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Clinically Referred ODD Children with or without CD and Healthy Controls: Comparisons Across Contextual Domains

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Abstract

This study compares 6–11-year-old, clinically referred boys and girls diagnosed with Oppositional Defiant Disorder, either with (ODD + CD, n = 40) or without Conduct Disorder (ODD only; n = 136), to a matched sample of healthy control children (HC; n = 69). Multiple informants completed intake diagnostic interviews and self-reports to evaluate constructs examining the child’s functioning and contextual influences on functioning (e.g., parent, family, peer, community). ODD + CD and ODD only children were each distinguished from HCs by greater exposure to delinquent peers and lowered parental self-efficacy. In further comparisons to the HC group, ODD only status was associated with parental use of psychological aggression and more stressful life events, whereas ODD + CD status was associated with greater parental hostility. Relative to ODD alone status, ODD + CD status was comparable on all but one variable (greater parental hostility). Similar findings were reported using a subset of girls only. The characteristics that distinguish children with DBDs from controls and, in particular, ODD + CD from ODD only, bear implications for understanding and treating both CD and ODD.

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Acknowledgements

This study was supported by grants to the first author from the National Institute of Mental Health (MH 57727) and to the second author by the National Institute of Nursing Research (NR 07615). We acknowledge the research and clinical staff of the Resources to Enhance the Adjustment of CHildren (REACH) program, and Drs. Tammy Chung, William Gardner, Jeffrey Bridge, and John Lochman. Reprints may be obtained from Dr. Kolko, WPIC, 3811 O’Hara St., Pittsburgh, PA 15213.

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Authors and Affiliations

  1. Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, 3811 O’Hara Street, Pittsburgh, PA, 15213, USA

    David J. Kolko, Oscar Bukstein & Jeffrey D. Burke

  2. Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA

    Lorah D. Dorn

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  1. David J. Kolko
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  2. Lorah D. Dorn
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  3. Oscar Bukstein
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  4. Jeffrey D. Burke
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Correspondence to David J. Kolko.

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Kolko, D.J., Dorn, L.D., Bukstein, O. et al. Clinically Referred ODD Children with or without CD and Healthy Controls: Comparisons Across Contextual Domains. J Child Fam Stud 17, 714–734 (2008). https://doi.org/10.1007/s10826-007-9186-6

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  • DOI: https://doi.org/10.1007/s10826-007-9186-6

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