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Department of Psychiatry and Behavioral Sciences, Norton College of Medicine, SUNY Upstate Medical University, Syracuse, New York.

Importance: Intermittent explosive disorder (IED) is an understudied psychiatric condition marked by impulsive aggression and poorly regulated emotional control, often resulting in interpersonal and societal consequences. Better understanding of comorbidities can improve screening, diagnosis, and treatment.

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A multispecifier model for subtyping children and adolescents with conduct disorder (CD) has been proposed that, in addition to callous-unemotional (CU) traits, also considers grandiose-manipulative (GM) and daring-impulsive (DI) traits. Yet, concerns have been raised about the potential overlap of these latter two specifiers with existing CD criteria and their limited added value to the prediction of etiologically and clinically relevant correlates. The present study was designed to address these concerns while using data from 286 detained boys with a CD diagnosis (ages 16 to 17 years).

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