Retrofitting DSM-5 Diagnosis of DMDD From V-Disc Data
| DSM-5 Criteria | Retrofit from V-DISC |
|---|---|
| A. Severe recurrent temper tantrums manifested verbally and behaviorally grossly out of proportion in intensity or duration to the situation or provocation: | “About how often do you lose your temper?” answering “A few days a week.” or “Nearly every day.” |
| B. Temper outbursts inconsistent with developmental level | “About how often do you lose your temper?” answering “A few days a week” or “Nearly every day.” |
| C. Average, 3+ per week | “About how often do you lose your temper?” answering “A few days a week” or “Nearly every day.” |
| D. Irritable mood between outbursts | “In the past six months, have you been grouchy or easily annoyed?” Answering “Nearly every day.” |
| AND | AND |
| Angry mood between outbursts. | “In the past six months, have you been mad at people or things?” answering “Nearly every day” or “In the past six months, have you gotten angry because you've thought things were unfair?” answering “Nearly every day.” |
| E. Criteria A–D for 12+ months. | Data unavailable on V-DISC, which asks specifically about presence of criteria within the past six months. |
| F. Criteria A–D in at least two settings (home, school, or peers); severe in one. | Data unavailable on V-DISC. |
| G. Not >6 years old and not >18 years old. | Age is an inclusion parameter. |
| H. Age at onset A–E: <10 years. | Data unavailable on V-DISC. |
| I. Episodes of elated mood plus manic-specific symptoms lasting more than one day cannot be present. | Exclusion criteria included that DMDD cannot coexist with ODD, intermittent explosive disorder (IED), or bipolar disorder. |
| J. Symptoms are not occurring exclusively during a psychotic or mood disorder or are better accounted for by another disorder. | Data unavailable on V-DISC. |
| K. Not from effects of a substance. | Data unavailable on V-DISC. |