Defining and measuring irritability: Construct clarification and differentiation.

Abstract:

:Irritability is a symptom of 15 disorders in the DSM-5 and is included in Mood Disorders, Addictive Disorders, Personality Disorders, and more (American Psychiatric Association, 2013). However, the term irritability is defined and measured inconsistently in the scholarly literature. In this article, we reviewed the scholarly definitions of irritability and the item content of irritability measures. Components of definitions and items measuring irritability were divided into three categories: a) causes, b) experience, and c) consequences. We also reviewed potential causes and biomarkers of irritability. We found much overlap between definitions and measures of irritability and related constructs such as anger and aggression. Consequently, the validity of research on irritability needs to be questioned including the role of irritability in psychopathology and the presence of irritability as a symptom in any disorder. Research on irritability's role in behavioral disorders needs to be repeated after more well defined measures are developed. We proposed a more precise definition of irritability that clearly differentiates it from related constructs. Suggested items for measuring irritability are also provided.

journal_name

Clin Psychol Rev

authors

Toohey MJ,DiGiuseppe R

doi

10.1016/j.cpr.2017.01.009

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

93-108

eissn

0272-7358

issn

1873-7811

pii

S0272-7358(15)30145-8

journal_volume

53

pub_type

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