Dangerous Rage May Be Common Among U.S. Teens

MONDAY, July 2 (HealthDay News) — Almost two-thirds of U.S.
teens have had an anger attack so severe they have destroyed property, or
threatened or attacked another person, a new study finds.

When these attacks persist, the syndrome can be considered intermittent
explosive disorder. One in 12 U.S. teens may have the condition, which
usually surfaces in late childhood, the researchers say.

“This is one of the most common adolescent disorders in America, and
the most important ignored disorder among youth in America,” said lead
researcher Ronald Kessler, a professor of Health Care Policy at Harvard
Medical School in Boston.

“For reasons that are unclear to me, [this] has not been on the radar
screen of the psychiatric profession,” he added.

Whether the anger problem has increased or was just under-recognized is
unclear, Kessler said. “But we know it’s a big problem.” The condition can
continue into adulthood and lead to depression and drug and alcohol abuse,
he said.

While it is common for a child to have an explosion of anger, it is not
normal for uncontrolled anger to be a steady pattern, Kessler said. “And
if we are talking about a teen, it is definitely not normal and it really
gets in the way of your life.”

Many teens with intermittent explosive disorder have parents with
violent tendencies or mothers with panic disorder, Kessler noted.
Children in these situations may learn that anger is an acceptable
reaction to problems, he said.

Although the problem is widespread, “there is not a great deal of
scientific evidence on how to treat [intermittent explosive disorder],”
Kessler said.

The report was published July 2 in the Archives of General
Psychiatry
.

For the study, Kessler’s team collected data from the U.S. National
Comorbidity Survey Replication Adolescent Supplement, a survey of teens 13
to 17 years old. Information provided by nearly 6,500 teen-parent pairs
was included in the study.

These data revealed that one in 12 U.S. teens — about 8 percent — met
the criteria for intermittent explosive disorder, meaning they’ve had
three episodes of impulsive aggressiveness “grossly out of proportion to
any precipitating psychosocial stressor,” at any time during their life,
according to the Diagnostic and Statistical Manual of Mental Disorders.

The researchers excluded anyone diagnosed with other mental health
problems, such as bipolar disorder, attention-deficit/hyperactivity
disorder, oppositional defiant disorder or conduct disorder, all of which
are associated with aggressive behavior.

The condition was more common among teenagers not living with two
biological parents and those with the most siblings.

More than one-third of those teens identified with chronic rage had
received some treatment for emotional problems, but only 6.5 percent were
treated specifically for anger, the researchers found.

Simon Rego, director of psychology training at Montefiore Medical
Center in New York City, said the findings indicate that the condition
warrants more attention.

“Although it is not surprising that the researchers found [intermittent
explosive disorder] to be a commonly occurring disorder among U.S.
adolescents, what is surprising is the fact that the data also show that
[intermittent explosive disorder] is being undertreated,” Rego said.

This conclusion, plus the condition’s potential for serious
consequences, suggests more research is needed on this disorder, he said.

“Research should focus on the factors that put adolescents at risk, as
well as any identifiable protective factors,” Rego said. The goal, he
added, is to help researchers and clinicians develop effective treatments
that can be applied at an early age in those at risk.

Kessler’s team believes school-based violence prevention programs might
help with early detection.

More information

For more information on teenage mental health problems, visit the U.S. National Library of Medicine.

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