Skip to main content
Log in

Deficits in Parent Knowledge of Behavior Management Skills is Strongly Associated With CD Symptoms but not ODD Symptoms

  • Published:
Journal of Psychopathology and Behavioral Assessment Aims and scope Submit manuscript

Abstract

We conducted secondary analyses of existing data to examine the association between parent scores on the Knowledge of Effective Parenting Test (KEPT) and child symptoms of Conduct Disorder (CD) and Oppositional Defiant Disorder (ODD). Parent knowledge of behavior management skills and child behavior symptoms were assessed in a nationally representative sample of parents/guardians (N = 1,570) of children aged 5–12 from all 50 states. Results showed consistent and robust correlations between parent knowledge of behavior management skills and CD symptoms but not ODD symptoms. These findings suggest that parent knowledge of behavior management may be a greater risk factor for CD than ODD, with implications for taxonomy and understanding the etiology of these two disorders. We also discuss the implications of these findings for the prevention and treatment of these two disorders which are often grouped together in treatment trials.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington DC: Author

    Google Scholar 

  • American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington DC: Author

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington DC: Author

    Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author

    Book  Google Scholar 

  • Barry, T. D., Marcus, D. K., Barry, C. T., & Coccaro, E. F. (2013). The latent structure of oppositional defiant disorder in children and adults. Journal of Psychiatric Research, 47(12), 1932–1939. doi: https://doi.org/10.1016/j.jpsychires.2013.08.016

    Article  PubMed  Google Scholar 

  • Burke, J. D., Hipwell, A. E., & Loeber, R. (2010). Dimensions of oppositional defiant disorder as predictors of depression and conduct disorder in preadolescent girls. Journal of the American Academy of Child & Adolescent Psychiatry, 49(5), 484–492. doi: https://doi.org/10.1016/j.jaac.2010.01.016

    Article  Google Scholar 

  • Burke, J. D., Loeber, R., Lahey, B. B., & Rathouz, P. J. (2005). Developmental transitions among affective and behavioral disorders in adolescent boys. Journal of Child Psychology and Psychiatry, 46(11), 1200–1210

    Article  PubMed  Google Scholar 

  • Burke, J. D., Pardini, D. A., & Loeber, R. (2008). Reciprocal relationships between parenting behavior and disruptive psychopathology from childhood through adolescence. Journal of abnormal child psychology, 36(5), 679–692. doi: https://doi.org/10.1007/s10802-008-9219-7

    Article  PubMed  PubMed Central  Google Scholar 

  • Burke, J. D., & Stepp, S. D. (2012). Adolescent disruptive behavior and borderline personality disorder symptoms in young adult men. Journal of abnormal child psychology, 40(1), 35–44. doi: https://doi.org/10.1007/s10802-011-9558-7

    Article  PubMed  PubMed Central  Google Scholar 

  • Burke, J. D., Waldman, I., & Lahey, B. B. (2010). Predictive validity of childhood oppositional defiant disorder and conduct disorder: implications for the DSM-V. Journal of Abnormal Psychology, 119(4), 739

    Article  PubMed  Google Scholar 

  • Canino, G., Polanczyk, G., Bauermeister, J. J., Rohde, L. A., & Frick, P. J. (2010). Does the prevalence of CD and ODD vary across cultures? Social Psychiatry and Psychiatric Epidemiology, 45(7), 695–704. doi: https://doi.org/10.1007/s00127-010-0242-y

    Article  PubMed  PubMed Central  Google Scholar 

  • Capaldi, D. M., & Stoolmiller, M. (1999). Co-occurrence of conduct problems and depressive symptoms in early adolescent boys: III. Prediction to young-adult adjustment. Development and psychopathology, 11(1), 59–84

    Article  PubMed  Google Scholar 

  • Cavanagh, M., Quinn, D., Duncan, D., Graham, T., & Balbuena, L. (2017). Oppositional defiant disorder is better conceptualized as a disorder of emotional regulation. Journal of attention disorders, 21(5), 381–389. doi: https://doi.org/10.1177/1087054713520221

    Article  PubMed  Google Scholar 

  • Copeland, W. E., Shanahan, L., Costello, E. J., & Angold, A. (2009). Childhood and adolescent psychiatric disorders as predictors of young adult disorders. Archives of general psychiatry, 66(7), 764–772. doi: https://doi.org/10.1001/archgenpsychiatry.2009.85

    Article  PubMed  PubMed Central  Google Scholar 

  • Dunsmore, J. C., Booker, J. A., & Ollendick, T. H. (2013). Parental emotion coaching and child emotion regulation as protective factors for children with oppositional defiant disorder. Social Development, 22(3), 444–466. doi: https://doi.org/10.1111/j.1467-9507.2011.00652.x

    Article  Google Scholar 

  • Erskine, H. E., Ferrari, A. J., Nelson, P., Polanczyk, G. V., Flaxman, A. D., Vos, T. … Scott, J. G. (2013). Research Review: Epidemiological modelling of attention-deficit/hyperactivity disorder and conduct disorder for the Global Burden of Disease Study 2010. Journal of Child Psychology and Psychiatry, 54(12), 1263–1274. doi: https://doi.org/10.1111/jcpp.12144

    Article  PubMed  Google Scholar 

  • Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of clinical child & Adolescent psychology, 37(1), 215–237

    Article  Google Scholar 

  • Evans, S. C., Burke, J. D., Roberts, M. C., Fite, P. J., Lochman, J. E., Francisco, R., & Reed, G. M. (2017). Irritability in child and adolescent psychopathology: An integrative review for ICD-11. Clinical Psychology Review, 53, 29–45

    Article  PubMed  Google Scholar 

  • Fanti, K. A. (2018). Understanding heterogeneity in conduct disorder: A review of psychophysiological studies. Neuroscience & Biobehavioral Reviews, 91, 4–20. doi: https://doi.org/10.1016/j.neubiorev.2016.09.022

    Article  Google Scholar 

  • File, T., & Ryan, C. (2014). Computer and internet use in the United States: 2013. Washington, DC: United States Census Bureau

    Google Scholar 

  • Frick, P. J., Lahey, B. B., Christ, M. A. G., Loeber, R., & Green, S. (1991). History of childhood behavior problems in biological relatives of boys with attention-deficit hyperactivity disorder and conduct disorder. Journal of Clinical Child and Adolescent Psychology, 20(4), 445–451. doi: https://doi.org/10.1207/s15374424jccp2004_14

    Article  Google Scholar 

  • Frick, P. J., Lahey, B. B., Loeber, R., Stouthamer-Loeber, M., Christ, M. A. G., & Hanson, K. (1992). Familial risk factors to oppositional defiant disorder and conduct disorder: parental psychopathology and maternal parenting. Journal of consulting and clinical psychology, 60(1), 49. doi: https://doi.org/10.1037//0022-006x.60.1.49

    Article  PubMed  Google Scholar 

  • Gelhorn, H. L., Sakai, J. T., Price, R. K., & Crowley, T. J. (2007). DSM-IV conduct disorder criteria as predictors of antisocial personality disorder. Comprehensive psychiatry, 48(6), 529–538. doi: https://doi.org/10.1016/j.comppsych.2007.04.009

    Article  PubMed  PubMed Central  Google Scholar 

  • Greene, R. W., Ablon, J. S., Goring, J. C., Raezer-Blakely, L., Markey, J., Monuteaux, M. C. … Rabbitt, S. (2004). Effectiveness of collaborative problem solving in affectively dysregulated children with oppositional-defiant disorder: initial findings. Journal of consulting and clinical psychology, 72(6), 1157. doi: https://doi.org/10.1037/0022-006X.72.6.1157

    Article  PubMed  Google Scholar 

  • Hays, R. D., Liu, H., & Kapteyn, A. (2015). Use of internet panels to conduct surveys. Behavior Research Methods, 47(3), 685–690. doi:https://doi.org/10.3758/s13428-015-0617-9

    Article  PubMed  PubMed Central  Google Scholar 

  • Johnston, O. G., Derella, O. J., & Burke, J. D. (2018). Identification of oppositional defiant disorder in young adult college students. Journal of Psychopathology and Behavioral Assessment, 40(4), 563–572

    Article  Google Scholar 

  • Langbehn, D. R., Cadoret, R. J., Yates, W. R., Troughton, E. P., & Stewart, M. A. (1998). Distinct contributions of conduct and oppositional defiant symptoms to adult antisocial behavior: Evidence from an adoption study. Archives of General Psychiatry, 55(9), 821–829. doi: https://doi.org/10.1001/archpsyc.55.9.821

    Article  PubMed  Google Scholar 

  • Leadbeater, B., Thompson, K., & Gruppuso, V. (2012). Co-occurring trajectories of symptoms of anxiety, depression, and oppositional defiance from adolescence to young adulthood. Journal of Clinical Child & Adolescent Psychology, 41(6), 719–730

    Article  Google Scholar 

  • Loeber, R., Burke, J. D., Lahey, B. B., Winters, A., & Zera, M. (2000). Oppositional defiant and conduct disorder: a review of the past 10 years, part I. Journal of the American Academy of Child & Adolescent Psychiatry, 39(12), 1468–1484. doi: https://doi.org/10.1097/00004583-200012000-00007

    Article  Google Scholar 

  • Murray, J., & Farrington, D. P. (2010). Risk factors for conduct disorder and delinquency: key findings from longitudinal studies. The Canadian Journal of Psychiatry, 55(10), 633–642. doi: https://doi.org/10.1177/070674371005501003

    Article  PubMed  Google Scholar 

  • Nelson-Gray, R. O., Keane, S. P., Hurst, R. M., Mitchell, J. T., Warburton, J. B., Chok, J. T., & Cobb, A. R. (2006). A modified DBT skills training program for oppositional defiant adolescents: Promising preliminary findings. Behaviour Research and Therapy, 44(12), 1811–1820. doi: https://doi.org/10.1016/j.brat.2006.01.004

    Article  PubMed  Google Scholar 

  • Perrin, A., & Duggan, M. (2015). Americans’ internet access: 2000–2015. Washington, D.C.: Pew Research Center

    Google Scholar 

  • Rey, J. M., Bashir, M. R., Schwarz, M., Richards, I. N., Plapp, J. M., & Stewart, G. W. (1988). Oppositional disorder: fact or fiction? Journal of the American Academy of Child & Adolescent Psychiatry, 27(2), 157–162

    Article  Google Scholar 

  • Rolon-Arroyo, B., Arnold, D. H., Breaux, R. P., & Harvey, E. A. (2018). Reciprocal relations between parenting behaviors and conduct disorder symptoms in preschool children. Child Psychiatry & Human Development, 49(5), 786–799. doi: https://doi.org/10.1007/s10578-018-0794-8

    Article  Google Scholar 

  • Rowe, R., Costello, E. J., Angold, A., Copeland, W. E., & Maughan, B. (2010). Developmental pathways in oppositional defiant disorder and conduct disorder. Journal of abnormal psychology, 119(4), 726. doi: https://doi.org/10.1037/a0020798

    Article  PubMed  PubMed Central  Google Scholar 

  • Rowe, R., Maughan, B., Pickles, A., Costello, E. J., & Angold, A. (2002). The relationship between DSM-IV oppositional defiant disorder and conduct disorder: findings from the Great Smoky Mountains Study. Journal of Child Psychology and Psychiatry, 43(3), 365–373

    Article  PubMed  Google Scholar 

  • Stringaris, A., & Goodman, R. (2009). Longitudinal outcome of youth oppositionality: irritable, headstrong, and hurtful behaviors have distinctive predictions. Journal of the American Academy of Child & Adolescent Psychiatry, 48(4), 404–412. doi: https://doi.org/10.1097/CHI.0b013e3181984f30

    Article  Google Scholar 

  • Stringaris, A., Maughan, B., & Goodman, R. (2010). What’s in a disruptive disorder? Temperamental antecedents of oppositional defiant disorder: findings from the Avon longitudinal study. Journal of the American Academy of Child & Adolescent Psychiatry, 49(5), 474–483. doi: https://doi.org/10.1016/j.jaac.2010.01.021

    Article  Google Scholar 

  • Waldman, I. D., Rowe, R., Boylan, K., & Burke, J. D. (2018). External validation of a bifactor model of oppositional defiant disorder. Molecular psychiatry, 1. doi: https://doi.org/10.1038/s41380-018-0294

  • Wolraich, M. L., Lambert, W., Doffing, M. A., Bickman, L., Simmons, T., & Worley, K. B. (2003). Psychometric properties of the Vanderbilt ADHD diagnostic parent rating scale in a referred population. Journal of Pediactric Psychology, 28(8), 559–567

    Article  Google Scholar 

  • Lindhiem, O., Vaughn-Coaxum, R., Higa, J., Harris, J. L., Kolko, D. J., & Pilkonis, P. A. (2019). Development and validation of the Knowledge of Effective Parenting Test (KEPT) in a nationally representative sample. Psychological Assessment, 31(6), 781-792. doi: 10.1037/pas0000699

    Article  PubMed  PubMed Central  Google Scholar 

  • Lindhiem, O., Vaughn-Coaxum, R. A., Harris, J. L., & Kolko, D. J. (2020). A computer adaptive test (CAT) for knowledge of parent management skills: Prototype development and preliminary psychometrics. Journal of Family Psychology, 34(6), 752–758. doi: 10.1037/fam0000641

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

This study was supported by grants to the first author from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (R21HD090145).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Oliver Lindhiem.

Ethics declarations

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical approval:

This study was approved by the Institutional Review Board at the University of Pittsburgh and has been performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lindhiem, O., Burke, J.D., Feldman, J.A. et al. Deficits in Parent Knowledge of Behavior Management Skills is Strongly Associated With CD Symptoms but not ODD Symptoms. J Psychopathol Behav Assess 45, 18–26 (2023). https://doi.org/10.1007/s10862-022-09989-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10862-022-09989-1

Keywords

Navigation