A Review of the Evidence Base for Psychosocial Interventions for the Treatment of Emotion Dysregulation in Children and Adolescents

Waxmonsky, James G.; Baweja, Raman; Bansal, Pevitr S.; Waschbusch, Daniel A.

doi:10.1016/j.chc.2021.04.008

Cited by 21 publications

(6 citation statements)

References 61 publications

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“…There is evidence from reviews of psychosocial interventions that CBT is effective for reducing irritability in youth across diagnoses that CBT is effective for these purposes ( 39 ). CBT has been found to be effective for improving depression in teens with comorbid ADHD ( 40 ) and CBT is being adapted to specifically target irritability in youth ( 11 , 41 ). As such, exploring the efficacy of CBT as a standalone intervention and add on to pharmacological interventions among adolescents with ADHD is a critical area for future research.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, although Vidal-Ribas et al provided a conceptual and quantitative review on the status of irritability in psychiatry, they did not discuss the effectiveness of existing treatments ( 9 ). Beyond these irritability specific review articles, several recent reviews have discussed psychosocial interventions for the treatment of emotion dysregulation ( 10 , 11 ), a broader transdiagnostic factor that is related but not identical to irritability; however, these have encompassed a wide range of studies, most of which did not assess ADHD, and such reviews do not provide direct insight into which interventions are effective at reducing irritability specifically in ADHD. Given prior evidence that evidence-based treatments for ADHD are associated with smaller treatment effects for irritability than for ADHD symptoms ( 12 ), it is critical to offer a detailed synthesis of existing pharmacological and non-pharmacological interventions within this population.…”

Section: Introductionmentioning

confidence: 99%

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A Mini-Review of Pharmacological and Psychosocial Interventions for Reducing Irritability Among Youth With ADHD

et al. 2022

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Approximately a third of children and adolescents with attention-deficit/hyperactivity disorder (ADHD) experience significant irritability; despite this, no study has reviewed whether interventions for youth with ADHD can improve irritability. This mini review sought to address this gap in the literature by discussing existing pharmacological and psychosocial interventions for irritability among children and adolescents with ADHD. A literature search was conducted in April 2021, with a total of 12 intervention articles identified (six pharmacological, one psychosocial, five combined). Studies were excluded if they did not involve an intervention, a measure of irritability, or the population was not youth with ADHD. Of these articles, two were with an ADHD only sample; seven included ADHD with comorbid disruptive behavior, disruptive mood dysregulation disorder (DMDD), or severe mood dysregulation (SMD); and three included ADHD with comorbid autism spectrum disorder (ASD). Findings suggest that central nervous system stimulants used alone or in combination with behavior therapy are effective at reducing irritability in youth with ADHD only or comorbid ADHD and DMDD/SMD. Less evidence was found for the efficacy of guanfacine and atomoxetine for youth with ADHD only or comorbid ADHD and ASD. Parent training alone or in combination with atomoxetine was found to be effective at reducing irritability in youth with comorbid ADHD and ASD. Future research assessing the efficacy of other psychosocial interventions, particularly cognitive behavioral therapy is necessary, as are randomized trials assessing intervention sequencing and intensity among youth with ADHD. Researchers are advised to utilize well-validated measures of irritability in future research.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Mini-Review of Pharmacological and Psychosocial Interventions for Reducing Irritability Among Youth With ADHD

et al. 2022

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“…This pattern suggests that early childhood dysregulation is closely related to proneness to negative affect. It is also supported by work showing age-related change in regulatory capacities (Ratcliff et al, 2021) and the wide-ranging effects of dysregulated behavior and affect (Waxmonsky et al, 2021). Finally, all three factors of the PFC-S correlated significantly and positively with caregiver-reported depression scores, alluding to the transmission of depressive symptoms and dysregulated behavior and affect between caregivers and children (Gotlib, Goodman, & Humphreys, 2020).…”

Section: Factor Correlationsmentioning

confidence: 59%

Dimensions of Depressive Symptoms in Young Children: Factor Analysis of the Preschool Feelings Checklist-Scale

Camacho¹,

Fowler²,

Gaffrey

2022

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The Preschool Feelings Checklist – Scale (PFC-S) is a caregiver-report measure of early childhood depressive symptom severity. To date, the PFC-S has been conceptualized as a unidimensional measure. However, its symptom severity scores also predict a wide range of emotional and behavioral problems throughout childhood and adolescence. This suggests that the PFC-S may be better represented by a multidimensional structure encompassing various features of depression. We investigated the factor structure of the PFC-S using factor analytic procedures (CFA/EFA) with data from caregivers (92% mothers) of 450 young children, ages 4-8 years (M = 5.62, SD = 0.95; 49% Female; 7% Hispanic; 66% white). Results of a CFA indicated that a one-factor structure of the PFC-S did not adequately represent the data in the current sample. Two, three, and four-factor structures were investigated using EFA. The three-factor structure emerged as the most interpretable and structurally sound solution, yielding factors related to Anhedonia, Dysregulation, and Guilt-Sadness. Initial construct validity of these factors was demonstrated by correlations between the factors’ mean composite scores and measures of parental depressive symptoms and children’s emotion regulation, approach and inhibition, and negative and positive affect. These results provide initial evidence for a multidimensional structure of the PFC-S and improve our understanding of early childhood depressive symptoms.

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“…Healthcare professionals should understand that health risks and problem behaviors may cluster together, and consider screening for both binge eating and physical violence perpetration when one or both are present. Utilizing targeted interventions aimed at increasing emotion regulation and impulse control capabilities with clients may be warranted to prevent or reduce both binge eating and physical violence perpetration [47]. Additionally, public health programs and institutions of higher education should consider the overlapping nature of mental health problems and interpersonal violence to inform and tailor student health and mental health supports (e.g., information regarding healthy living behaviors and coping, support for eating disorders) and violence prevention efforts (e.g., de-escalation techniques, education on healthy relationships).…”

Section: Discussionmentioning

confidence: 99%

Association between binge eating and physical violence perpetration among U.S. college students

2022

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Background To date, no known research has explored the link between binge eating and physical violence perpetration despite overlapping psychological constructs that underpin these behaviors (i.e., emotion regulation difficulties, impulsivity). Therefore, this study aimed to determine the association between binge eating and self-reported physical violence perpetration. Methods Cross-sectional data from four survey years (2016–2020) of the national (U.S.) Healthy Minds Study (N = 6210) were analyzed. Unadjusted (Independent samples t test) and adjusted (logistic regression) analyses were conducted to determine the associations between binge eating in the past four weeks and violence perpetration in the past 12 months, while adjusting for potential confounders. Results The unadjusted mean number of days of binge eating was significantly higher among participants who reported physical violence perpetration (M = 2.6, SD = 5.2) compared to those who did not (M = 1.8, SD = 3.7). Logistic regression analysis demonstrated that each additional day of binge eating was associated with 5% higher odds (95% confidence interval 1.02–1.09) of self-reported physical violence perpetration, while adjusting for potential confounders. Conclusions Results from this study are the first known to identify an association between binge eating and physical violence perpetration among U.S. college students. Findings are supported by the potential mechanistic overlap of emotion regulation and impulsivity associated with both binge eating and violence perpetration, underscoring the need for more research.

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A Review of the Evidence Base for Psychosocial Interventions for the Treatment of Emotion Dysregulation in Children and Adolescents

Cited by 21 publications

References 61 publications

A Mini-Review of Pharmacological and Psychosocial Interventions for Reducing Irritability Among Youth With ADHD

A Mini-Review of Pharmacological and Psychosocial Interventions for Reducing Irritability Among Youth With ADHD

Dimensions of Depressive Symptoms in Young Children: Factor Analysis of the Preschool Feelings Checklist-Scale

Association between binge eating and physical violence perpetration among U.S. college students

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