Rages or Temper Tantrums? The Behavioral Organization, Temporal Characteristics, and Clinical Significance of Angry-Agitated Outbursts in Child Psychiatry Inpatients

Autor/inn/en	Potegal, Michael; Carlson, Gabrielle; Margulies, David; Gutkovitch, Zinoviy; Wall, Melanie
Titel	Rages or Temper Tantrums? The Behavioral Organization, Temporal Characteristics, and Clinical Significance of Angry-Agitated Outbursts in Child Psychiatry Inpatients
Quelle	In: Child Psychiatry and Human Development, 40 (2009) 4, S.621-636 (16 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0009-398X
DOI	10.1007/s10578-009-0148-7
Schlagwörter	Factor Structure; Psychiatry; Clinical Diagnosis; Patients; Multivariate Analysis; Psychological Patterns; Psychiatric Hospitals; Age Differences; Anxiety; Cognitive Processes; Pervasive Developmental Disorders + Suchen Sie Ihr Suchwort? Faktorenstruktur; Psychiatrie; Patient; Multivariate Analyse; Phsychiatric institution; Psychiatrische Einrichtung; Age; Difference; Age difference; Altersunterschied; Angst; Cognitive process; Kognitiver Prozess
Abstract	Angry, agitated outbursts (AAOs) are a common precipitant of children's psychiatric hospitalization. In the hospital, AAOs present both management and diagnostic challenges, e.g., while they have recently been described as manic "rages", older studies suggest that they may be exacerbated temper tantrums. Factor analyses of 109 AAOs had by 46 hospitalized 4-12 year olds yielded 3 subsets of behaviors expressing different intensities of anger and 2 subsets expressing different intensities of distress (sadness). Cluster analysis of behavior time course supported the anger-distress distinction; the former behaviors are most probable at AAO onset and then decline while the latter are more evenly distributed across the outburst. Age trends, factor structure, and temporal organization of AAOs all indicate that they are exacerbated tantrums. The AAOs of children with anxiety or PDD diagnoses showed significantly more distress relative to anger. AAOs have clinical implications; their particular characteristics may have diagnostic significance. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10