Evidence map›Paper›PMID 34481916›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2022

Preschool Irritability Predicts Adolescent Psychopathology and Functional Impairment: A 12-Year Prospective Study.

Leah K Sorcher, Brandon L Goldstein, Megan C Finsaas, Gabrielle A Carlson, Daniel N Klein, Lea R Dougherty

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Genetic and Environmental Influences on the Development of Irritability from Ages 3 to 5 Years.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Leah K SorcherUniversity of Maryland, College Park.
Brandon L GoldsteinUniversity of Connecticut School of Medicine, Farmington.
Megan C FinsaasColumbia University Mailman School of Public Health, New York.
Gabrielle A CarlsonStony Brook University School of Medicine, New York.
Daniel N KleinStony Brook University, New York.
Lea R DoughertyUniversity of Maryland, College Park. Electronic address: ldougher@umd.edu.
Stony Brook University · USUniversity of Maryland, College Park · USColumbia University · USUniversity of Connecticut · US

Funding

Temperamental Low PE in Preschoolers and Depression RiskR01MH069942 · NIMH · STATE UNIVERSITY NEW YORK STONY BROOK · PI KLEIN, DANIEL N · 2004 to 2023
$14.2M
RESEARCH TRAINING PROGRAM IN PSYCHIATRIC EPIDEMIOLOGYT32MH013043 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Katherine M. Keyes · 1985 to 2026
$11.7M
Neural mechanisms of risk and resilience in early childhood irritability (Diversity Supplement - E. Peterson)R01MH121385 · NIMH · SAN DIEGO STATE UNIVERSITY · PI DOUGHERTY, LEA R, WIGGINS, JILLIAN LEE · 2020 to 2024
$3.7M
Neural mechanisms of risk for irritability across the transition to adolescenceR01MH122487 · NIMH · SAN DIEGO STATE UNIVERSITY · PI DOUGHERTY, LEA R, WIGGINS, JILLIAN LEE · 2021 to 2025
$1.8M
NIMH NIH HHS R01 MH069942NIMH NIH HHS R01 MH121385NIMH NIH HHS R01 MH122487NIMH NIH HHS T32 MH013043
6 · The paper itself

Abstract

objectiveThe long-term clinical and functional outcomes of preschool-age irritability are unknown. This study examined longitudinal associations of preschool irritability with psychiatric disorders and functional impairment assessed in adolescence in a large community sample.

methodA total of 453 children were assessed at age 3 and again at ages 12 and/or 15. At age 3, parents were interviewed about their child's irritability, other psychiatric symptoms, and functional impairment with the Preschool Age Psychiatric Assessment (PAPA). In adolescence, both parents and youths were interviewed with the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime (K-SADS-PL) to assess youth psychopathology and functional impairment; youths also completed the UCLA Life Stress Interview (LSI) to assess different domains of functioning. Lastly, youths and parents completed the Children's Depression Inventory 2 (CDI 2) and the Screen for Child Anxiety Related Disorders (SCARED).

resultsIrritability at age 3 predicted internalizing and externalizing disorders in adolescence; parent-reported anxiety and depressive symptoms; and greater functional impairment, including poorer peer functioning, poorer physical health, and antidepressant and educational service use, even after controlling for baseline psychiatric disorders. All longitudinal associations persisted after further adjusting for well-established early life risk markers for psychopathology.

conclusionThe findings of this study underscore the clinical significance and predictive power of preschool irritability and provide support for its use in large-scale identification and intervention efforts.

Indexed as

Irritable MoodMental DisordersAdolescentAnxiety DisordersChildChild, PreschoolHumansProspective StudiesPsychiatric Status Rating Scalesadolescenceirritabilitylongitudinalmood dysregulationpreschool

Identifiers

PMID34481916
PMCPMC9951107
OpenAlexW3196699601

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.