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06-02-2021 | Original Article

Understanding Phasic Irritability: Anger and Distress in Children’s Temper Outbursts

Auteurs: Emily Hirsch, Kaley Davis, Zihuan Cao, Amy Krain Roy

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 2/2022

Abstract

Pediatric irritability can be highly impairing and is implicated in adverse outcomes. The phasic component, characterized by temper outbursts, is a frequent impetus to seek treatment. This study tested whether a previously described anger-distress model of tantrums applies to an outpatient sample of school-age children with clinically impairing temper outbursts (TO; 5.0–9.9 years; N = 86), and examined the clinical relevance of resulting factors through associations with measures of psychopathology, and differences between children with TO and two groups without: children with ADHD (n = 60) and healthy controls (n = 45). Factor analyses established a three-factor model: High Anger, Low Anger, Distress. These factors had unique associations with measures of irritability, externalizing problems, and internalizing problems in the TO group. Additionally, an interaction between groups and outburst factors emerged. Results provide evidence for the presence and clinical utility of the anger-distress model in children’s outbursts and suggest avenues for future pediatric irritability research.

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Titel: Understanding Phasic Irritability: Anger and Distress in Children’s Temper Outbursts
Auteurs: Emily Hirsch
Kaley Davis
Zihuan Cao
Amy Krain Roy
Publicatiedatum: 06-02-2021
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development / Uitgave 2/2022
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-021-01126-5

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