Disruptive mood dysregulation disorder, parental stress, and attachment styles

Disruptive mood dysregulation disorder (DMDD) is a relatively new diagnostic entity concerning children with chronic irritability and severe anger outbursts. Currently, there is limited knowledge about the parental factors associated with the disorder. The aim of this study was to compare stress lev...

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Main Authors: Marit Coldevin, Astrid Brænden, Pål Zeiner, Anne-Siri Øyen, Annika Melinder, Jan E. Stubberud
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-07-01
Series:Frontiers in Child and Adolescent Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/frcha.2024.1430850/full
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author Marit Coldevin
Marit Coldevin
Astrid Brænden
Pål Zeiner
Pål Zeiner
Anne-Siri Øyen
Annika Melinder
Jan E. Stubberud
author_facet Marit Coldevin
Marit Coldevin
Astrid Brænden
Pål Zeiner
Pål Zeiner
Anne-Siri Øyen
Annika Melinder
Jan E. Stubberud
author_sort Marit Coldevin
collection DOAJ
description Disruptive mood dysregulation disorder (DMDD) is a relatively new diagnostic entity concerning children with chronic irritability and severe anger outbursts. Currently, there is limited knowledge about the parental factors associated with the disorder. The aim of this study was to compare stress levels and attachment styles in parents of children with DMDD with those of parents of children with other diagnoses. Our sample consisted of 218 children (6–12 years, Mage = 9.68 years) referred to child mental health outpatient clinics. Clinicians used a standardized semi-structured diagnostic interview to identify diagnoses. Parental stress levels and attachment styles were assessed using parent reports. We found that parents of children with DMDD experience significantly higher levels of parenting stress related to factors in the child than parents of children with other diagnoses. Furthermore, parents of children with DMDD show a higher association with insecure adult attachment styles than parents of children without DMDD. Finally, an adult preoccupied-ambivalent attachment style explains the variability in parental stress in the DMDD group to a large degree. We discuss how parental stress and an insecure attachment style can be associated with negative parenting practices. An implication from this study could be that treatment results might be improved by involving parents more in treatment programs for children with DMDD.
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spelling doaj-art-691fd8f3e3ff42a899bfc290afd6e04d2025-01-20T15:22:19ZengFrontiers Media S.A.Frontiers in Child and Adolescent Psychiatry2813-45402024-07-01310.3389/frcha.2024.14308501430850Disruptive mood dysregulation disorder, parental stress, and attachment stylesMarit Coldevin0Marit Coldevin1Astrid Brænden2Pål Zeiner3Pål Zeiner4Anne-Siri Øyen5Annika Melinder6Jan E. Stubberud7Lovisenberg Diaconal Hospital, Nic Waals Institute, Oslo, NorwayDepartment of Psychology, University of Oslo, Oslo, NorwayDivision of Mental Health and Addiction, Oslo University Hospital, Oslo, NorwayDepartment of Psychology, University of Oslo, Oslo, NorwayDivision of Mental Health and Addiction, Oslo University Hospital, Oslo, NorwayLovisenberg Diaconal Hospital, Nic Waals Institute, Oslo, NorwayDepartment of Psychology, University of Oslo, Oslo, NorwayDepartment of Psychology, University of Oslo, Oslo, NorwayDisruptive mood dysregulation disorder (DMDD) is a relatively new diagnostic entity concerning children with chronic irritability and severe anger outbursts. Currently, there is limited knowledge about the parental factors associated with the disorder. The aim of this study was to compare stress levels and attachment styles in parents of children with DMDD with those of parents of children with other diagnoses. Our sample consisted of 218 children (6–12 years, Mage = 9.68 years) referred to child mental health outpatient clinics. Clinicians used a standardized semi-structured diagnostic interview to identify diagnoses. Parental stress levels and attachment styles were assessed using parent reports. We found that parents of children with DMDD experience significantly higher levels of parenting stress related to factors in the child than parents of children with other diagnoses. Furthermore, parents of children with DMDD show a higher association with insecure adult attachment styles than parents of children without DMDD. Finally, an adult preoccupied-ambivalent attachment style explains the variability in parental stress in the DMDD group to a large degree. We discuss how parental stress and an insecure attachment style can be associated with negative parenting practices. An implication from this study could be that treatment results might be improved by involving parents more in treatment programs for children with DMDD.https://www.frontiersin.org/articles/10.3389/frcha.2024.1430850/fullDMDDsevere irritability in childrenparental attachment styleparental stressfamily risk factors
spellingShingle Marit Coldevin
Marit Coldevin
Astrid Brænden
Pål Zeiner
Pål Zeiner
Anne-Siri Øyen
Annika Melinder
Jan E. Stubberud
Disruptive mood dysregulation disorder, parental stress, and attachment styles
Frontiers in Child and Adolescent Psychiatry
DMDD
severe irritability in children
parental attachment style
parental stress
family risk factors
title Disruptive mood dysregulation disorder, parental stress, and attachment styles
title_full Disruptive mood dysregulation disorder, parental stress, and attachment styles
title_fullStr Disruptive mood dysregulation disorder, parental stress, and attachment styles
title_full_unstemmed Disruptive mood dysregulation disorder, parental stress, and attachment styles
title_short Disruptive mood dysregulation disorder, parental stress, and attachment styles
title_sort disruptive mood dysregulation disorder parental stress and attachment styles
topic DMDD
severe irritability in children
parental attachment style
parental stress
family risk factors
url https://www.frontiersin.org/articles/10.3389/frcha.2024.1430850/full
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