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Gepubliceerd in:

18-01-2024

Parent and Teacher Ratings of Tonic and Phasic Irritability in a Clinical Sample

Auteurs: Harriet DeGroot, Jamilah Silver, Daniel N. Klein, Gabrielle A. Carlson

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 6/2024

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Abstract

Research on tonic (persistently angry or grumpy mood) and phasic (temper tantrums/outbursts) irritability in youth has utilized community samples and information from parents and youth. We examined whether tonic and phasic irritability are empirically distinguishable and have similar correlates using teacher, in addition to parent, reports in a clinical sample of children and adolescents. The sample included youth aged 5–18 evaluated at a university outpatient clinic, with complete information from 2481 parents and 2449 teachers. We conducted confirmatory factor analysis (CFA) using items from several parent- and teacher-report inventories and examined concurrent associations with psychopathology and functioning. The CFA supported a two-factor model consistent with tonic and phasic irritability in both parent- and teacher-reports. Parent-reported tonic irritability was associated with higher rates of depression and anxiety disorders, suicidality, and antidepressant medication use. Teacher-reported tonic irritability was associated with elevated rates of depression and antidepressant use. Both parent- and teacher-reported phasic irritability were linked to higher rates of ADHD combined type, oppositional defiant/conduct disorders, and referral for rages. Parent- and teacher-reported tonic and phasic irritability were all associated with impaired social functioning. Parents and teachers can distinguish tonic and phasic irritability, which are associated with internalizing and externalizing problems, respectively. Findings were generally consistent across informants, and with prior studies using community samples.
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Metagegevens
Titel
Parent and Teacher Ratings of Tonic and Phasic Irritability in a Clinical Sample
Auteurs
Harriet DeGroot
Jamilah Silver
Daniel N. Klein
Gabrielle A. Carlson
Publicatiedatum
18-01-2024
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 6/2024
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-023-01151-z