Episodic rage of unknown etiology causes significant morbidity in children with Tourette's syndrome (TS). Using modified Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for intermittent explosive disorder (IED), we developed a screen and symptom questionnaire to explore rage attack phenomenology and to preliminarily investigate whether symptom clusters can identify clinical subgroups of TS children with rage attacks.
48 children with TS between ages 7 and 17 years consecutively presenting with rage attacks completed the Rage Attacks Screen and Questionnaire. Data was subjected to factor analysis. Cluster analytic procedures were used to identify clinical subgroups.
Final cluster solution revealed four homogeneous subgroups of TS children with rage who were differentiated by predominant clinical characteristics: specific urge resolution, environmentally secure reactivity, nonspecific urge resolution or labile nonresolving.
Episodic rage in TS has stereotypic features, but diverse and complex etiologies. Identifying particular symptom clusters may facilitate improved treatment strategies.
"Intense anger outbursts in response to trivial provocations may also persist across development and manifest across various psychiatric disorders. Due to an apparent lack of control, these behaviors have been referred to as rage attacks in severe mood dysregulation (Carlson 2007) and Tourette Syndrome (Budman et al. 2003) as well as meltdowns in children on the autism spectrum (Samson et al. 2015). "
"Although rage often occurs in response to frustration, rage is more severe and intense than typical 'tantrums', is inappropriate Contents lists available at ScienceDirect journal homepage: www.elsevier.com/locate/psychres given the child's age and developmental stage (Budman et al., 2003), and is often one of the factors precipitating treatmentseeking (Carlson et al., 2009; Potegal et al., 2009a). Misdiagnosis can occur in the context of rage given the focus on superficial behavioral issues to the exclusion of underlying triggers. "
"Le niveau de base s'échelonne sur au moins trois semaines, avant que la première rencontre de thérapie ne soit planifiée et les grilles utilisées pour l'évaluation de rappel sont envoyées par courrier au moins trois semaines avant la rencontre d'évaluation par questionnaires (trois mois après l'intervention). Les parents et l'enseignant de l'enfant complètent le Rage attacks questionnaire (RAQ) (Budman et al., 2003) en mesure pré, post et rappel (i.e., avant le niveau de base, après la huitième séance et trois mois après le traitement). Ce questionnaire de 22 articles ne comporte pas de résultat global, car il vise à explorer la phénoménologie des ÉE et à évaluer la présence ou l'absence de caractéristiques spécifiques (p. "
[Show abstract][Hide abstract] ABSTRACT: For children with Tourette syndrome (TS), explosive outbursts (EO) can be more disruptive than tics to the child's functioning. This study evaluated the effectiveness of an innovative cognitive-behavioral intervention for decreasing frequency and intensity of EO. Five boys and one girl ranging in age from 9 to 12 years took part in the study. EO frequency and intensity were measured by systematic observation of events and by questionnaire, while tics and child's psychosocial functioning were measured by questionnaires. The children showed trends towards decreased EO frequency post treatment but no changes in EO intensity. Statistical analysis and questionnaires results revealed no significant change. Qualitative information indicated a benefit to the families following therapy.
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