易怒
心理学
神经认知
精神病理学
侵略
发展性精神病理学
焦虑
背景(考古学)
临床心理学
发展心理学
精神科
认知
生物
古生物学
作者
Ellen Leibenluft,Joel Stoddard
出处
期刊:Development and Psychopathology
[Cambridge University Press]
日期:2013-11-01
卷期号:25 (4pt2): 1473-1487
被引量:227
标识
DOI:10.1017/s0954579413000722
摘要
Chronic, severe irritability is common in childhood and is very impairing. Furthermore, childhood irritability predicts suicidality, social impairment, and depressive and anxiety disorders in adulthood. Focusing on both normative and pathologic development, we review the construct of irritability from its origins in aggression and disruptive behavior research to its contemporary relevance for affective psychopathology. We then describe two broad neurocognitive systems that show promise in differentiating irritable from nonirritable youths: aberrant processing of emotional stimuli and impaired context-sensitive regulation. We suggest behavioral, neurocognitive, and physiologic measures that may aid in studying severe irritability and assessing its therapeutics. Finally, we argue for therapeutic trials targeting severe irritability that address emotional aspects of irritability in addition to the associated disruptive behavior.
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