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Oppositional defiant disorder with onset in preschool years: longitudinal stability and pathways to other disorders.
- Source :
-
Journal of the American Academy of Child and Adolescent Psychiatry [J Am Acad Child Adolesc Psychiatry] 2001 Dec; Vol. 40 (12), pp. 1393-400. - Publication Year :
- 2001
-
Abstract
- Objective: To examine the stability and change in oppositional defiant disorder (ODD) with onset among preschool children in a pediatric sample.<br />Method: A total of 510 children aged 2-5 years were enrolled initially in 1989-1990 (mean age 3.42 years); 280 participated in five waves of data collection over a period of 48 to 72 months (mean wave 5 age, 8.35 years). Test batteries varied by age, but they included the Child Behavior Checklist, developmental evaluation, Rochester Adaptive Behavior Inventory, and a play session (before age 7 years) and a structured interview (Diagnostic Interview for Children and Adolescents, parent and child versions) at ages 7+ years. Consensus diagnoses were assigned by using best-estimate procedures.<br />Results: Wave 1 single-diagnosis ODD showed a significant relationship with both single-diagnosis ODD and single-diagnosis attention-deficit hyperactivity disorder (ADHD) at subsequent waves, but not with single-diagnosis anxiety or mood disorders. Single-diagnosis ODD at wave 1 was associated with later comorbidity of ODD/ADHD, ODD/anxiety, and ODD/mood disorders. Stability across waves 2 through 5 was moderate to high for comorbid ODD/anxiety and ODD/ADHD; low to moderate stability for single-diagnosis ODD and single-diagnosis mood disorder; and low for mood disorder, single-diagnosis ADHD, and single-diagnosis anxiety disorder.<br />Conclusions: Preschool children with ODD are likely to continue to exhibit disorder, with increasing comorbidity with ADHD, anxiety, or mood disorders.
- Subjects :
- Adaptation, Psychological
Age of Onset
Anxiety Disorders diagnosis
Anxiety Disorders epidemiology
Anxiety Disorders psychology
Attention Deficit Disorder with Hyperactivity diagnosis
Attention Deficit Disorder with Hyperactivity epidemiology
Attention Deficit Disorder with Hyperactivity psychology
Attention Deficit and Disruptive Behavior Disorders diagnosis
Attention Deficit and Disruptive Behavior Disorders epidemiology
Child, Preschool
Comorbidity
Female
Follow-Up Studies
Humans
Male
Mood Disorders diagnosis
Mood Disorders epidemiology
Mood Disorders psychology
Play and Playthings
Primary Health Care
Psychiatric Status Rating Scales
Severity of Illness Index
Attention Deficit and Disruptive Behavior Disorders psychology
Subjects
Details
- Language :
- English
- ISSN :
- 0890-8567
- Volume :
- 40
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Journal of the American Academy of Child and Adolescent Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 11765284
- Full Text :
- https://doi.org/10.1097/00004583-200112000-00009