Английская Википедия:Episodic dyscontrol syndrome

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Шаблон:Merge to Шаблон:Infobox medical condition (new) Episodic dyscontrol syndrome (EDS), otherwise known as intermittent explosive disorder (IED)[1] or sometimes just dyscontrol, is a pattern of abnormal, episodic, and frequently violent and uncontrollable social behavior[2] in the absence of significant provocation;[3] it can result from limbic system diseases, disorders of the temporal lobe,[4] or abuse of alcohol or other psychoactive substances.[5][6]

EDS is a clearly identified category in the Diagnostic and Statistical Manual of Mental Disorders (DSM IV).[7] EDS may affect children or adults.[8][9][10] Children are often considered to have epilepsy or a mental health problem. The episodes consist of recurrent attacks of uncontrollable rage, usually after minimal provocation, and may last up to an hour. Following an episode, children are frequently exhausted, may sleep and will usually have no recall.[11]

Cause

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Treatment

Treatment for EDS usually involves treating the underlying causative factor(s). This may involve psychotherapy, or medical treatment for diseases.[12]

EDS has been successfully controlled in clinical trials using prescribed medications, including carbamazepine,[13][14] ethosuximide,[15] and propranolol.[16]

There have been few randomised controlled trials of treatment of EDS/IED. Antidepressants and mood-stabilisers including lithium, sodium valproate and carbamazepine have been used in adults, and occasionally in children with oppositional defiant disorder or conduct disorder to reduce aggression. Cognitive behavioural therapy (CBT) is effective in the treatment of anger. A recent trial randomised adults with IED to 12 weeks of individual therapy, group therapy or waiting list (no therapy). Intervention resulted in an improvement in anger and aggression levels, with no difference between group and individual CBT (Cognitive behavioural therapy). Adolescents and young adults may experience educational and social consequences but also mental health problems, including parasuicide, if IED/EDS is undiagnosed in early childhood.[17]

Legal implications

A diagnosis of EDS has been used as a defense in court for persons accused of committing violent crimes including murder.[18][19][20]

See also

References

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External links

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  1. ↑ Шаблон:Cite journal
  2. ↑ Elliott FA. (1984) The episodic dyscontrol syndrome and aggression. Neurologic Clinics 2: 113–25.
  3. ↑ Maletzky BM. (1973) The episodic dyscontrol syndrome. Disorders of the Nervous System 34: 178–85.
  4. ↑ Шаблон:Cite journal
  5. ↑ Drake ME, Hietter SA, Pakalnis A. (1992) EEG and evoked potentials in episodic-dyscontrol syndrome. Neuropsychobiology 26: 125–8.
  6. ↑ Harbin HT. (1977) Episodic dyscontrol and family dynamics. American Journal of Psychiatry 134: 1113–6.
  7. ↑ Шаблон:Cite journal
  8. ↑ Nunn K. (1986) The episodic dyscontrol syndrome in childhood. Journal of Child Psychology and Psychiatry 27: 439–46.
  9. ↑ Bach-y-Rita G, Lion JR, Climent CE, Ervin FR. (1971) Episodic (1986) dyscontrol: a study of 130 violent patients. American Journal of Psychiatry 127: 49–54.
  10. ↑ Elliott FA. (1982) Neurological findings in adult minimal brain dysfunction and the dyscontrol syndrome. Journal of Nervous and Mental Disease 170: 680–7.
  11. ↑ Шаблон:Cite journal
  12. ↑ Шаблон:Cite journal
  13. ↑ Tunks ER, Dermer SW. (1977) Carbamazepine in the dyscontrol syndrome associated with limbic system dysfunction. Journal of Nervous and Mental Disease 164: 56–63.
  14. ↑ Lewin J, Sumners D. (1992) Successful treatment of episodic dyscontrol with carbamazepine. British Journal of Psychiatry 161: 261–2.
  15. ↑ Andrulonis PA, Donnelly J, Glueck BC, Stroebel CF, Szarek BL. (1990) Preliminary data on ethosuximide and the episodic dyscontrol syndrome. American Journal of Psychiatry 137: 1455–6.
  16. ↑ Grizenko N, Vida S. (1988) Propranolol treatment of episodic dyscontrol and aggressive behaviour in children. Canadian Journal of Psychiatry 33: 776–8.
  17. ↑ Шаблон:Cite journal
  18. ↑ Myers WC, Vondruska MA. (1998) Murder, minors, selective serotonin reuptake inhibitors, and the involuntary intoxication defence. Journal of the American Academy of Psychiatry and the Law 26: 487–96.
  19. ↑ Шаблон:Cite book
  20. ↑ Шаблон:Cite book
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