title: [Disruptive Mood Dysregulation Disorder: a controversial new diagnostic entity in the DSM-5].
abstract: The Disruptive Mood Dysregulation Disorder (DMDD) was included for the first time in the 5th Revision of the DSM. A transatlantic controversy surrounding the clinical picture and prevalence of early-onset bipolar disorder gave the occasion to develop a new diagnostic category in the chapter “Depressive Disorders” capturing a behavioral phenotype of non-episodic, chronic irritability and frequent temper tantrums. The present paper reviews the first available studies applying the new criteria. While DMDD can be clearly distinguished from bipolar disorder, preliminary evidence suggests a strong overlap with oppositional-defiant disorders (ODD). For the upcoming revision of the ICD it should be discussed to introduce a specifier indicating whether or not the presentation of ODD includes chronic irritability and anger, rather than establishing a new diagnosis. Regardless of the nosological categorization of the described behavioral phenotype main challenges represent a better understanding with regard to its etiology, developmental psychopathology and prognosis and the development of beneficial treatment options.
authors.affiliation: 1 LWL-Universitätsklinik Hamm der Ruhr-Universität Bochum, Klinik für Kinder- und Jugendpsychiatrie, Psychotherapie und Psychosomatik.
authors.forename: Sarah Maria
authors.initials: SM
authors.lastname: Birkle
authors.affiliation: 1 LWL-Universitätsklinik Hamm der Ruhr-Universität Bochum, Klinik für Kinder- und Jugendpsychiatrie, Psychotherapie und Psychosomatik.
authors.forename: Tanja
authors.initials: T
authors.lastname: Legenbauer
authors.affiliation: 2 Verhaltenstherapie-Ambulanz für Kinder und Jugendliche, Klinische Psychologie und Psychotherapie, Goethe-Universität, Frankfurt am Main.
authors.forename: Dörte
authors.initials: D
authors.lastname: Grasmann
authors.affiliation: 1 LWL-Universitätsklinik Hamm der Ruhr-Universität Bochum, Klinik für Kinder- und Jugendpsychiatrie, Psychotherapie und Psychosomatik.
authors.forename: Martin
authors.initials: M
authors.lastname: Holtmann
mesh_terms: D000293:Adolescent; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000145:classification* / Q000175:diagnosis* / Q000523:psychology*; D001714:Bipolar Disorder / Q000145:classification* / Q000175:diagnosis* / Q000523:psychology; D002648:Child; D003866:Depressive Disorder / Q000145:classification* / Q000175:diagnosis* / Q000523:psychology; D003937:Diagnosis, Differential; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005858:Germany; D006801:Humans; D007508:Irritable Mood; D011599:Psychopathology; D012106:Research
keywords: DSM-5; Disruptive Mood Dysregulation Disorder; chronic irritability; depression; oppositional disorder; temper outbursts