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Dimensions of Oppositional Defiant Disorder in Young Children: Heterotypic Continuity with Anxiety and Depression

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Abstract

There are distinct dimensions of Oppositional Defiant Disorder (ODD) that have been associated with symptoms of other disorders (heterotypic continuity). The present study compared the heterotypic continuity of a two-factor (Pitt-2) model and the three-factor model incorporated into DSM-5 with symptoms of anxiety and depression. Participants were a diverse community sample of 796 children (38.8 % minority, 49.1 % boys) assessed at ages 4, 5 and 6 years. Symptoms were assessed with the dimensional scales of the Diagnostic Interview Schedule for Children-Young Child version and the Child Symptom Inventory. Dimensions of both the two- and three-factor DSM-5 models were associated with later symptoms of anxiety and depression. The association, however, was weak when accounting for initial levels of internalizing symptoms: thus there was little evidence for the unique contributions of ODD dimensions to symptoms of subsequent internalizing disorders for either model.

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Correspondence to John V. Lavigne.

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John V. Lavigne and Karen R. Gouze, Department of Child and Adolescent Psychiatry, Ann & Robert H. Lurie Children’s Hospital of Chicago and Feinberg School of Medicine, Northwestern University; Fred B. Bryant, Department of Psychology, Loyola University Chicago; Joyce Hopkins, College of Psychology, Illinois Institute of Technology.

This research was supported by National Institute of Mental Health grant MH 063665.

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Lavigne, J.V., Gouze, K.R., Bryant, F.B. et al. Dimensions of Oppositional Defiant Disorder in Young Children: Heterotypic Continuity with Anxiety and Depression. J Abnorm Child Psychol 42, 937–951 (2014). https://doi.org/10.1007/s10802-014-9853-1

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