Prevalence and clinical correlates of intermittent explosive disorder in Turkish psychiatric outpatients

Gelegen, Volkan; Tamam, Lut

doi:10.1016/j.comppsych.2018.03.003

Cited by 8 publications

(5 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A substantial prevalence of DSM-5 oriented IED (36%) was found in the present sample compared to rates reported in general population, psychiatric patient, or other offender samples [ 34 , 35 , 57 , 78 ]. This finding indicates that IED is common among young offenders and merits more scientific consideration.…”

Section: Discussioncontrasting

confidence: 58%

“…However, it is possible that the prevalence found in the present study might be over-estimated at least to some extent due to bias in self-report in contrast to external clinical judgment. Yet, reliance on DSM-5 has been proposed to lead to a higher IED prevalence than earlier considerations of DSM-IV criteria [ 78 ]. In addition, young offenders in the present study showed elevated rates of further internalizing and externalizing problems; as found in previous research, externalizing problems reached clinical significance more often than internalizing problems, whereas the latter was still common, highlighting the necessity not to neglect those impairments in offender samples [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

ADHD symptom profiles, intermittent explosive disorder, adverse childhood experiences, and internalizing/externalizing problems in young offenders

Barra

Turner

Müller

et al. 2020

Eur Arch Psychiatry Clin Neurosci

View full text Add to dashboard Cite

Attention-deficit/hyperactivity disorder (ADHD) and co-existing psychiatric/psychological impairments as well as adverse childhood experiences (ACEs) are common among young offenders. Research on their associations is of major importance for early intervention and crime prevention. Intermittent explosive disorder (IED) warrants specific consideration in this regard. To gain sophisticated insights into the occurrence and associations of ADHD, IED, ACEs, and further psychiatric/psychological impairments in young (male and female) offenders, we used latent profile analysis (LPA) to empirically derive subtypes among 156 young offenders who were at an early stage of crime development based on their self-reported ADHD symptoms, and combined those with the presence of IED. We found four distinct ADHD subtypes that differed rather quantitatively than qualitatively (very low, low, moderate, and severe symptomatology). Additional IED, ACEs, and further internalizing and externalizing problems were found most frequently in the severe ADHD subtype. Furthermore, females were over-represented in the severe ADHD subtype. Finally, ACEs predicted high ADHD symptomatology with co-existing IED, but not without IED. Because ACEs were positively associated with the occurrence of ADHD/IED and ADHD is one important risk factor for on-going criminal behaviors, our findings highlight the need for early identification of ACEs and ADHD/IED in young offenders to identify those adolescents who are at increased risk for long-lasting criminal careers. Furthermore, they contribute to the debate about how to best conceptualize ADHD regarding further emotional and behavioral disturbances.

show abstract

Section: Discussioncontrasting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

ADHD symptom profiles, intermittent explosive disorder, adverse childhood experiences, and internalizing/externalizing problems in young offenders

Barra

Turner

Müller

et al. 2020

Eur Arch Psychiatry Clin Neurosci

View full text Add to dashboard Cite

show abstract

“…Our finding that IED comorbidity in patients with OCD may predict SA with machine learning analysis reinforces the relationship between the cited conditions. The association of IED with suicidality has been found in other studies, independently of OCD comorbidity (Gelegen & Tamam, 2018; Lee et al, 2007). A community-based survey found that impulse-control disorders were strongly associated with SA (Lee et al, 2007).…”

Section: Discussionsupporting

confidence: 65%

“…A community-based survey found that impulse-control disorders were strongly associated with SA (Lee et al, 2007). Likewise, in a cross-sectional study, the lifetime prevalence of IED was 2.7 times higher among those with lifetime SA (Gelegen & Tamam, 2018). We hypothesized that impulsive and disruptive behavior can contribute to the association with suicidal phenomena in this group of patients.…”

Section: Discussionmentioning

confidence: 95%

Predictors of suicide attempt in patients with obsessive-compulsive disorder: an exploratory study with machine learning analysis

et al. 2020

View full text Add to dashboard Cite

Background Patients with obsessive-compulsive disorder (OCD) are at increased risk for suicide attempt (SA) compared to the general population. However, the significant risk factors for SA in this population remains unclear – whether these factors are associated with the disorder itself or related to extrinsic factors, such as comorbidities and sociodemographic variables. This study aimed to identify predictors of SA in OCD patients using a machine learning algorithm. Methods A total of 959 outpatients with OCD were included. An elastic net model was performed to recognize the predictors of SA among OCD patients, using clinical and sociodemographic variables. Results The prevalence of SA in our sample was 10.8%. Relevant predictors of SA founded by the elastic net algorithm were the following: previous suicide planning, previous suicide thoughts, lifetime depressive episode, and intermittent explosive disorder. Our elastic net model had a good performance and found an area under the curve of 0.95. Conclusions This is the first study to evaluate risk factors for SA among OCD patients using machine learning algorithms. Our results demonstrate an accurate risk algorithm can be created using clinical and sociodemographic variables. All aspects of suicidal phenomena need to be carefully investigated by clinicians in every evaluation of OCD patients. Particular attention should be given to comorbidity with depressive symptoms.

show abstract

“…ADHD and externalizing disorders: Common externalizing disorders comorbid with ADHD include ODD and Conduct disorder (CD). Newer diagnostic categories like Disruptive Mood Dysregulation Disorder (DMDD) and Intermittent Explosive Disorder (IED) have also been shown to exist comorbidly with ADHD[31,32]. It is demonstrated that 30%-50% children with ADHD also fulfill criteria for CD or ODD.…”

Section: Adhd and Comorbiditymentioning

confidence: 99%

Attention deficit hyperactivity disorder and comorbidity: A review of literature

Gnanavel

Sharma

Kaushal

et al. 2019

WJCC

148

View full text Add to dashboard Cite

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder with onset in early childhood. It is a clinically heterogenous condition with comorbidity posing a distinct challenge to diagnosing and managing these children and adolescents. This review aims to provide an overview of comorbidity with ADHD including other neurodevelopmental disorders, learning disorders, externalising and internalising disorders. Challenges in screening for, diagnosing and managing comorbidity with ADHD are summarised. Also, methodological challenges and future directions in research in this interesting field are highlighted.

show abstract

Prevalence and clinical correlates of intermittent explosive disorder in Turkish psychiatric outpatients

Cited by 8 publications

References 27 publications

ADHD symptom profiles, intermittent explosive disorder, adverse childhood experiences, and internalizing/externalizing problems in young offenders

ADHD symptom profiles, intermittent explosive disorder, adverse childhood experiences, and internalizing/externalizing problems in young offenders

Predictors of suicide attempt in patients with obsessive-compulsive disorder: an exploratory study with machine learning analysis

Attention deficit hyperactivity disorder and comorbidity: A review of literature

Contact Info

Product

Resources

About