Abstract
Conduct disorder (CD) symptoms often emerge during the preschool years, but it is not clear whether they predict later symptoms. The present study examined whether age 3 CD symptoms predict age 6 CD symptoms beyond oppositional defiant disorder (ODD) and attention-deficit/hyperactivity disorder—hyperactive/impulsive (ADHD—HI) symptoms. Participants were 216 preschool children (M Age = 44.19 months), including an externalizing sample (n = 161) and a comparison group (n = 55). Parents were administered a diagnostic interview when children were 3 years old and again 3 years later. The externalizing sample exhibited more CD symptoms than the comparison sample. In the externalizing sample, initial CD symptoms predicted later CD symptoms above and beyond ODD and ADHD HI symptoms; this relation was stronger for boys than for girls. Stealing, property destruction, and fighting independently predicted later CD symptoms. CD symptoms also predicted subsequent ADHD HI symptoms and predicted ODD symptoms at a level that approached significance. Results support the predictive validity of CD symptoms in preschool.
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References
American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders (4th., text revision ed). Author, Washington
Nock MK, Kazdin AE, Hiripi E, Kessler RC (2006) Prevalence, subtypes, and correlates of DSM-IV conduct disorder in the National Comorbidity Survey Replication. Psychol Med 36(5):699–710. doi:10.1017/S0033291706007082
Loeber R, Burke JD, Lahey BB, Winters A, Zera M (2000) Oppositional defiant and conduct disorder: a review of the past 10 years, part I. J Am Acad Child Adolesc Psychiatry 39(12):1468–1484. doi:10.1097/00004583-200012000-00007
Mesman J, Koot HM (2001) Early preschool predictors of preadolescent internalizing and externalizing DSM-IV diagnoses. J Am Acad Child Adolesc Psychiatry 40(9):1029–1036. doi:10.1097/00004583-200109000-00011
Campbell SB, Ewing LJ (1990) Follow-up of hard-to-manage preschoolers: adjustment at age 9 and predictors of continuing symptoms. J Child Psychol Psychiatry 31(6):871–889. doi:10.1111/j.1469-7610.1990.tb00831.x
Egeland B, Kalkoske M, Gottesman N, Erickson MF (1990) Preschool behavior problems: stability and factors accounting for change. J Child Psychol Psychiatry Allied Discipl 31(6):891–909
Keenan K, Wakschlag LS, Danis BH, Hill C, Humphries M, Duax J et al (2007) Further evidence of the reliability and validity of DSM-IV ODD and CD in preschool children. J Am Acad Child Adolesc Psychiatry 46(4):457–468. doi:10.1097/CHI.0b013e31803062d3
Keenan K, Wakschlag LS (2004) Are oppositional defiant and conduct disorder symptoms normative behaviors in preschoolers? A comparison of referred and nonreferred children. Am J Psychiatry 161(2):356–358
McClellan JM, Speltz ML (2003) Psychiatric diagnosis in preschool children. J Am Acad Child Adolesc Psychiatry 42(2):127–128. doi:10.1097/00004583-200302000-00002
Thomas JM, Guskin KA (2001) Disruptive behavior in young children: what does it mean? J Am Acad Child Adolesc Psychiatry 40(1):44–51. doi:10.1097/00004583-200101000-00015
Webster-Stratton C, Reid MJ, Hammond M (2001) Preventing conduct problems, promoting social competence: a parent and teacher training partnership in head start. J Clin Child Psychol 30(3):283–302. doi:10.1207/S15374424JCCP3003_2
Egger HL, Angold A (2006) Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology. J Child Psychol Psychiatry 47(3–4):313–337. doi:10.1111/j.1469-7610.2006.01618.x
Kim-Cohen J, Arseneault L, Caspi A, Tomás MP, Taylor A, Moffitt TE (2005) Validity of DSM-IV conduct disorder in 4 1/2-5-year-old children: a longitudinal epidemiological study. Am J Psychiatry 162(6):1108–1117. doi:10.1176/appi.ajp.162.6.1108
Moffitt TE (1990) Juvenile delinquency and attention deficit disorder: boys’ developmental trajectories from age 3 to age 15. Child Dev 61(3):893–910
Kim-Cohen J, Arseneault L, Newcombe R, Adams F, Bolton H, Cant L et al (2009) Five-year predictive validity of DSM-IV conduct disorder research diagnosis in 4½–5-year-old children. Eur Child Adolesc Psychiatry 18(5):284–291. doi:10.1007/s00787-008-0729-1
Keenan K, Boeldt D, Chen D, Coyne C, Donald R, Duax J et al (2011) Predictive validity of DSM-IV oppositional defiant and conduct disorders in clinically referred preschoolers. J Child Psychol Psychiatry 52(1):47–55. doi:10.1111/j.1469-7610.2010.02290.x
Connor DF, Doerfler LA (2008) ADHD with comorbid oppositional defiant disorder or conduct disorder: discrete or nondistinct disruptive behavior disorders? J Atten Disord 12(2):126–134. doi:10.1177/1087054707308486
Tuvblad C, Zheng M, Raine A, Baker LA (2009) A common genetic factor explains the covariation among ADHD ODD and CD symptoms in 9–10 year old boys and girls. J Abnorm Child Psychol 37:153–167. doi:10.1007/s10802-008-9278-9
Lahey BB, Rathouz PJ, Van Hulle C, Urbano RC, Krueger RF, Applegate B et al (2008) Testing structural models of DSM-IV symptoms of common forms of child and adolescent psychopathology. J Abnorm Child Psychol 36(2):187–206. doi:10.1037/t20276-000
Kuhne M, Schachar R, Tannock R (1997) Impact of comorbid oppositional or conduct problems on attention-deficit hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 36(12):1715–1725. doi:10.1097/00004583-199712000-00020
Loeber R, Lahey BB, Thomas C (1991) Diagnostic conundrum of oppositional defiant disorder and conduct disorder. J Abnorm Psychol 100(3):379–380. doi:10.1037/0021-843X.100.3.379
Waschbusch DA (2002) A meta-analytic examination of comorbid hyperactive-impulsive-attention problems and conduct problems. Psychol Bull 128(1):118–150. doi:10.1037/0033-2909.128.1.118
Rowe R, Costello EJ, Angold A, Copeland WE, Maughan B (2010) Developmental pathways in oppositional defiant disorder and conduct disorder. J Abnorm Psychol 119(4):726–738. doi:10.1037/a0020798
Mannuzza S, Klein RG, Abikoff H, Moulton JL (2004) Significance of childhood conduct problems to later development of conduct disorder among children with ADHD: a prospective follow-up study. J Abnorm Child Psychol 32(5):565–573. doi:10.1023/B:JACP.0000037784.80885.1a
Burke JD, Loeber R, Lahey BB, Rathouz PJ (2005) Developmental transitions among affective and behavioral disorders in adolescent boys. J Child Psychol Psychiatry Allied Discipl 46(11):1200–1210. doi:10.1111/j.1469-7610.2005.00422.x
Rowe R, Maughan B, Pickles A, Costello EJ, Angold A (2002) The relationship between DSM-IV oppositional defiant disorder and conduct disorder: findings from the Great Smoky Mountains Study. J Child Psychol Psychiatry Allied Discipl 43(3):365–373. doi:10.1111/1469-7610.00027
Lahey BB, Van Hulle CA, Rathouz PJ, Rodgers JL, D’Onofrio BM, Waldman ID (2009) Are oppositional-defiant and hyperactive-inattentive symptoms developmental precursors to conduct problems in late childhood? Genetic and environmental links. J Abnorm Child Psychol 37(1):45–58. doi:10.1007/s10802-008-9257-1
Burke JD, Waldman I, Lahey BB (2010) Predictive validity of childhood oppositional defiant disorder and conduct disorder: implications for the DSM-V. J Abnorm Psychol 119(4):739–751. doi:10.1037/a0019708
Lahey BB, McBurnett K, Loeber R (2000) Are attention-deficit/hyperactivity disorder and oppositional defiant disorder developmental precursors to conduct disorder? In: Sameroff AJ, Lewis M, Miller SM (eds) Handbook of developmental psychopathology, 2nd edn. Kluwer Academic Publishers, Dordrecht, pp 431–446
Gittelman R, Mannuzza S, Shenker R, Bonagura N (1985) Hyperactive boys almost grown up: I. Psychiatric status. Arch Gen Psychiatry 42(10):937–947. doi:10.1001/archpsyc.1985.01790330017002
Mannuzza S, Klein RG, Bonagura N, Malloy P, Giampino TL, Addalli KA (1991) Hyperactive boys almost grown up: V. Replication of psychiatric status. Arch Gen Psychiatry 48(1):77–83. doi:10.1001/archpsyc.1991.01810250079012
Diamantopoulou S, Verhulst FC, van der Ende J (2011) The parallel development of ODD and CD symptoms from early childhood to adolescence. Eur Child Adolesc Psychiatry 20(6):301–309. doi:10.1007/s00787-011-0175-3
Lahey BB, Applegate B, Barkley RA, Garfinkel B (1994) DSM-IV field trials for oppositional defiant disorder and conduct disorder in children and adolescents. Am J Psychiatry 151(8):1163–1171
Fergusson DM, Horwood LJ (1995) Predictive validity of categorically and dimensionally scored measures of disruptive childhood behaviors. J Am Acad Child Adolesc Psychiatry 34(4):477–485. doi:10.1097/00004583-199504000-00015
Moffitt TE, Caspi A, Rutter M, Silva PA (2001) Sex differences in antisocial behaviour: conduct disorder, delinquency and violence in the Dunedin longitudinal study. Cambridge University Press, Cambridge
Costello EJ, Angold A, Burns BJ, Erkanli A, Stangl DK, Tweed DL (1996) The Great Smoky Mountains study of youth: functional impairment and serious emotional disturbance. Arch Gen Psychiatry 53(12):1137–1143. doi:10.1001/archpsyc.1996.01830120077013
Shaffer D, Fisher P, Lucas CP, Dulcan MK, Schwab-Stone ME (2000) NIMH diagnostic interview schedule for children version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. J Am Acad Child Adolesc Psychiatry 39(1):28–38. doi:10.1097/00004583-200001000-00014
Loeber R, Keenan K, Russo MF, Green SM, Lahey BB, Thomas C (1998) Secondary data analyses for DSM-IV on the symptoms of oppositional defiant disorder and conduct disorder. In: Widiger TA, Frances AJ, Pincus HJ et al (eds) DSM-IV sourcebook, vol 4. American Psychiatric Press, Washington, pp 465–490
Reynolds CR, Kamphaus RW (1992) Behavior assessment system for children. American Guidance Service, Circle Pines
Burns GL, Walsh JA (2002) The influence of ADHD-hyperactivity/impulsivity symptoms on the development of oppositional defiant disorder symptoms in a 2-year longitudinal study. J Abnorm Child Psychol 30(3):245–256. doi:10.1023/A:1015102812958
Moffitt TE, Arseneault L, Jaffee SR, Kim-Cohen J, Koenen KC, Odgers CL et al (2008) Research review: DSM-V conduct disorder: research needs for an evidence base. J Child Psychol Psychiatry 49(1):3–33. doi:10.1111/j.1469-7610.2007.01823.x
Campbell SB, Ewing LJ, Breaux AM, Szumowski EK (1986) Parent-referred problem three-year-olds: follow-up at school entry. J Child Psychol Psychiatry 27(4):473–488. doi:10.1111/j.1469-7610.1986.tb00635.x
American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. Author, Washington
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Rolon-Arroyo, B., Arnold, D.H. & Harvey, E.A. The Predictive Utility of Conduct Disorder Symptoms in Preschool Children: A 3-Year Follow-Up Study. Child Psychiatry Hum Dev 45, 329–337 (2014). https://doi.org/10.1007/s10578-013-0404-8
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DOI: https://doi.org/10.1007/s10578-013-0404-8