Oppositional Defiant Disorder

  • Bruce M. GaleEmail author


Primarily a childhood diagnosis, oppositional defiant disorder (ODD), refers to a category of negativistic child1 behaviors that impair social functioning and learning opportunities. It was first identified in 1966 and appeared initially as a formalized diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, 3rd edition (American Psychiatric Association, 1980). ODD has been reported to affect 2–16% of children, with boys more likely to be diagnosed than girls and most children developing symptoms by age 8 (American Psychiatric Association, 2000; Steiner and Remsing, 2007).


Oppositional Defiant Disorder Disruptive Behavior Social Skill Training Oppositional Defiant Disorder Oppositional Defiant Disorder Symptom 
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  1. Achenbach TM. Integrative guide for the 1991 CBCL/4-18, YSR, and TRF profiles. Burlington, VT: University of Vermont, Department of Psychiatry; 1991.Google Scholar
  2. Alberto PA, Troutman AC. Applied behavior analysis for teachers. Columbus, Ohio: Pearson, Merrill Prentice-Hall; 2006.Google Scholar
  3. Abidin RR. Parenting Stress Index: professional manual. 3rd ed. Odessa, FL: Psychological Assessment Resources; 1995.Google Scholar
  4. Aman MG, Binder C, Turgay A. Risperidone effects in the presence/absence of psychostimulant medicine in children with ADHD, other disruptive behavior disorders, and subaverage IQ. J Child Adolesc Psychopharmacol. 2004;14(2):243–54.CrossRefPubMedGoogle Scholar
  5. American Academy of Child & Adolescent Psychiatry. (n.d.). Your Child—Oppositional Defiant Disorder. Retrieved July 7, 2009, from
  6. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 3rd ed (DSM-III). Washington, DC: American Psychiatric Press; 1980.Google Scholar
  7. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Text Revision (DSM-IV-TR). Washington, DC: American Psychiatric Press; 2000.Google Scholar
  8. Bangs ME, Hazell P, Danckaerts M, Hoare P, Coghill DR, Wehmeier PM, et al. Atomoxetine for the treatment of attention-deficit/hyperactivity disorder and oppositional defiant disorder. Pediatrics. 2008;121(2):e314–20.CrossRefPubMedGoogle Scholar
  9. Barkley RA, Benton CM. Your defiant child: eight steps to better behavior. New York: Guilford Press; 1998.Google Scholar
  10. Barkley RA, Guevremont DC, Anastopoulos AD, Fletcher KE. A comparison of three family therapy programs for treating family conflicts in adolescents with attention-deficit hyperactivity disorder. J Consult Clin Psychol. 1992;60(3):450–62.CrossRefPubMedGoogle Scholar
  11. Barkley RA, Robin AL, Benton CM. Your defiant teen: 10 steps to resolve conflict and rebuild your relationship. New York: Guilford Press; 2008.Google Scholar
  12. Biederman J, Ball SW, Monuteaux MC, Kaiser R, Faraone SV. CBCL Clinical scales discriminate ADHD youth with structured-interview derived diagnosis of oppositional defiant disorder (ODD). J Attent Disord. 2008a;12(1):76–82.CrossRefGoogle Scholar
  13. Biederman J, Faraone SV, Milberger S, Jetton JG, et al. Is childhood oppositional defiant disorder a precursor to adolescent conduct disorder? Findings from a four-year follow-up study of children with ADHD. J Am Acad Child Adolesc Psychiatry. 1996;35(9):1193–204.CrossRefPubMedGoogle Scholar
  14. Biederman J, Petty CR, Monuteaux MC, Mick E, Parcell T, Westerberg D, et al. The longitudinal course of comorbid oppositional defiant disorder in girls with attention-deficit/hyperactivity disorder: findings from a controlled 5-year prospective longitudinal follow-up study. J Dev Behav Pediatr. 2008b;29(6):501–7.CrossRefPubMedGoogle Scholar
  15. Bower P, Gilbody S. Stepped care in psychological therapies: access, effectiveness and efficiency. Narrative literature review. Br J Psychiatry. 2005;186(1):11–17.CrossRefPubMedGoogle Scholar
  16. Brestan E.V, Eyberg SM. Effective psychosocial treatments of conduct-disordered children and adolescents: 29 years, 82 studies, and 5,272 kids. J Clin Child Psychol. 1998;27(2):180–9.CrossRefPubMedGoogle Scholar
  17. Brown RT, Antonuccio DO, DuPaul GJ, Fristad MA, King CA, Leslie LK, et al. Oppositional defiant and conduct disorders. In: Childhood mental health disorders: evidence base and contextual factors for psychosocial, psychopharmacological, and combined interventions. Washington, DC: American Psychological Association; 2008. p. 33–41.Google Scholar
  18. Brinkmeyer MY, Eyberg SM. Parent-child interaction therapy for oppositional children. In: Evidence-based psychotherapies for children and adolescents. New York: Guilford Press; 2003. p. 204–23.Google Scholar
  19. Chung W, Edgar-Smith S, Palmer RB, Delambo D, Bartholomew E. Psychiatric rehospitalization of children and adolescents: implications for social work intervention. Child & Adolescent Social Work Journal. 2008;25(6):483–96.CrossRefGoogle Scholar
  20. Coie JD, Watt NF, West SG, Hawkins JD, Asarnow JR, Markman HJ, Ramey SL, Shure MB, Long B. The science of prevention: a conceptual framework and some directions for a national research program. Am Psychol. 1993;48:1013–22.CrossRefPubMedGoogle Scholar
  21. Cooper WO, Hickson GB, Fuchs C, Arbogast PG, Ray WA. New users of anti-psychotic medications among children enrolled in TennCare. Arch Pediatr Adolesc Med. 2004;158:753–9.CrossRefPubMedGoogle Scholar
  22. Curry JF, Becker SJ. Empirically supported psychotherapies for adolescent depression and mood disorders. In: Handbook of evidence-based therapies for children and adolescents: bridging science and practice, Issues in clinical child psychology. Springer Science+Business Media: New York; 2008. p. 161–76.Google Scholar
  23. Elgar FJ, McGrath PJ. Self-help therapies for childhood disorders. In: Handbook of self-help therapies. Routledge/Taylor Francis Group: New York; 2008. p. 129–61.Google Scholar
  24. Erford BT. Technical analysis of father responses to the Disruptive Behavior Rating Scale—Parent Version (DBRS-P). Meas Eval Couns Dev. 1998;30(4):199–210.Google Scholar
  25. Fanton JH, MacDonald B, Harvey EA. Preschool parent-pediatrician consultations and predictive referral patterns for problematic behaviors. J Dev Behav Pediatr. 2008;29(6):475–82.CrossRefPubMedGoogle Scholar
  26. Gale BM. Learning about the comprehensive behavior assessment & treatment tools (C-BATT). Invited Presentation, California Association for the Gifted (CAG) 42nd Annual Conference, Anaheim, California; 2004.Google Scholar
  27. Gale BM. Conducting valid and defensible behavior observations, invited paper, positive environment network of trainers/california diagnostic center, 3rd annual conference, stockton, california and rancho cucamonga, California; 2006.Google Scholar
  28. Gale BM. Analysis of 260 consecutive users of rapid screener. Unpublished raw data; 2009.Google Scholar
  29. Gale BM, Yamashita J. L.U.N.C.H Groups: preliminary results on the efficacy of using, time-limited psychosocial and behavior treatment with integrated technological enhancements in the treatment of Asperger’s Syndrome and related disorders. Poster presentation, 37th Annual Meeting of the Association for the Advancement of Behavior Therapy, Boston, MA; 2003.Google Scholar
  30. Gioia GA, Isquith PK, Guy SC, Kenworthy L. Behavior rating inventory of executive function. Odessa, FL: Psychological Assessment Resources; 2000.Google Scholar
  31. Greene RW, Ablon JS. Treating explosive kids: the collaborative problem-solving approach. New York: Guilford Press; 2006.Google Scholar
  32. Harvey EA, Youngwirth SD, Thakar DA, Errazuriz PA. Predicting attention-deficit/hyperactivity disorder and oppositional defiant disorder from preschool diagnostic assessments. J Consult Clin Psychol. 2009;77:349–54.CrossRefPubMedGoogle Scholar
  33. Heflinger CA, Humphreys KL. Identification and treatment of children with oppositional defiant disorder: a case study of one state’s public service system. Psychol Serv. 2008;5(2):139–52.CrossRefGoogle Scholar
  34. Howes P, Markman HJ. Marital quality and child functioning: A longitudinal investigation. Child Dev. 1989;60(5):1044–51.CrossRefPubMedGoogle Scholar
  35. Jewell J, Handwerk M, Almquist J, Lucas C. Comparing the validity of clinician-generated diagnosis of conduct disorder to the Diagnostic Interview Schedule for Children. J Clin Child Adolesc Psychol. 2004;33(3):536–46.CrossRefPubMedGoogle Scholar
  36. Kazdin AE. Parent management training: treatment for oppositional, aggressive, and antisocial behavior in children and adolescents. New York: Oxford University Press; 2005.Google Scholar
  37. Kazdin AE. Evidence-based treatments and delivery of psychological services: shifting our emphases to increase impact. Psychol Serv. 2008;5(3):201–15.CrossRefGoogle Scholar
  38. Kazdin AE, Holland L, Crowley M. Family experience of barriers to treatment and premature termination from child therapy. J Consult Clin Psychol. 1997;65(3):453–63.CrossRefPubMedGoogle Scholar
  39. Kazdin AE, Marciano PL, Whitley MK. The therapeutic alliance in cognitive-behavioral treatment of children referred for oppositional, aggressive, and antisocial behavior. J Consult Clin Psychol. 2005;73(4):726–30.CrossRefPubMedGoogle Scholar
  40. Kazdin AE, Weisz JR. Identifying and developing empirically supported child and adolescent treatments. J Consult Clin Psychol. 1998;66(1):19–36.CrossRefPubMedGoogle Scholar
  41. Kazdin AE, Whitley MK. Pretreatment social relations, therapeutic alliance, and improvements in parenting practices in parent management training. J Consult Clin Psychol. 2006;74:346–55.CrossRefPubMedGoogle Scholar
  42. Keenan K, Wakschlag LS. Can a valid diagnosis of disruptive behavior disorder be made in preschool children? Am J Psychiatry. 2002;159(3):351–8.CrossRefPubMedGoogle Scholar
  43. Kendall PC, Braswell L. Cognitive-behavioral self-control therapy for children: a components analysis. J Consult Clin Psychol. 1982;50(5):672–89.CrossRefPubMedGoogle Scholar
  44. Keulers BJ, Welters CFM, Spauwen PHM, Houpt P. Can face-to-face patient education be replaced by computer-based patient education? A randomised trial. Patient Educ Couns. 2007;67(1–2):176–82.CrossRefPubMedGoogle Scholar
  45. Lahey BB, Van Hulle CA, Rathouz PJ, Rodgers JLD, Onofrio BM, Waldman ID. Are oppositional-defiant and hyperactive-inattentive symptoms developmental precursors to conduct problems in late childhood? Genetic and environmental links. J Abnorm Child Psychol. 2009;37(1):45–58.CrossRefPubMedGoogle Scholar
  46. Lavigne JV, LeBailly SA, Gouze KR, Cicchetti C, Pochyly J, Arend R, et al. (2008). Treating oppositional defiant disorder in primary care: a comparison of three models. J. Pediatr Psychol. 2008;33(5):449–61.CrossRefPubMedGoogle Scholar
  47. Lunkenheimer ES, Dishion TJ, Shaw DS, Connell AM, Gardner F, Wilson MN, et al. Collateral benefits of the family check-up on early childhood school readiness: indirect effects of parents’ positive behavior support. Dev Psychol. 2008;44(6):1737–52.CrossRefPubMedGoogle Scholar
  48. Meyers L. Medicate or not? An APA working group reports on use of medications when treating children. Monit Psychology. 2006;37(10):24.Google Scholar
  49. Nix RL, Bierman KL, McMahon RJ. How attendance and quality of participation affect treatment response to parent management training. J Consult Clin Psychol. 2009;77(3):429–38.CrossRefPubMedGoogle Scholar
  50. NREPP: National Registry of Evidence-based Programs and Practices. (n.d.). . Retrieved July 6, 2009, from
  51. Olson SL, Bates JE, Sandy JM, Lanthier R. Early developmental precursors of externalizing behavior in middle childhood and adolescence. J Abnorm Child Psychol. 2000;28(2):119–33. doi:10.1023/A:1005166629744.CrossRefPubMedGoogle Scholar
  52. Parent-Child Interaction Therapy—Literature (2009). Parent-child interaction therapy. Retrieved June 20, 2009, from
  53. Patterson GR, Gullion ME. Living with children: new methods for parents and teachers. Champaign, IL: Research Press; 1968.Google Scholar
  54. Pelham WE, Lang AR, Atkeson B, Murphy DA, Gnagy EM, Greiner AR, et al. Effects of deviant child behavior on parental distress and alcohol consumption in laboratory interactions. J Abnorm Child Psychol. 1997;25(5):413–24.CrossRefPubMedGoogle Scholar
  55. Pelham WE. NREPP: children’s summer treatment program (STP). Retrieved July 9, 2009, from
  56. Phelps L, Brown RT, Power TJ. Externalizing disorders. In: Pediatric psychopharmacology: combining medical and psychosocial interventions. Washington, DC: American Psychological Association; 2002. p. 101–31.Google Scholar
  57. Piper AM, O’Brien E, Morris MR, Winograd T. SIDES: a cooperative tabletop computer game for social skills development. In: Proceedings of the 2006 20th anniversary conference on computer supported cooperative work (Banff, Alberta, Canada, November 04–08, 2006). CSCW '06. New York, NY: ACM; 2006. p. 1–10.Google Scholar
  58. Querido JG, Eyberg SM. Parent-child interaction therapy: maintaining treatment gains of preschoolers with disruptive behavior disorders. In: Psychosocial treatments for child and adolescent disorders: Empirically based strategies for clinical practice. 2nd ed. Washington, DC: American Psychological Association; 2005. p. 575–97.Google Scholar
  59. Reynolds CR, Kamphaus RW. Behavior assessment system for children (BASC). Circle Pines, MN: American Guidance Service; 1992.Google Scholar
  60. Schoenfield L, Eyberg SM. Parent management training. In: Koocher GP, Norcross JC, Hill SS, editors. Psychologist’s Desk Reference. 2nd ed. New York: Oxford University Press; 2005.Google Scholar
  61. Shaffer D, Fisher P, Lucas CP, Dulcan MK, Schwab-Stone ME. 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. 2000;39:28–38.CrossRefPubMedGoogle Scholar
  62. Shaw DS, Keenan K, Vondra JI. Developmental precursors of externalizing behavior: ages 1 to 3. Dev Psychol. 1994;30(3):355–64.CrossRefGoogle Scholar
  63. Steenhuis M, Serra M, Minderaa RB, Hartman CA. (2009). An Internet version of the Diagnostic Interview Schedule for Children (DISC-IV): correspondence of the ADHD section with the paper-and-pencil version. Psychol Assessment. 2009;21(2):231–34.CrossRefGoogle Scholar
  64. Steiner H, Remsing L. Practice parameter for the assessment and treatment of children and adolescents with oppositional defiant disorder. J Am Acad Child Adolesc Psychiatry. 2007;46(1):126–41.CrossRefPubMedGoogle Scholar
  65. Stormshak EA, Bierman KL, McMahon RJ, Lengua LJ. Parenting practices and child disruptive behavior problems in early elementary school. J Clin Child Psychol. 2000;29:17–29.CrossRefPubMedGoogle Scholar
  66. Training Guidelines for Parent-Child Interaction Therapy (2009). Parent-Child Interaction Therapy—Theoretical Underpinnings of PCIT. (n.d.). Retrieved June 21, 2009, from
  67. Turgay A, Binder C, Snyder R, Fisman S. Long-term safety and efficacy of risperidone for the treatment of disruptive behavior disorders in children with subaverage IQs. Pediatrics. 2002;110(3):e34.CrossRefPubMedGoogle Scholar
  68. Walker HM, Ramsey E, Gresham FM. Antisocial Behavior in School: evidence-based practices. 2nd ed. Belmont, CA: Thomson Wadsworth; 2004.Google Scholar
  69. Webster-Stratton CS. The incredible year. Toronto: Umbrella Press; 1992.Google Scholar
  70. Webster-Stratton C, Reid MJ. Incredible years parents and teachers training series: a head start partnership to promote social competence and prevent conduct problems. In: Preventing youth substance abuse: science-based programs for children and adolescents. Washington, DC: American Psychological Association; 2007. p. 67–88.Google Scholar
  71. Webster-Stratton C, Reid MJ, Stoolmiller M. Preventing conduct problems and improving school readiness: evaluation of the incredible years teacher and child training programs in high-risk schools. J Child Psychol Psychiatry. 2008;49(5):471–88.CrossRefPubMedGoogle Scholar
  72. Weisz JR, Jensen-Doss A, Hawley KM. Evidence-based youth psychotherapies versus usual clinical care: a meta-analysis of direct comparisons. Am Psychol. 2006;61(7):671–89.CrossRefPubMedGoogle Scholar
  73. Wright D. Time away: a procedure to keep task-avoiding students under instructional control. Retrieved June 22, 2009, from;; 2008.
  74. Wymbs BT, Pelham Jr, WE, Molina BSG, Gnagy EM, Wilson TK, Greenhouse JB. Rate and predictors of divorce among parents of youths with ADHD. J Consult Clin Psychol. 2008;76(5):735–44.CrossRefPubMedGoogle Scholar

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© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.BehaviorTech Solutions, Inc.EncinoUSA

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