Temper Tantrums in Healthy Versus Depressed and Disruptive Preschoolers: Defining Tantrum Behaviors Associated with Clinical Problems

Belden, Andy C.; Thomson, Nicole Renick; Luby, Joan L.

doi:10.1016/j.jpeds.2007.06.030

Cited by 87 publications

(77 citation statements)

References 7 publications

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“…Furthermore, preschool psychiatric disorders mediated relations between adversity and physical health, suggesting a strong influence of early-symptoms on co-occurring and later physical health problems. In addition, preschoolers in this study were grouped according to the intensity of their tantrum behavior: normative, excessive without aggression, and excessive with aggression 68 . Preschoolers with a diagnosis of MDD were much more likely to engage in self-injurious behavior during a tantrum episode than healthy preschoolers as well as preschoolers with other disruptive behavior diagnoses.…”

Section: Factors Associated With Preschool Depressionmentioning

confidence: 99%

Depression and Anxiety in Preschoolers

Whalen

Sylvester

Luby

2017

Child and Adolescent Psychiatric Clinics of North America

Self Cite

101

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Synopsis This article reviews recent empirical literature on the prevalence, correlates, assessment, and treatment of preschool-onset internalizing disorders. Major advances in the acceptance and recognition of both preschool-onset depression and anxiety have occurred over the past decade. This work has been greatly enhanced by the discovery of genetic, neural, and physiological indicators, which further validate these constellations of symptoms in young children. Despite this growth in research, much work still needs to be done to further elucidate the etiology, risk treatment and protective factors for preschool-onset internalizing disorders.

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Section: Factors Associated With Preschool Depressionmentioning

confidence: 99%

Depression and Anxiety in Preschoolers

Whalen

Sylvester

Luby

2017

Child and Adolescent Psychiatric Clinics of North America

Self Cite

101

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“…59 These qualities, including intensity of anger expressions, destructive tantrums, and difficulty recovering, have been linked to clinical problems in young children. 10,[59][60][61] Frequency, although important, is not in and of itself a key indicator of disorder in young children. Likely a combination of both developmentally inappropriate frequency of tantrums (determined across the preschool-age range) in addition to the quality of the tantrum can best help determine whether a tantrum of particular preschool child is concerning.…”

Section: Temper Lossmentioning

confidence: 99%

Viewing Preschool Disruptive Behavior Disorders and Attention-Deficit/Hyperactivity Disorder Through a Developmental Lens: What We Know and What We Need to Know

Chacko

Wakschlag

Hill

et al. 2009

Child and Adolescent Psychiatric Clinics of North America

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“…5–7 Recent work lays the foundation for making such normal to abnormal differentiations in early childhood. 8,9 For example, we have defined a developmentally based irritability spectrum using the Temper Loss scale of the Multidimensional Assessment Profile of Disruptive Behavior (MAP-DB) questionnaire (this scale was originally titled the “Multidimensional Assessment of Preschool Disruptive Behavior” but has since been renamed to reflect its use and validation across a broader age range) in a prior unselected sample. 10 This psychometric work lays the foundation for the present clinical validation study.…”

Section: Introductionmentioning

confidence: 99%

Clinical Implications of a Dimensional Approach: The Normal:Abnormal Spectrum of Early Irritability

Wakschlag

Estabrook²,

Petitclerc³

et al. 2015

Journal of the American Academy of Child & Adolescent Psych

160

209

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Objective The importance of dimensional approaches is widely recognized, but an empirical base for clinical application is lacking. This is particularly true for irritability, a dimensional phenotype that cuts across many areas of psychopathology and manifests early in life. We examine longitudinal, dimensional patterns of irritability and their clinical import in early childhood. Method Irritability was assessed longitudinally over an average of 16 months in a clinically enriched diverse community sample of preschoolers (N=497; M=4.2 years; SD=0.8). Using the Temper Loss scale of the Multidimensional Assessment Profile of Disruptive Behavior (MAP-DB) as a developmentally sensitive indicator of early childhood irritability, we examined its convergent/divergent, clinical and incremental predictive validity, and modeled its linear and nonlinear associations with clinical risk. Results The Temper Loss scale demonstrated convergent and divergent validity to child and maternal factors. In multivariate analyses, Temper Loss predicted mood (separation anxiety disorder [SAD], generalized anxiety disorder [GAD], and depression/dysthymia) and disruptive (oppositional defiant disorder [ODD], attention-deficit/hyperactivity disorder [ADHD], and conduct disorder [CD]) symptoms. Preschoolers with even mildly elevated Temper Loss scale scores showed substantially increased risk of symptoms and disorders. For ODD, GAD, SAD, and depression, increases in Temper Loss scale scores at the higher end of the dimension had a greater impact on symptoms relative to increases at the lower end. Temper Loss scale scores also showed incremental validity over DSM-IV disorders in predicting subsequent impairment. Finally, accounting for the substantial heterogeneity in longitudinal patterns of Temper Loss significantly improved prediction of mood and disruptive symptoms. Conclusion Dimensional, longitudinal characterization of irritability informs clinical prediction. A vital next step will be empirically generating parameters for incorporation of dimensional information into clinical decision-making with reasonable certainty.

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Temper Tantrums in Healthy Versus Depressed and Disruptive Preschoolers: Defining Tantrum Behaviors Associated with Clinical Problems

Abstract: These findings provide preliminary guidelines to parents, teachers, and practitioners in identifying tantrum behaviors that may be markers of a psychiatric disorder and therefore require mental health referral.

Cited by 87 publications

References 7 publications

Depression and Anxiety in Preschoolers

Depression and Anxiety in Preschoolers

Viewing Preschool Disruptive Behavior Disorders and Attention-Deficit/Hyperactivity Disorder Through a Developmental Lens: What We Know and What We Need to Know

Clinical Implications of a Dimensional Approach: The Normal:Abnormal Spectrum of Early Irritability

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