Table 4.
Associations between disruptive mood dysregulation disorder and impairments, service use and sociodemographic variables
| Great Smoky Mountains Study | Caring for Children in the Community | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Criterion | DMDD (%) | No DMDD (%) | OR | 95%CI | p | DMDD (%) | No DMDD (%) | OR | 95%CI | p |
| Impairment | ||||||||||
| Parental relations | 57.3 | 7.0 | 17.2 | 8.2–36.1 | <0.0001 | 64.4 | 11.1 | 12.3 | 5.2–29.2 | <0.0001 |
| Sibling relations | 25.4 | 3.8 | 7.7 | 2.6–22.7 | 0.0002 | 66.2 | 6.8 | 24.3 | 10.7–55.3 | <0.0001 |
| Teacher relations | 16.5 | 2.0 | 8.5 | 2.7–26.8 | 0.0003 | 55.1 | 4.5 | 20.9 | 10.2–42.7 | <0.0001 |
| School suspension | 35.1 | 4.2 | 11.4 | 4.4–30.0 | <0.0001 | 38.3 | 8.6 | 6.0 | 2.8–12.9 | <0.0001 |
| Service use | ||||||||||
| Mental health | 31.5 | 6.0 | 6.5 | 2.6–16.3 | <0.0001 | 39.8 | 4.7 | 13.8 | 4.7–40.5 | <0.0001 |
| General Medical | 8.0 | 3.3 | 2.6 | 1.3–5.1 | 0.006 | 0.0 | 2.4 | -- | -- | -- |
| School System | 26.0 | 7.5 | 4.1 | 1.7–9.7 | 0.002 | 37.5 | 8.7 | 6.8 | 2.2–20.5 | 0.0008 |
| Child Welfare | 15.4 | 1.3 | 13.1 | 3.6–47.9 | 0.0001 | 5.8 | 0.6 | 10.2 | 1.4–75.3 | 0.02 |
| Juvenile Justice | 8.8 | 1.8 | 4.1 | 0.6–27.7 | 0.15 | 28.4 | 1.0 | 16.1 | 4.6–56.5 | <0.0001 |
| Any | 54.2 | 18.0 | 4.5 | 2.1–9.7 | 0.001 | 60.8 | 14.0 | 9.6 | 3.2–28.2 | <0.0001 |
| Sociodemographic | ||||||||||
| Impoverished | 42.9 | 19.0 | 3.0 | 1.3–6.9 | 0.01 | 66.2 | 31.9 | 4.1 | 1.6–10.4 | 0.003 |
| Single parent family | 40.0 | 23.7 | 2.2 | 1.0–4.9 | 0.05 | 26.1 | 14.7 | 2.0 | 0.8–48 | 0.12 |
| Low parent education | 19.4 | 17.3 | 1.3 | 0.5–3.2 | 0.61 | 61.8 | 42.7 | 2.1 | 0.9–4.9 | 0.09 |
DMDD= Disruptive mood dysregulation disorder; Bolded p values are significant at p <0.05.