International Journal of Mental Health & PsychiatryISSN: 2471-4372

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Research Article, Int J Ment Health Psychiatry Vol: 2 Issue: 2

Mother, Father, and Teacher Agreement on Disruptive Mood Dysregulation Disorder Symptoms in Children with Psychiatric Disorders

Susan Dickerson Mayes*, James D. Waxmonsky, Daniel A. Waschbusch, Richard E. Mattison, Raman Baweja, Usman Hameed and Ehsan Syed
Department of Psychiatry, Penn State College of Medicine, Hershey, PA, USA
Corresponding author : Susan D. Mayes, PhD
Department of Psychiatry H073, Hershey Medical Center, 500 University Dr. Hershey, PA 17033
Tel: (717) 531-6201
Fax: (717) 531-6250
E-mail: [email protected]
Received: January 19, 2016 Accepted: April 29, 2016 Published: May 04, 2016
Citation: Mayes SD, Waxmonsky JD, Waschbusch DA, Mattison RE, Baweja R, et al. (2016) Mother, Father, and Teacher Agreement on Disruptive Mood Dysregulation Disorder Symptoms in Children with Psychiatric Disorders. Int J Ment Health Psychiatry 2:2. doi:10.4172/2471-4372.1000123


Objective: Disruptive Mood Dysregulation Disorder (DMDD) was established as a new DSM-5 disorder despite little published research, and there are no studies investigating agreement between informants on the presence of DMDD symptoms. Methods: Mothers, fathers, and teachers rated DMDD symptoms (irritable-angry mood and temper outbursts) in 768 children with psychiatric disorders ages 6-16.

Results: Mother and father ratings were similar, but parent-teacher agreement was poor. Mothers and fathers identified a substantially higher percentage of children with DMDD symptoms (30% and 25%) than did teachers (12%).

Conclusion: Our findings are consistent with previous studies demonstrating that parents perceive more externalizing and internalizing symptoms in their children than do teachers. This has implications for interpreting mother, father, and teacher report, which is particularly important for disorders like DMDD that have DSM-5 cross-setting diagnostic requirements. Given our findings, it seems prudent to obtain ratings from both parents and teachers and recognize that parents are likely to report greater DMDD symptoms than teachers.

Keywords: Disruptive mood dysregulation disorder; Irritable-angry; Temper; Psychiatric disorders; Parent-teacher agreement

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