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Editorial
. 2022 May;61(5):610-611.
doi: 10.1016/j.jaac.2022.02.001. Epub 2022 Feb 10.

Editorial: The Boundaries of Irritability and Implications for Measurement

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Editorial

Editorial: The Boundaries of Irritability and Implications for Measurement

Carla A Mazefsky. J Am Acad Child Adolesc Psychiatry. 2022 May.

Abstract

Irritability is a defining feature or symptom in at least 15 DSM-5 disorders,1 and this does not even account for many more disorders that commonly co-occur with irritability. However, just as the transdiagnostic nature of irritability supports its unequivocal importance in child mental health, it also contributes to criticisms that it is "ubiquitous."2 How to conceptualize the role of irritability in psychopathology rests on our ability to define it and its boundaries. Unfortunately, there is a lack of consensus on the definition of irritability. In fact, how to disentangle irritability's mood and behavioral components has been described as one of the biggest challenges related to irritability research.3 This editorial is a commentary on Zik et al.'s4 study, which takes an emprical approach to determine the overlap between questionnaire measures of irritability, anger, and aggression, thereby informing our conceptualization of irritabiltiy and focusing attention on critical measurement issues such as the impact of informant.

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Conflict of interest statement

Disclosure: Dr. Mazefsky has reported no biomedical financial interests or potential conflicts of interest.

Comment on

References

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    1. Fristad MA. Commentary: What to do with irritability? Do not give it a new diagnostic home—a commentary on Evans et al. J Child Psychol Psychiatry. 2020;62:313–315. - PubMed
    1. Carlson GA, Klein DN. Frying pan to fire? Commentary on Practitioner Review: definition, recognition and treatment challenges of irritability in young people. J Child Psychol Psychiatry Allied Discip. 2018;59:740. - PubMed
    1. Zik J, Deveney CM, Ellingson JM, et al. Understanding irritability in relation to anger, aggression, and informant in a pediatric clinical population. J Am Acad Child Adolesc Psychiatry. 2022;61:711–720. 10.1016/j.jaac.2021.08.012 - DOI - PMC - PubMed
    1. Stoddard J, Zik J, Mazefsky CA, DeChant B, Gabriels R. The internal structure of the Aberrant Behavior Checklist Irritability Subscale: implications for studies of irritability in treatment-seeking youth with autism spectrum disorders. Behav Ther. 2020;51:310–319. - PMC - PubMed

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