Toward establishing an empirical basis for the diagnosis of oppositional defiant disorder.
Journal Article (Journal Article)
OBJECTIVES: (1) To determine the frequency of occurrence of oppositional defiant behaviors in the general population with a view to establishing empirical frequency cutoffs for the evaluation of oppositional defiant disorder (ODD). (2) To examine the effects of changes in the definition of ODD between DSM-III-R and DSM-IV. METHOD: The Great Smoky Mountains Study is a general population study of 9-, 11-, and 13-year-olds. Subjects and their parents were interviewed with the Child and Adolescent Psychiatric Assessment at baseline and again 1 year later. RESULTS: Ninetieth percentile frequency cutoffs for ODD symptoms are given. Although rates of ODD were little different between DSM-III-R and DSM-IV, fewer than half of those who met criteria by one or the other definition met criteria according to both. DSM-IV defined a more disturbed group of children than did DSM-III-R. Requiring only two or three ODD symptoms plus impairment identified children with substantial evidence of disturbance who did not otherwise meet criteria for any diagnosis. CONCLUSIONS: The DSM-IV criteria represent an improvement over DSM-III-R. However, a reduction in the number of ODD symptoms required for diagnosis is indicated. Symptom frequency criteria for ODD symptoms are suggested for clinical use.
Full Text
Duke Authors
Cited Authors
- Angold, A; Costello, EJ
Published Date
- September 1996
Published In
Volume / Issue
- 35 / 9
Start / End Page
- 1205 - 1212
PubMed ID
- 8824064
International Standard Serial Number (ISSN)
- 0890-8567
Digital Object Identifier (DOI)
- 10.1097/00004583-199609000-00018
Language
- eng
Conference Location
- United States