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

Predictability of oppositional defiant disorder and symptom dimensions in children and adolescents with ADHD combined type
Predictability of oppositional defiant disorder and symptom dimensions in children and adolescents with ADHD combined type
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.
attention deficit hyperactivity disorder, conners' parent rating scale revised, emotional lability, irritability, oppositional defiant disorder, strength and difficulties questionnaire
0033-2917
2089-2100
Aebi, M.
884a60d7-9b6e-4704-93dd-e32e48654d03
Müller, U. C.
f9951b79-25f4-40f5-ab62-87231de941b7
Asherson, P.
4ecfa0c9-ea9c-47b9-aae8-429822c6c7ee
Banaschewski, T.
ca2651e5-143a-4171-b6d0-3e3853b684d8
Buitelaar, J.
fa22aba5-1307-4627-9ae8-e564013a5af8
Ebstein, R.
451c2126-5196-41ff-81f9-490a200398e9
Eisenberg, J.
d91585a2-2d07-45b3-85e1-53b1ef09c0ea
Gill, M.
ae2696a2-c4b5-4a68-8f42-f26dbed5e251
Manor, I.
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Miranda, A.
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Oades, R. D.
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Roeyers, H.
c97b7f56-f514-44cb-b7e2-545c68583d6e
Rothenberger, A.
f946fbda-7ceb-46b0-b48d-23cdaa4016aa
Sergeant, J.
76cfd9c5-bab9-4119-b5c2-af1749e22c71
Sonuga-Barke, E.
bc80bf95-6cf9-4c76-a09d-eaaf0b717635
Thompson, M.
bfe8522c-b252-4771-8036-744e93357c67
Taylor, E.
4528abc7-ae2b-4268-a646-68f9c2cae4d3
Faraone, S. V.
60d855ed-a8a8-4eca-9e62-965eb021b1e2
Steinhausen, H. C.
3457dc36-2daf-4167-bba7-d8e1c6e25b6c
Aebi, M.
884a60d7-9b6e-4704-93dd-e32e48654d03
Müller, U. C.
f9951b79-25f4-40f5-ab62-87231de941b7
Asherson, P.
4ecfa0c9-ea9c-47b9-aae8-429822c6c7ee
Banaschewski, T.
ca2651e5-143a-4171-b6d0-3e3853b684d8
Buitelaar, J.
fa22aba5-1307-4627-9ae8-e564013a5af8
Ebstein, R.
451c2126-5196-41ff-81f9-490a200398e9
Eisenberg, J.
d91585a2-2d07-45b3-85e1-53b1ef09c0ea
Gill, M.
ae2696a2-c4b5-4a68-8f42-f26dbed5e251
Manor, I.
4e8bcd80-e32d-420c-9110-de08cff4aee3
Miranda, A.
8aa5d3d9-71b4-4498-b369-9fba532f5d4e
Oades, R. D.
490c2363-06fa-4dd6-b3e5-a2dd451e1835
Roeyers, H.
c97b7f56-f514-44cb-b7e2-545c68583d6e
Rothenberger, A.
f946fbda-7ceb-46b0-b48d-23cdaa4016aa
Sergeant, J.
76cfd9c5-bab9-4119-b5c2-af1749e22c71
Sonuga-Barke, E.
bc80bf95-6cf9-4c76-a09d-eaaf0b717635
Thompson, M.
bfe8522c-b252-4771-8036-744e93357c67
Taylor, E.
4528abc7-ae2b-4268-a646-68f9c2cae4d3
Faraone, S. V.
60d855ed-a8a8-4eca-9e62-965eb021b1e2
Steinhausen, H. C.
3457dc36-2daf-4167-bba7-d8e1c6e25b6c

Aebi, M., Müller, U. C., Asherson, P., Banaschewski, T., Buitelaar, J., Ebstein, R., Eisenberg, J., Gill, M., Manor, I., Miranda, A., Oades, R. D., Roeyers, H., Rothenberger, A., Sergeant, J., Sonuga-Barke, E., Thompson, M., Taylor, E., Faraone, S. V. and Steinhausen, H. C. (2010) Predictability of oppositional defiant disorder and symptom dimensions in children and adolescents with ADHD combined type. Psychological Medicine, 40, 2089-2100. (doi:10.1017/S0033291710000590).

Record type: Article

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.

Full text not available from this repository.

More information

Published date: 2010
Keywords: attention deficit hyperactivity disorder, conners' parent rating scale revised, emotional lability, irritability, oppositional defiant disorder, strength and difficulties questionnaire

Identifiers

Local EPrints ID: 145069
URI: http://eprints.soton.ac.uk/id/eprint/145069
ISSN: 0033-2917
PURE UUID: 01b85e70-6fb1-4cfa-a140-3de0309e4a78

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Date deposited: 15 Apr 2010 15:33
Last modified: 17 Jul 2019 00:06

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Contributors

Author: M. Aebi
Author: U. C. Müller
Author: P. Asherson
Author: T. Banaschewski
Author: J. Buitelaar
Author: R. Ebstein
Author: J. Eisenberg
Author: M. Gill
Author: I. Manor
Author: A. Miranda
Author: R. D. Oades
Author: H. Roeyers
Author: A. Rothenberger
Author: J. Sergeant
Author: E. Sonuga-Barke
Author: M. Thompson
Author: E. Taylor
Author: S. V. Faraone
Author: H. C. Steinhausen

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