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Developmental pathways in oppositional defiant disorder and conduct disorder.

Publication ,  Journal Article
Rowe, R; Costello, EJ; Angold, A; Copeland, WE; Maughan, B
Published in: J Abnorm Psychol
November 2010

The Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV; American Psychiatric Association, 1994) specifies a developmental relationship between oppositional defiant disorder (ODD) and conduct disorder (CD). Evidence for this link is mixed, however, and recent studies suggest that different symptom dimensions in ODD may have different outcomes. The authors examined links between ODD, CD, and their young adult outcomes in the Great Smoky Mountains Study (E. J. Costello et al., 1996), a longitudinal data set with over 8,000 observations of 1,420 individuals (56% male) covering ages 9-21 years. ODD was a significant predictor of later CD in boys but not in girls after control for comorbid CD and subthreshold CD symptomatology. Transitions between ODD and CD were less common than anticipated, however, particularly during adolescence. The authors examined characteristics and outcomes of children with pure ODD, pure CD, and combined CD/ODD. Alongside many similarities in childhood and adolescent correlates, key differences were also identified: CD largely predicted behavioral outcomes, whereas ODD showed stronger prediction to emotional disorders in early adult life. Factor analysis identified irritable and headstrong dimensions in ODD symptoms that showed differential prediction to later behavioral and emotional disorders. Overall, the results underscore the utility of retaining separate ODD and CD diagnoses in DSM-V.

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Published In

J Abnorm Psychol

DOI

EISSN

1939-1846

Publication Date

November 2010

Volume

119

Issue

4

Start / End Page

726 / 738

Location

United States

Related Subject Headings

  • Young Adult
  • Male
  • Longitudinal Studies
  • Humans
  • Female
  • Factor Analysis, Statistical
  • Disease Progression
  • Diagnostic and Statistical Manual of Mental Disorders
  • Comorbidity
  • Clinical Psychology
 

Citation

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Rowe, R., Costello, E. J., Angold, A., Copeland, W. E., & Maughan, B. (2010). Developmental pathways in oppositional defiant disorder and conduct disorder. J Abnorm Psychol, 119(4), 726–738. https://doi.org/10.1037/a0020798
Rowe, Richard, E Jane Costello, Adrian Angold, William E. Copeland, and Barbara Maughan. “Developmental pathways in oppositional defiant disorder and conduct disorder.J Abnorm Psychol 119, no. 4 (November 2010): 726–38. https://doi.org/10.1037/a0020798.
Rowe R, Costello EJ, Angold A, Copeland WE, Maughan B. Developmental pathways in oppositional defiant disorder and conduct disorder. J Abnorm Psychol. 2010 Nov;119(4):726–38.
Rowe, Richard, et al. “Developmental pathways in oppositional defiant disorder and conduct disorder.J Abnorm Psychol, vol. 119, no. 4, Nov. 2010, pp. 726–38. Pubmed, doi:10.1037/a0020798.
Rowe R, Costello EJ, Angold A, Copeland WE, Maughan B. Developmental pathways in oppositional defiant disorder and conduct disorder. J Abnorm Psychol. 2010 Nov;119(4):726–738.

Published In

J Abnorm Psychol

DOI

EISSN

1939-1846

Publication Date

November 2010

Volume

119

Issue

4

Start / End Page

726 / 738

Location

United States

Related Subject Headings

  • Young Adult
  • Male
  • Longitudinal Studies
  • Humans
  • Female
  • Factor Analysis, Statistical
  • Disease Progression
  • Diagnostic and Statistical Manual of Mental Disorders
  • Comorbidity
  • Clinical Psychology