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Finding a Needed Diagnostic Home for Children with Impulsive Aggression.
Ekaterina Stepanova1, Joshua A Langfus2, Eric A Youngstrom3
1Virginia Commonwealth University, 1308 Sherwood Ave, Richmond, VA, 23220, USA. Ekaterina.Stepanova@vcuhealth.org.
Clinical Child and Family Psychology Review
|January 7, 2023
Summary
Diagnosing impulsive aggression in youth is difficult as current psychiatric criteria are inadequate. This study proposes new criteria to better identify and treat impulsive aggression in children and adolescents.
Area of Science:
- Child and Adolescent Psychiatry
- Developmental Psychology
- Behavioral Science
Background:
- Aggressive behavior is a primary reason for youth mental health referrals.
- Current diagnostic categories inadequately capture the complexity of impulsive aggression in youth.
- Existing criteria for psychiatric diagnoses often include only partial symptoms of aggression.
Purpose of the Study:
- To review current diagnostic categories for youth aggression.
- To highlight the limitations in diagnosing impulsive aggression (IA).
- To propose provisional diagnostic criteria for IA in youth.
Main Methods:
- Review of existing psychiatric diagnostic categories (behavioral and mood disorders).
- Focus on the construct of impulsive aggression (IA) as a distinct clinical entity.
- Development of initial, evidence-based criteria for IA.
Main Results:
- Current diagnostic frameworks do not sufficiently describe youth with IA.
- IA presents challenges for accurate clinical diagnosis and treatment.
- A distinct clinical entity of IA is proposed.
Conclusions:
- Existing diagnoses fail to adequately encompass youth with impulsive aggression.
- There is a need for a specific diagnostic approach for IA.
- Proposed provisional criteria aim to improve the evaluation of youth with IA.
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