Evidence map›Paper›PMID 37800620›Full record

ArticleInternational journal of methods in psychiatric research2023

Characterizing the spectrum of irritability in preadolescence: Dimensional and pragmatic applications.

Tasmia Alam, Nathan Kirk, Emily Hirsch, Margaret Briggs-Gowan, Lauren S Wakschlag, Amy Krain Roy, Jillian Lee Wiggins

Open access · goldAbstract read
In one paragraph

Article in International journal of methods in psychiatric research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
5.3field-weighted citation impact, top 4% 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

14 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Article
  3. Sex-Specific Associations of Irritability With Subcortical Brain Volumes.Biological psychiatry global open science · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Tasmia AlamDepartment of Psychology, San Diego State University, San Diego, California, USA.ORCID 0009-0003-9605-8871
Nathan KirkDepartment of Psychology, San Diego State University, San Diego, California, USA.ORCID 0000-0002-3645-9994
Emily HirschDepartment of Psychology, Fordham University, Bronx, New York, USA.ORCID 0000-0001-6891-3226
Margaret Briggs-GowanDepartment of Psychiatry, University of Connecticut Health Center, Farmington, Connecticut, USA.
Lauren S WakschlagDepartment of Medical Social Sciences, Feinberg School of Medicine and Institute for Innovations in Developmental Sciences, Northwestern University, Chicago, Illinois, USA.
Amy Krain RoyDepartment of Psychology, Fordham University, Bronx, New York, USA.
Jillian Lee WigginsDepartment of Psychology, San Diego State University, San Diego, California, USA.ORCID 0000-0002-4931-6589
San Diego State University · USFordham University · USNorthwestern University · USUConn Health · US

Funding

Dimensions of Early Temper Loss and Low Concern: Clinical Utility and MechanismsU01MH082830 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI WAKSCHLAG, LAUREN S · 2014 to 2018
$3.9M
Developmental Characterization of Preschool Disruptive BehaviorR01MH082830 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI WAKSCHLAG, LAUREN S · 2009 to 2013
$3.7M
Early Traumatic Stress Exposure: Neurodevelopmental Mechanisms of Clinical RiskU01MH090301 · NIMH · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI BRIGGS-GOWAN, MARGARET J · 2012 to 2014
$2.4M
Early Traumatic Stress Exposure: Neurodevelopmental Mechanisms of Clinical RiskR01MH090301 · NIMH · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI BRIGGS-GOWAN, MARGARET J · 2010 to 2011
$1.3M
NIMH NIH HHS R01 MH082830NIMH NIH HHS R01MH082830NIMH NIH HHS R01 MH090301NIMH NIH HHS R01MH090301NIMH NIH HHS U01 MH082830NIMH NIH HHS U01 MH090301
6 · The paper itself

Abstract

objectivesCharacterize the dimensional spectrum of preadolescent (PA) irritability, a robust transdiagnostic vulnerability marker, using the youth version of the Multidimensional Assessment Profiles Temper Loss (MAPS-TL-Youth) scale including common and with developmentally specific items. Based on this, derive and validate a clinically optimized irritability screener to flag psychopathology risk in preadolescents.

methodsThe normal:abnormal irritability spectrum was modeled using MAPS-TL-Youth data from the Multidimensional Assessment of Preschoolers Study (MAPS) Study PA wave (n = 340) via item response theory. Both cross-cutting core items from the MAPS scales and developmentally specific items were used to generate this dimension. Stepwise logistic regression was then used to optimize MAPS-TL-Youth irritability items in relation to Kiddie Schedule of Affective Disorders and Schizophrenia impairment to generate a clinically optimized irritability screener. Receiver operator characteristic analysis identified the irritability threshold for the screener. For the first time, youth self-report of their own irritability on the MAPS-TL was also modeled via the MAPS-TL-Youth-Self-Report (MAPS-TL-Youth-SR).

resultsIrritability was unidimensional and ranged from mild and common to severe and rare behaviors. Developmentally specific items allowed detection of more severe irritability. Items for the screener were identified in relation to concurrent impairment. These included low frustration tolerance and pathognomonic severe behaviors. The clinically optimized screener demonstrated very good sensitively (87%) and specificity (81%) in regard to concurrent irritability-related DSM disorders. Modeling of the MAPS-TL-Youth-SR yielded similar results.

conclusionCharacterizing the normal: abnormal spectrum of irritability in preadolescence advances application of Research Domain Criteria methods to this developmental period. This foundational work yielded two developmentally specified tools for irritability characterization in preadolescence: a nuanced dimensional scale to precisely characterize the full normal-abnormal irritability spectrum, and a pragmatic, clinically optimized screener suitable for real world use. Future application in mechanistic and clinical studies will be important for establishing validity and incremental utility.

Indexed as

Irritable MoodMood DisordersAdolescentChildHumansSelf Reportadolescenceirritabilitymeasurementpsychopathologyscreening

Identifiers

PMID37800620
PMCPMC10654812
OpenAlexW4387392687

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.