A comparison of pure and comorbid CD/ODD and depression.

Journal Article (Journal Article)

BACKGROUND: We studied the symptomatology of conduct/oppositional defiant disorder and major depression/dysthymic disorder in 'pure' and comorbid presentations. METHOD: The sample comprised 382 children of 8 to 17 years of age attending for psychiatric outpatient consultation. Ninety-two had depressive disorders without conduct disorders, 165 conduct disorder or oppositional defiant disorder without depressive disorders and 125 had both. RESULTS: In general, there were few differences in the distributions of the symptoms of shared disorders between the pure and the comorbid groups. Comorbidity accentuated depressive and emotional symptoms and functional impairment. After controlling for the presence of other disorders and severity of symptoms, comorbid children were more globally impaired than the pure conduct group and more impaired than the pure depressive group in school, the home, and in relationships with other people. CONCLUSIONS: The clinical presentations of 'pure' and comorbid depressive and conduct disorders are similar. Differences found in phenomenology and in functional impairment between the groups have implications for treatment planning and for nosology.

Full Text

Duke Authors

Cited Authors

  • Ezpeleta, L; Domènech, JM; Angold, A

Published Date

  • July 2006

Published In

Volume / Issue

  • 47 / 7

Start / End Page

  • 704 - 712

PubMed ID

  • 16790005

International Standard Serial Number (ISSN)

  • 0021-9630

Digital Object Identifier (DOI)

  • 10.1111/j.1469-7610.2005.01558.x


  • eng

Conference Location

  • England