The relative diagnostic utility of child and parent reports of oppositional defiant behaviors
It has been suggested that parents are better reporters of oppositional defiant behaviors than are children themselves and that this may be a reason to ignore child reports in the assessment of Oppositional Defiant Disorder (ODD). Using data from the Great Smoky Mountains Study, a community study 1,015 of nine-, eleven-, and thirteen-yearold children, we found that, indeed, children on average reported lower frequencies of all oppositional defiant behaviors than their parents reported about them. However, their reports of such behaviors and psychosocial impairment had a substantial effect on the rate of oppositional defiant disorder (ODD). Where child reports were required for the DSM-IV criteria ODD criteria to be met, rates of several 'validity' criteria and measures of outcome one year later were as high as when parent reports alone were sufficient to make the diagnosis. We conclude that child self reports of oppositional defiant symptoms are an important part of the assessment of ODD in both research applications and clinical practice. © 1996 by John Wil'ey & Sons, Ltd.
Angold, A; Jane Costello, E
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