self‐report, behavior and neurocircuit findings by means of RDoC domains, we suggest that DMDD youths have a negative interpretation bias in social processes and valence systems. In occurrence of a negative stimuli interpretation, aberrant cognitive processing may arise. However, current knowledge of DMDD is influenced by lack of sample diversity and open science practices. Conclusion We found the six RDoC domains useful in structuring current evidence of the underlying mechanisms of DMDD. Important opportunities for future studies in this field of research are suggested. In clinical practice, this comprehensive summary on DMDD mechanisms can be used in psychoeducation and treatment plans.
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spelling doaj.art-1308bba92b9649c1be74883bd3697bec2022-12-22T00:04:54ZengWileyJCPP Advances2692-93842022-03-0121n/an/a10.1002/jcv2.12060Underlying mechanisms of disruptive mood dysregulation disorder in children: A systematic review by means of research domain criteriaAstrid Brænden0Pål Zeiner1Marit Coldevin2Jan Stubberud3Annika Melinder4Department of Child and Adolescent Psychiatry Oslo University Hospital Oslo NorwayChild and Adolescent Mental Health Research Unit, Department of Research and Innovation Oslo University Hospital Oslo NorwayNic Waals Institute Lovisenberg Diaconal Hospital Oslo NorwayDepartment of Research Lovisenberg Diaconal Hospital Oslo NorwayDepartment of Child and Adolescent Psychiatry Oslo University Hospital Oslo NorwayAbstract Background A systematic overview of underlying mechanisms in the new disruptive mood dysregulation disorder (DMDD) diagnosis is needed. The Research Domain Criteria (RDoC) represent a system of six domains of human functioning, which aims to structure the understanding of the nature of mental illnesses. By means of the RDoC framework, the objective of this systematic review is to synthesize available data on children and youths <18 years suffering from DMDD as reported in peer reviewed papers. Methods A literature search guided by PRISMA was conducted using Medline, PsychInfo, and Embase, while the RDoC domains were employed to systematize research findings. Risk of bias in the included studies was examined. Results We identified 319 studies. After study selection, we included 29 studies. Twenty‐one of these had findings relating to >1 RDoC domain. The risk of bias assessment shows limitations in the research foundation of current knowledge on mechanisms of DMDD. Discussion Reviewing self‐report, behavior and neurocircuit findings by means of RDoC domains, we suggest that DMDD youths have a negative interpretation bias in social processes and valence systems. In occurrence of a negative stimuli interpretation, aberrant cognitive processing may arise. However, current knowledge of DMDD is influenced by lack of sample diversity and open science practices. Conclusion We found the six RDoC domains useful in structuring current evidence of the underlying mechanisms of DMDD. Important opportunities for future studies in this field of research are suggested. In clinical practice, this comprehensive summary on DMDD mechanisms can be used in psychoeducation and treatment plans.https://doi.org/10.1002/jcv2.12060childcomorbiditydisruptive mood dysregulation disorder (DMDD)irritabilitymechanismsRDoC
spellingShingle Astrid Brænden
Pål Zeiner
Marit Coldevin
Jan Stubberud
Annika Melinder
Underlying mechanisms of disruptive mood dysregulation disorder in children: A systematic review by means of research domain criteria
JCPP Advances
child
comorbidity
disruptive mood dysregulation disorder (DMDD)
irritability
mechanisms
RDoC
title Underlying mechanisms of disruptive mood dysregulation disorder in children: A systematic review by means of research domain criteria
title_full Underlying mechanisms of disruptive mood dysregulation disorder in children: A systematic review by means of research domain criteria
title_fullStr Underlying mechanisms of disruptive mood dysregulation disorder in children: A systematic review by means of research domain criteria
title_full_unstemmed Underlying mechanisms of disruptive mood dysregulation disorder in children: A systematic review by means of research domain criteria
title_short Underlying mechanisms of disruptive mood dysregulation disorder in children: A systematic review by means of research domain criteria
title_sort underlying mechanisms of disruptive mood dysregulation disorder in children a systematic review by means of research domain criteria
topic child
comorbidity
disruptive mood dysregulation disorder (DMDD)
irritability
mechanisms
RDoC
url https://doi.org/10.1002/jcv2.12060
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