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[Intermittent Explosive Disorder: A Controversial Diagnosis].

Juan Pablo Zapata1, Juan David Palacio1

  • 1Departamento de Psiquiatría, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.

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|August 30, 2016
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Summary

Intermittent explosive disorder (IED) is characterized by recurrent aggression episodes. Despite its impact, scientific literature on IED is limited, highlighting a need for more research and replication of findings.

Keywords:
AggressionAgresividadBibliometricsBibliometríaImpulse control disorderIntermittent explosive disorderTrastorno explosivo intermitenteTrastornos del control de impulsos

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Area of Science:

  • Psychiatry
  • Behavioral Sciences
  • Medical Literature Analysis

Background:

  • Intermittent explosive disorder (IED) is an externalizing disorder marked by recurrent aggression.
  • Despite being described decades ago, IED has limited scientific literature and significant personal/social consequences.
  • Bibliographic production concerning IED is notably scarce.

Purpose of the Study:

  • To conceptualize Intermittent Explosive Disorder (IED).
  • To conduct a review and bibliometric analysis of existing scientific articles on IED.
  • To analyze the available literature to better understand the disorder's characteristics and research landscape.

Main Methods:

  • Searched databases using terms like "intermittent explosive disorder" and "impulse disorders control [MeSH]."
  • Conducted a bibliometric analysis using the GoPubMed® search engine on retrieved data.
  • Systematically reviewed and analyzed scientific articles to gather information on IED.

Main Results:

  • IED prevalence is estimated between 1.4% and 7%, often appearing in middle adolescence with greater impact on males.
  • The core of IED involves impulsive aggressive behavior triggered by minor stimuli.
  • Most IED publications originate from the United States (56.56%) and are often single-authored.

Conclusions:

  • Characterization of subjects with IED episodes is possible but requires replication across diverse populations.
  • The limited and recent scientific output on IED suggests potential diagnostic uncertainties.
  • Further research is needed to validate IED diagnostic criteria and expand understanding globally.