[Intermittent Explosive Disorder: A Controversial Diagnosis]

Rev Colomb Psiquiatr. 2016 Jul-Sep;45(3):214-23. doi: 10.1016/j.rcp.2015.11.001. Epub 2015 Dec 17.
[Article in Spanish]

Abstract

Introduction: Intermittent explosive disorder (IED) is aan externalizing externalising disorder characterized characterised by recurrent aggression episodes. Even though this disorder was described several decades ago, and it carries personal and social consequences, there is little in the medical scientific literature on this. bibliographic production about it is scanty.

Objective: To perform a conceptualization conceptualisation of this disorder, through the review and bibliometric analysis of the available scientific articles.

Material and methods: A search was performed in databases with the english English terms intermittent explosive disorder, impulse disorders control [MeSH], in combination with other terms. A bibliometric analysis in the GoPubMed® search engineer was also performed using all data obtained in the search. was also perfomed.

Discussion: IED prevalence ranges from 1.4% to 7%, it presents more frequently during middle adolescence, and with more noticeable repercussions in men males than in womenfemales. The psychopathological core of IED is the impulsive aggressive behaviour that presents in the form of «attacks» that occurs in response to a lower precipitating stimulus. Scientific publications about IED are few and relatively recent, and the vast majority is provided bycomes from the United States (56.56%), and headed by a single author. This fact highlights the need to replicate the findings described about the IED in order to demonstrate the validity and reliability of its diagnostic criteria. It is possible that doubts about the existence of a diagnosis lead have led to such a scant literature about the IED.

Conclusions: Available studies about IED allow have allowed characterizing a group of subjects with episodes of impulsive aggression to be characterised, but this description requires replication in different latitudesneeds to be repeated in different areas.

Keywords: Aggression; Agresividad; Bibliometrics; Bibliometría; Impulse control disorder; Intermittent explosive disorder; Trastorno explosivo intermitente; Trastornos del control de impulsos.

Publication types

  • Review

MeSH terms

  • Bibliometrics
  • Combined Modality Therapy
  • Diagnosis, Differential
  • Disruptive, Impulse Control, and Conduct Disorders / diagnosis*
  • Disruptive, Impulse Control, and Conduct Disorders / epidemiology
  • Disruptive, Impulse Control, and Conduct Disorders / physiopathology
  • Disruptive, Impulse Control, and Conduct Disorders / therapy
  • Global Health
  • Humans
  • Psychotherapy
  • Psychotropic Drugs / therapeutic use

Substances

  • Psychotropic Drugs