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Predictability of oppositional defiant disorder and symptom dimensions in children and adolescents with ADHD combined type

Published online by Cambridge University Press:  12 April 2010

M. Aebi
Affiliation:
Department of Child and Adolescent Psychiatry, University of Zurich, Switzerland
U. C. Müller
Affiliation:
Department of Child and Adolescent Psychiatry, University of Zurich, Switzerland
P. Asherson
Affiliation:
MRC Social Genetic Developmental and Psychiatry Centre, Institute of Psychiatry, London, UK
T. Banaschewski
Affiliation:
Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, J 5, Mannheim, Germany
J. Buitelaar
Affiliation:
Department of Psychiatry, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
R. Ebstein
Affiliation:
Department of Psychology, Hebrew University, Jerusalem, Israel
J. Eisenberg
Affiliation:
Department of Psychology, Hebrew University, Jerusalem, Israel
M. Gill
Affiliation:
Department of Psychiatry, School of Medicine, Trinity College Dublin, Dublin, Republic of Ireland
I. Manor
Affiliation:
Geha MHC, Petach-Tikva, Israel
A. Miranda
Affiliation:
Department of Developmental and Educational Psychology, University of Valencia, Valencia, Spain
R. D. Oades
Affiliation:
Clinic for Child and Adolescent Psychiatry and Psychotherapy, University of Duisburg-Essen, Essen, Germany
H. Roeyers
Affiliation:
Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium
A. Rothenberger
Affiliation:
Department of Child and Adolescent Psychiatry, University of Göttingen, Göttingen, Germany
J. Sergeant
Affiliation:
Department of Clinical Neuropsychology, Vrije Universiteit, Amsterdam, The Netherlands
E. Sonuga-Barke
Affiliation:
Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium School of Psychology, University of Southampton, Southampton, UK
M. Thompson
Affiliation:
School of Psychology, University of Southampton, Southampton, UK
E. Taylor
Affiliation:
MRC Social Genetic Developmental and Psychiatry Centre, Institute of Psychiatry, London, UK
S. V. Faraone
Affiliation:
Departments of Psychiatry and of Neuroscience and Physiology, SUNY Upstate Medical University, Syracuse, NY, USA
H.-C. Steinhausen
Affiliation:
Department of Child and Adolescent Psychiatry, University of Zurich, Switzerland Aalborg Psychiatric Clinic, Aarhus University Hospital, Denmark Child and Adolescent Clinical Psychology, University of Basel, Switzerland
Corresponding
E-mail address:

Abstract

Background

Oppositional defiant disorder (ODD) is frequently co-occurring with attention deficit hyperactivity disorder (ADHD) in children and adolescents. Because ODD is a precursor of later conduct disorder (CD) and affective disorders, early diagnostic identification is warranted. Furthermore, the predictability of three recently confirmed ODD dimensions (ODD-irritable, ODD-headstrong and ODD-hurtful) may assist clinical decision making.

Method

Receiver-operating characteristic (ROC) analysis was used in order to test the diagnostic accuracy of the Conners' Parent Rating Scale revised (CPRS-R) and the parent version of the Strength and Difficulties Questionnaire (PSDQ) in the prediction of ODD in a transnational sample of 1093 subjects aged 5–17 years from the International Multicentre ADHD Genetics study. In a second step, the prediction of three ODD dimensions by the same parent rating scales was assessed by backward linear regression analyses.

Results

ROC analyses showed adequate diagnostic accuracy of the CPRS-R and the PSDQ in predicting ODD in this ADHD sample. Furthermore, the three-dimensional structure of ODD was confirmed by confirmatory factor analysis and the CPRS-R emotional lability scale significantly predicted the ODD irritable dimension.

Conclusions

The PSDQ and the CPRS-R are both suitable screening instruments in the identification of ODD. The emotional lability scale of the CPRS-R is an adequate predictor of irritability in youth referred for ADHD.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2010

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