Abstract
Irritability and behavioral symptom dimensions of oppositional defiant disorder (ODD) in youth exhibit differential associations with adult psychopathology. Recently, researchers have begun to examine ODD in adults, with evidence that symptoms persist into adulthood and continue to cause impairment above and beyond other types of psychopathology. Based on this emerging literature, there is a need to understand how ODD symptoms in adulthood relate to novel frameworks for characterizing adult psychopathology. Three-hundred and four young adult college students completed measures of ODD symptoms, DSM-5 pathological personality traits, ADHD, depression, and anxiety. Poisson regression was used to predict ODD severity score from the five DSM-5 personality traits, while controlling for sex, race, and comorbid psychopathology. Structural equation modeling was used to test competing models of ODD structure, and then to examine ODD dimensions and their specific associations with other psychopathology and the DSM-5 traits. Results show that ODD severity was positively associated with negative affectivity, antagonism, and disinhibition, and negatively associated with psychoticism. The two-factor model, with correlated irritability and behavioral dimensions, fit better than the unidimensional model. Irritability was uniquely associated with anxiety, depression, negative affectivity, and detachment, while the behavioral dimension was uniquely associated with ADHD, antagonism, and disinhibition. These analyses provide evidence that symptoms of ODD in young adults are associated with DSM-5 pathological personality traits above and beyond other psychopathology. These findings provide a framework for future studies and clinical consideration of ODD among adults.
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Aebi, M., Plattner, B., Metzke, C. W., Bessler, C., & Steinhausen, H.-C. (2013). Parent- and self-reported dimensions of oppositionality in youth: Construct validity, concurrent validity, and the prediction of criminal outcomes in adulthood. Journal of Child Psychology and Psychiatry and Allied Disciplines, 54(9), 941–949. https://doi.org/10.1111/jcpp.12039.
Althoff, R. R., Kuny-Slock, A. V., Verhulst, F. C., Hudziak, J. J., & van der Ende, J. (2014). Classes of oppositional-defiant behavior: Concurrent and predictive validity. Journal of Child Psychology and Psychiatry, 55(10), 1162–1171. https://doi.org/10.1111/jcpp.12233.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, D.C.: American Psychiatric Association.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, D.C.: American Psychiatric Association.
Anderson, J. L., Sellbom, M., Ayearst, L., Quilty, L. C., Chmielewski, M., & Bagby, R. M. (2015). Associations between DSM-5 section III personality traits and the Minnesota multiphasic personality inventory 2-restructured form (MMPI-2-RF) scales in a psychiatric patient sample. Psychological Assessment, 27(3), 801–815.
Anderson, J. L., Sellbom, M., & Salekin, R. T. (2018). Utility of the personality inventory for DSM-5 – Brief form (PID-5-BF) in the measurement of maladaptive personality and psychopathology. Assessment, 25(5), 596–607. https://doi.org/10.1177/1073191116676889.
Arnett, J. J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55(5), 469–480. https://doi.org/10.1037//0003-066X.55.5.469.
Bach, B., Sellbom, M., Skjernov, M., & Simonsen, E. (2018). ICD-11 and DSM-5 personality trait domains capture categorical personality disorders: Finding a common ground. Australian and New Zealand Journal of Psychiatry, 52(5), 425–434. https://doi.org/10.1177/0004867417727867.
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. https://doi.org/10.1016/j.jpsychires.2013.08.016.
Bleidorn, W., Schwaba, T. (2017). Personality development in emerging adulthood. In J. Specht (Ed.), Personality Development Across the Lifespan (pp. 39–41). Academic Press.
Brown, T. A. (2006). CFA model revision and comparison. In Confirmatory Factor Analysis for Applied Research. New York, NY: Guilford Press.
Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Beverley Hills, CA: Sage.
Burke, J. D. (2012). An affective dimension within oppositional defiant disorder symptoms among boys: Personality and psychopathology outcomes into early adulthood. Journal of Child Psychology and Psychiatry and Allied Disciplines, 53(11), 1176–1183. https://doi.org/10.1111/j.1469-7610.2012.02598.x.
Burke, J. D., Boylan, K., Rowe, R., Duku, E., Stepp, S. D., Hipwell, A. E., & Waldman, I. D. (2014a). Identifying the irritability dimension of ODD: Application of a modified bifactor model across five large community samples of children. Journal of Abnormal Psychology, 123(4), 841–851. https://doi.org/10.1037/a0037898.
Burke, J. D., Derella, O. J., & Johnston, O. G. (2018). Diagnostic issues in oppositional defiant disorder. In J. E. Lochman & W. Matthys (Eds.), The Wiley handbook of disruptive and impulse-control disorder (pp. 21–36). Hoboken, NJ: Wiley-Blackwell.
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 and Allied Disciplines, 46(11), 1200–1210. https://doi.org/10.1111/j.1469-7610.2005.00422.x.
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. https://doi.org/10.1007/s10802-008-9219-7.
Burke, J. D., Rowe, R., & Boylan, K. (2014b). Functional outcomes of child and adolescent oppositional defiant disorder symptoms in young adult men. Journal of Child Psychology and Psychiatry and Allied Disciplines, 55(3), 264–272. https://doi.org/10.1111/jcpp.12150.
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. https://doi.org/10.1007/s10802-011-9558-7.
Burke, J. D., Waldman, I. D., & 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), 739–751. https://doi.org/10.1037/a0019708.
Derella, O. J., Burke, J. D., Stepp, S. D., & Hipwell, A. E. (2019). Reciprocity in undesirable parent-child behavior? Verbal aggression, corporal punishment, and girls’ oppositional defiant symptoms. Journal of Clinical Child & Adolescent Psychology, 0(0), 1–14. https://doi.org/10.1080/15374416.2019.1603109.
Evans, S. C., Burke, J. D., Roberts, M. C., Fite, P. J., Lochman, J. E., De La Peña, F. R., & Reed, G. M. (2017). Irritability in child and adolescent psychopathology: An integrative review for ICD-11. Clinical Psychology Review, 53, 29–45.
Evans, S. C., Pederson, C. A., Fite, P. J., Blossom, J. B., & Cooley, J. L. (2016). Teacher-reported irritable and defiant dimensions of oppositional defiant disorder: Social, behavioral, and academic correlates. School Mental Health, 8(2), 292–304. https://doi.org/10.1007/s12310-015-9163-y.
Frick, P. J., & Nigg, J. T. (2012). Current issues in the diagnosis of attention deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorder. Annual Review of Clinical Psychology, 8, 77–107. https://doi.org/10.1146/annurev-clinpsy-032511-143150.
Gadow, K. D., & Sprafkin, J. (2013). Child and adolescent symptom inventory-5. Stony Brook: Checkmate Plus.
Gomez, R., & Stavropoulos, V. (2019). Oppositional defiant disorder dimensions: Associations with traits of the multidimensional personality among adults. Psychiatric Quarterly.
Hammer, J. H. (2006). Construct Replicability Calculator: A Microsoft Excel-based tool to calculate the Hancock and Mueller (2001) H index. Retrieved from http://drjosephhammer.com/
Handcock, G. R., & Mueller, R. O. (2001). Rethinking construct reliability within latent variable systems. In R. Cudeck, S. du Toit, & D. Sorbom (Eds.), Structural equation modeling: Present and future—A Festschrift in honor of Karl Joreskog (pp. 195–216). Lincolnwood, IL: Scientific Software International.
Hopwood, C. J., Thomas, K. M., Markon, K. E., Wright, A. G. C., & Krueger, R. F. (2012). DSM-5 personality traits and DSM-IV personality disorders. Journal of Abnormal Psychology, 121(2), 424–432. https://doi.org/10.1037/a0026656.
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55.
Johnston, O. G., Derella, O. J., & Burke, J. D. (2018). Identification of oppositional defiant disorder in young adult college students. Psychopathology and Behavioral Assessment, 40(4), 563–572.
Keenan, K., & Wakschlag, L. S. (2004). Are oppositional defiant and conduct disorder symptoms normative behaviors in preschoolers? A comparison of referred and nonreferred children. American Journal of Psychiatry, 161(2), 356–358. https://doi.org/10.1176/appi.ajp.161.2.356.
Kessler, R. C., Adler, L. A., Ames, M., Demler, O., Faraone, S., Hiripi, E., et al. (2005). The world health organization adult ADHD self-report scale (ASRS): A short screening scale for use in the general population. Psychological Medicine, 35(2), 245–256.
Kolko, D. J., & Pardini, D. A. (2010). ODD dimensions, ADHD, and callous-unemotional traits as predictors of treatment response in children with disruptive behavior disorders. Journal of Abnormal Psychology, 119(4), 713–725. https://doi.org/10.1037/a0020910.
Krueger, R. F., Derringer, J., Markon, K. E., Watson, D., & Skodol, A. E. (2013). Initial construction of a maladaptive personality trait model and inventory for DSM-5. Psychological Medicine, 42(9), 1879–1890.
Krueger, R. F., & Markon, K. E. (2014). The role of the DSM-5 personality trait model in moving toward a quantitative and empirically based approach to classifying personality and psychopathology. Annual Review of Clinical Psychology, 10, 477–501. https://doi.org/10.1146/annurev-clinpsy-032813-153732.
Leadbeater, B. J., & Ames, M. E. (2017). The longitudinal effects of oppositional defiant disorder symptoms on academic and occupational functioning in the transition to young adulthood. Journal of Abnormal Child Psychology, 45(4), 749–763. https://doi.org/10.1007/s10802-016-0190-4.
Leadbeater, B. J., & Homel, J. (2015). Irritable and defiant sub-dimensions of ODD: Their stability and prediction of internalizing symptoms and conduct problems from adolescence to young adulthood. Journal of Abnormal Child Psychology, 43(3), 407–421. https://doi.org/10.1007/s10802-014-9908-3.
Leadbeater, B. J., Thompson, K. D., & Gruppuso, V. (2012). Co-occurring trajectories of symptoms of anxiety, depression, and oppositional defiance from adolescence to young adulthood. Journal of Clinical Child and Adolescent Psychology, 41(6), 719–730. https://doi.org/10.1080/15374416.2012.694608.
Li, C.-H. (2016). Confirmatory factor analysis with ordinal data: Comparing robust maximum likelihood and diagonally weighted least squares. Behavior Research Methods, 48(3), 936–949. https://doi.org/10.3758/s13428-015-0619-7.
Li, W., Li, L., Lin, X., Liu, W., Yang, P., & Yao, J. (2014). Parent-child relationship, teacher-child relationship and peer relationship in children with oppositional defiant disorder. Chinese Journal of Clinical Psychology, 22(3), 428–432.
Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Sydney: Psychology Foundation.
Lynam, D. R., & Miller, J. D. (2019). The basic trait of antagonism : An unfortunately underappreciated construct. Journal of Research in Personality, 81, 118–126. https://doi.org/10.1016/j.jrp.2019.05.012.
Menard, S. (1995). Applied logistic regression analysis. In Sage University paper series on quantitative applications in the social sciences, series no. 106 (2nd ed.). Thousand Oaks: Sage.
Millon, T., & Radovanov, J. (1995). Passive–aggressive (negativistic) personality disorder. In W. J. Livesley (Ed.), The DSM-IV personality disorders (pp. 312–325). New York: Guilford Press.
Muthén, L. K., Muthén, B. O. (2017). Mplus User’s Guide. Eight Edition. Los Angeles: Muthén & Muthén.
Nock, M. K., Kazdin, A. E., Hiripi, E., & Kessler, R. C. (2007). Lifetime prevalence, correlates, and persistence of oppositional defiant disorder: Results from the national comorbidity survey replication. Journal of Child Psychology and Psychiatry and Allied Disciplines, 48(7), 703–713. https://doi.org/10.1111/j.1469-7610.2007.01733.x.
Overbey, G. A., Snell, W. E., & Callis, K. E. (2011). Subclinical ADHD, stress, and coping in romantic relationships of university students. Journal of Attention Disorders, 15(1), 67–78. https://doi.org/10.1177/1087054709347257.
Pardini, D. A., & Fite, P. J. (2010). Symptoms of conduct disorder, oppositional defiant disorder, attention-deficit/hyperactivity disorder, and callous-unemotional traits as unique predictor of psychosocial maladjustment in boys: Advancing an evidence base for DSM-V. Journal of the American Academy of Child & Adolescent Psychiatry, 49(11), 1134–1144. https://doi.org/10.1016/j.jaac.2010.07.010.
Preszler, J., Burns, G. L., Litson, K., Geiser, C., & Servera, M. (2017). Trait and state variance in oppositional defiant disorder symptoms: A multi-source investigation with Spanish children. Psychological Assessment, 29(2), 135–147. https://doi.org/10.1037/pas0000313.
Quilty, L. C., Ayearst, L., Chmielewski, M., Pollock, B. G., & Bagby, R. M. (2013). The psychometric properties of the personality inventory for DSM-5 in an APA DSM-5 field trial sample. Assessment, 20(3), 362–369. https://doi.org/10.1177/1073191113486183.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306.
Reimherr, F. W., Marchant, B. K., Olsen, J. L., Wender, P. H., & Robison, R. J. (2013). Oppositional defiant disorder in adults with ADHD. Journal of Attention Disorders, 17(2), 102–113. https://doi.org/10.1177/1087054711425774.
Rowe, R., Costello, E. J., Angold, A., Copeland, W. E., & Maughan, B. (2010). Developmental pathways in oppositinal defiant disorder and conduct disorder. Journal of Abnormal Psychology, 119(4), 726–738. https://doi.org/10.1037/a0020798.Developmental.
Sellbom, M., Anderson, J. L., & Bagby, R. M. (2013). Assessing DSM-5 section III personality traits and disorders with the MMPI-2-RF. Assessment, 20(6), 709–722. https://doi.org/10.1177/1073191113508808.
StataCorp. (2015). Stata statistical software: Release 14. College Station: StataCorp LP.
Stepp, S. D., Burke, J. D., Hipwell, A. E., & Loeber, R. (2012). Trajectories of attention deficit hyperactivity disorder and oppositional defiant disorder symptoms as precursors of borderline personality disorder symptoms in adolescent girls. Journal of Abnormal Child Psychology, 40(1), 7–20. https://doi.org/10.1007/s10802-011-9530-6.
Strickland, C. M., Drislane, L. E., Lucy, M., Krueger, R. F., & Patrick, C. J. (2013). Characterizing psychopathy using DSM-5 personality traits. Assessment, 20(3), 327–338. https://doi.org/10.1177/1073191113486691.
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 and Adolescent Psychiatry, 48(4), 404–412. https://doi.org/10.1097/CHI.0b013e3181984f30.
Wakschlag, L. S., Perlman, S. B., Blair, R. J., Leibenluft, E., Briggs-Gowan, M. J., & Pine, D. S. (2018). The neurodevelopmental basis of early childhood disruptive behavior: Irritable and callous phenotypes as exemplars. American Journal of Psychiatry, 175(2), 114–130. https://doi.org/10.1176/appi.ajp.2017.17010045.
Waldman, I. D., Rowe, R., Boylan, K., & Burke, J. D. (2018). External validation of a bifactor model of oppositional defiant disorder. Molecular Psychiatry, 1–12. https://doi.org/10.1038/s41380-018-0294-z.
Watts, A. L., Poore, H. E., Lilienfeld, S. O., & Waldman, I. D. (2019). Clarifying the associations between big five personality domains and higher-order psychopathology dimensions in youth. Journal of Research in Personality. https://doi.org/10.1016/j.jrp.2019.07.002.
Whelan, Y. M., Stringaris, A., Maughan, B., & Barker, E. D. (2013). Developmental continuity of oppositional defiant disorder subdimensions at ages 8, 10, and 13 years and their distinct psychiatric outcomes at age 16 years. Journal of the American Academy of Child and Adolescent Psychiatry, 52(9), 961–969. https://doi.org/10.1016/j.jaac.2013.06.013.
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Johnston, O.G., Cruess, D.G. & Burke, J.D. Irritability and Behavioral Symptom Dimensions of Oppositional Defiant Disorder in Young Adults: Associations with DSM-5 Pathological Personality Traits. J Psychopathol Behav Assess 42, 424–435 (2020). https://doi.org/10.1007/s10862-020-09786-8
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DOI: https://doi.org/10.1007/s10862-020-09786-8