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.
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References
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington DC: Author
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
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
File, T., & Ryan, C. (2014). Computer and internet use in the United States: 2013. Washington, DC: United States Census Bureau
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
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
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
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
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
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
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
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
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
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
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
Perrin, A., & Duggan, M. (2015). Americans’ internet access: 2000–2015. Washington, D.C.: Pew Research Center
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
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
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
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
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
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
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
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
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
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This study was supported by grants to the first author from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (R21HD090145).
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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
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DOI: https://doi.org/10.1007/s10862-022-09989-1