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Journal of Abnormal Child Psychology

, Volume 33, Issue 5, pp 551–563 | Cite as

Family Correlates of Oppositional and Conduct Disorders in Children With Attention Deficit/Hyperactivity Disorder

  • Linda J. Pfiffner
  • Keith Mcburnett
  • Paul J. Rathouz
  • Samuel Judice
Article

Abstract

Comorbidities among children with ADHD are key determinants of treatment response, course, and outcome. This study sought to separate family factors (parental psychopathology and parenting practices) associated with comorbid Oppositional Defiant Disorder (ODD) from those associated with Conduct Disorder (CD) among children with Attention Deficit/Hyperactivity Disorder. Clinic-referred families (n = 149) were diagnosed using DSM-IV criteria. Parents completed measures of parenting practices. Comorbid ODD and CD were significantly associated with maternal negative/ineffective discipline. Comorbid CD, but not ODD, was significantly associated with lack of maternal warmth and involvement, paternal negative/ineffective discipline, and with paternal Antisocial Personality Disorder (APD). However, the risk of CD posed by parenting appeared concentrated among children without a father having APD. While consistent discipline appears important for addressing comorbid ODD and CD, paternal psychopathology and the quality of the relationship between mother and child may pose risk specifically for comorbid CD. Efforts to prevent and/or treat CD should consider not only provision of structure and prudent discipline, but also the affective qualities of the relationship between the primary caretaker and child.

Key Words

ADHD comorbid disorders parenting parent psychopathology 

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Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  • Linda J. Pfiffner
    • 1
    • 3
  • Keith Mcburnett
    • 1
  • Paul J. Rathouz
    • 2
  • Samuel Judice
    • 1
  1. 1.Department of PsychiatryUniversity of CaliforniaSan Francisco
  2. 2.Department of Health StudiesThe University of ChicagoChicago
  3. 3.Children's Center at Langley PorterUniversity of California, San FranciscoSan Francisco

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