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

  • M. Aebi (a1), U. C. Müller (a1), P. Asherson (a2), T. Banaschewski (a3), J. Buitelaar (a4), R. Ebstein (a5), J. Eisenberg (a5), M. Gill (a6), I. Manor (a7), A. Miranda (a8), R. D. Oades (a9), H. Roeyers (a10), A. Rothenberger (a11), J. Sergeant (a12), E. Sonuga-Barke (a10) (a13), M. Thompson (a13), E. Taylor (a2), S. V. Faraone (a14) and H.-C. Steinhausen (a1) (a15) (a16)...
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.

Copyright
Corresponding author
*Address for correspondence: Dr M. Aebi, University of Zurich, Department of Child and Adolescent Psychiatry, Neptunstrasse 60, 8032Zurich, Switzerland. (Email: maebi@ppkj.uzh.ch)
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A Angold , EJ Costello , A Erkanli (1999). Comorbidity. Journal of Child Psychology and Psychiatry 40, 5787.

RA Barkley (1997). Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychological Bulletin 121, 6594.

J Biederman , SW Ball , MC Monuteaux , R Kaiser , SV Faraone (2008 a). CBCL clinical scales discriminate ADHD youth with structured-interview derived diagnosis of oppositional defiant disorder (ODD). Journal of Attention Disorders 12, 7682.

J Biederman , CR Petty , C Dolan , S Hughes , E Mick , MC Monuteaux , SV Faraone (2008 b). The long-term longitudinal course of oppositional defiant disorder and conduct disorder in ADHD boys: findings from a controlled 10-year prospective longitudinal follow-up study. Psychological Medicine 38, 10271036.

EB Braaten , LA Rosen (2000). Self-regulation of affect in attention deficit-hyperactivity disorder (ADHD) and non-ADHD boys: differences in empathic responding. Journal of Consulting and Clinical Psychology 68, 313321.

MA Brotman , M Schmajuk , BA Rich , DP Dickstein , AE Guyer , EJ Costello , HL Egger , A Angold , DS Pine , E Leibenluft (2006). Prevalence, clinical correlates, and longitudinal course of severe mood dysregulation in children. Biological Psychiatry 60, 991997.

T Brown (2006). Confirmatory Factor Analysis for Applied Research. The Guilford Press: New York.

JD Burke , R Loeber , BB Lahey , PJ Rathouz (2005). Developmental transitions among affective and behavioral disorders in adolescent boys. Journal of Child Psychology and Psychiatry 46, 12001210.

FX Castellanos , EJ Sonuga-Barke , MP Milham , R Tannock (2006). Characterizing cognition in ADHD: beyond executive dysfunction. Trends in Cognitive Science 10, 117123.

WJ Chen , SV Faraone , J Biederman , MT Tsuang (1994). Diagnostic accuracy of the Child Behavior Checklist scales for attention-deficit hyperactivity disorder: a receiver-operating characteristic analysis. Journal of Consulting and Clinical Psychology 62, 10171025.

H Christiansen , W Chen , RD Oades , P Asherson , EA Taylor , J Lasky-Su , K Zhou , T Banaschewski , C Buschgens , B Franke , I Gabriels , I Manor , R Marco , UC Muller , A Mulligan , L Psychogiou , NN Rommelse , H Uebel , J Buitelaar , RP Ebstein , J Eisenberg , M Gill , A Miranda , F Mulas , H Roeyers , A Rothenberger , JA Sergeant , EJ Sonuga-Barke , HC Steinhausen , M Thompson , SV Faraone (2008). Co-transmission of conduct problems with attention-deficit/hyperactivity disorder: familial evidence for a distinct disorder. Journal of Neural Transmission 115, 163175.

BR Collett , JL Ohan , KM Myers (2003). Ten-year review of rating scales. VI: scales assessing externalizing behaviors. Journal of the American Academy of Child and Adolescent Psychiatry 42, 11431170.

CK Conners , G Sitarenios , JD Parker , JN Epstein (1998). The revised Conners' Parent Rating Scale (CPRS-R): factor structure, reliability, and criterion validity. Journal of Abnormal Child Psychology 26, 257268.

DM Dick , RJ Viken , J Kaprio , L Pulkkinen , RJ Rose (2005). Understanding the covariation among childhood externalizing symptoms: genetic and environmental influences on conduct disorder, attention deficit hyperactivity disorder, and oppositional defiant disorder symptoms. Journal of Abnormal Child Psychology 33, 219229.

HL Egger , A Angold (2006). Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology. Journal of Child Psychology and Psychiatry 47, 313337.

PJ Frick , BB Lahey , R Loeber , M Stouthamer-Loeber , MA Christ , K Hanson (1992). Familial risk factors to oppositional defiant disorder and conduct disorder: parental psychopathology and maternal parenting. Journal of Consulting and Clinical Psychology 60, 4955.

WJ Gianarris , CJ Golden , L Greene (2001). The Conners' Parent Rating Scales: a critical review of the literature. Clinical Psychology Review 21, 10611093.

R Goodman (1997). The Strengths and Difficulties Questionnaire: a research note. Journal of Child Psychology and Psychiatry 38, 581586.

R Goodman (2001). Psychometric properties of the strengths and difficulties questionnaire. Journal of the American Academy of Child and Adolescent Psychiatry 40, 13371345.

R Goodman , T Ford , H Richards , R Gatward , H Meltzer (2000 a). The Development and Well-Being Assessment: description and initial validation of an integrated assessment of child and adolescent psychopathology. Journal of Child Psychology and Psychiatry 41, 645655.

R Goodman , T Ford , H Simmons , R Gatward , H Meltzer (2000 b). Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. British Journal of Psychiatry 177, 534539.

R Goodman , D Renfrew , M Mullick (2000 c). Predicting type of psychiatric disorder from Strengths and Difficulties Questionnaire (SDQ) scores in child mental health clinics in London and Dhaka. European Child and Adolescent Psychiatry 9, 129134.

I Granic , GR Patterson (2006). Toward a comprehensive model of antisocial development: a dynamic systems approach. Psychological Review 113, 101131.

RW Greene , J Biederman , S Zerwas , MC Monuteaux , JC Goring , SV Faraone (2002). Psychiatric comorbidity, family dysfunction, and social impairment in referred youth with oppositional defiant disorder. American Journal of Psychiatry 159, 12141224.

JA Hanley , BJ McNeil (1983). A method of comparing the areas under receiver operating characteristic curves derived from the same cases. Radiology 148, 839843.

L Hu , PM Bentler (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling 6, 155.

JJ Hudziak , RR Althoff , C Stanger , CE van Beijsterveldt , EC Nelson , GL Hanna , DI Boomsma , RD Todd (2006). The Obsessive Compulsive Scale of the Child Behavior Checklist predicts obsessive-compulsive disorder: a receiver operating characteristic curve analysis. Journal of Child Psychology and Psychiatry 47, 160166.

JJ Hudziak , W Copeland , C Stanger , M Wadsworth (2004). Screening for DSM-IV externalizing disorders with the Child Behavior Checklist: a receiver-operating characteristic analysis. Journal of Child Psychology and Psychiatry 45, 12991307.

JJ Hudziak , EM Derks , RR Althoff , W Copeland , DI Boomsma (2005). The genetic and environmental contributions to oppositional defiant behavior: a multi-informant twin study. Journal of the American Academy of Child and Adolescent Psychiatry 44, 907914.

K Keenan , LS Wakschlag (2004). Are oppositional defiant and conduct disorder symptoms normative behaviors in preschoolers? A comparison of referred and nonreferred children. American Journal of Psychiatry 161, 356358.

BB Lahey , R Loeber , J Burke , PJ Rathouz , K McBurnett (2002). Waxing and waning in concert: dynamic comorbidity of conduct disorder with other disruptive and emotional problems over 7 years among clinic-referred boys. Journal of Abnormal Psychology 111, 556567.

BB Lahey , ID Waldman , K McBurnett (1999). Annotation: the development of antisocial behavior: an integrative causal model. Journal of Child Psychology and Psychiatry 40, 669682.

PW Leung , SL Luk , TP Ho , E Taylor , FL Mak , J Bacon-Shone (1996). The diagnosis and prevalence of hyperactivity in Chinese schoolboys. British Journal of Psychiatry 168, 486496.

R Loeber , SM Green , K Keenan , BB Lahey (1995). Which boys will fare worse? Early predictors of the onset of conduct disorder in a six-year longitudinal study. Journal of the American Academy of Child and Adolescent Psychiatry 34, 499509.

S Mannuzza , RG Klein , H Abikoff , JL Moulton 3rd (2004). Significance of childhood conduct problems to later development of conduct disorder among children with ADHD: a prospective follow-up study. Journal of Abnormal Child Psychology 32, 565573.

HW Marsh , H Kit-Tai , W Zhonglin (2004). In search of the golden rules: comment on hypothesis-testing approaches to setting cutoff values for fit indexes and dangers in overgeneralizing Hu and Bentler's (1999) findings. Structural Equation Modeling 11, 320341.

J Mathai , P Anderson , A Bourne (2004). Comparing psychiatric diagnoses generated by the Strengths and Difficulties Questionnaire with diagnoses made by clinicians. Australian and New Zealand Journal of Psychiatry 38, 639643.

B Maughan , R Rowe , J Messer , R Goodman , H Meltzer (2004). Conduct disorder and oppositional defiant disorder in a national sample: developmental epidemiology. Journal of Child Psychology and Psychiatry 45, 609621.

TE Moffitt (1990). Juvenile delinquency and attention deficit disorder: boys' developmental trajectories from age 3 to age 15. Child Development 61, 893910.

TE Moffitt (1993). Adolescence-limited and life-course-persistent antisocial behavior: a developmental taxonomy. Psychological Review 100, 674701.

TE Moffitt , L Arseneault , SR Jaffee , J Kim-Cohen , KC Koenen , CL Odgers , WS Slutske , E Viding (2008). Research review: DSM-V conduct disorder: research needs for an evidence base. Journal of Child Psychology and Psychiatry 49, 333.

MK Nock , AE Kazdin , E Hiripi , RC Kessler (2007). Lifetime prevalence, correlates, and persistence of oppositional defiant disorder: results from the National Comorbidity Survey Replication. Journal of Child Psychology and Psychiatry 48, 703713.

R Rowe , B Maughan , A Pickles , EJ Costello , A Angold (2002). The relationship between DSM-IV oppositional defiant disorder and conduct disorder: findings from the Great Smoky Mountains Study. Journal of Child Psychology and Psychiatry 43, 365373.

E Simonoff , A Pickles , JM Meyer , JL Silberg , HH Maes , R Loeber , M Rutter , JK Hewitt , LJ Eaves (1997). The Virginia Twin Study of Adolescent Behavioral Development. Influences of age, sex, and impairment on rates of disorder. Archives of General Psychiatry 54, 801808.

EJ Sonuga-Barke , JA Sergeant , J Nigg , E Willcutt (2008). Executive dysfunction and delay aversion in attention deficit hyperactivity disorder: nosologic and diagnostic implications. Child and Adolescent Psychiatric Clinics of North America 17, 367384, ix.

ML Speltz , J McClellan , M DeKlyen , K Jones (1999). Preschool boys with oppositional defiant disorder: clinical presentation and diagnostic change. Journal of the American Academy of Child and Adolescent Psychiatry 38, 838845.

A Stringaris , R Goodman (2009 a). Longitudinal outcome of youth oppositionality: irritable, headstrong, and hurtful behaviors have distinctive predictions. Journal of the American Academy of Child and Adolescent Psychiatry 48, 404412.

A Stringaris , R Goodman (2009 b). Three dimensions of oppositionality in youth. Journal of Child Psychology and Psychiatry 50, 216223.

E Taylor , R Schachar , G Thorley , M Wieselberg (1986). Conduct disorder and hyperactivity: I. Separation of hyperactivity and antisocial conduct in British child psychiatric patients. British Journal of Psychiatry 149, 760767.

TK Taylor , GL Burns , JC Rusby , EM Foster (2006). Oppositional defiant disorder toward adults and oppositional defiant disorder toward peers: initial evidence for two separate constructs. Psychological Assessment 18, 439443.

PA van Lier , J van der Ende , HM Koot , FC Verhulst (2007). Which better predicts conduct problems? The relationship of trajectories of conduct problems with ODD and ADHD symptoms from childhood into adolescence. Journal of Child Psychology and Psychiatry 48, 601608.

DA Waschbusch , WE Pelham Jr, JR Jennings , AR Greiner , RE Tarter , HB Moss (2002). Reactive aggression in boys with disruptive behavior disorders: behavior, physiology, and affect. Journal of Abnormal Child Psychology 30, 641656.

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