Testing Multiple Conceptualizations of Oppositional Defiant Disorder in Youth.

Ollendick, TH; Booker, JA; Ryan, S; Greene, RW

Testing Multiple Conceptualizations of Oppositional Defiant Disorder in Youth.

Ollendick, TH Booker, JA Ryan, S Greene, RW

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Publisher:: Informa UK Limited
Publication Type:: Journal Article
Citation:: J Clin Child Adolesc Psychol, 2018, 47, (4), pp. 620-633
Issue Date:: 2018-07

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Field	Value	Language
dc.contributor.author	Ollendick, TH
dc.contributor.author	Booker, JA
dc.contributor.author	Ryan, S
dc.contributor.author	Greene, RW
dc.date.accessioned	2022-09-10T23:34:08Z
dc.date.available	2022-09-10T23:34:08Z
dc.date.issued	2018-07
dc.identifier.citation	J Clin Child Adolesc Psychol, 2018, 47, (4), pp. 620-633
dc.identifier.issn	1537-4416
dc.identifier.issn	1537-4424
dc.identifier.uri	http://hdl.handle.net/10453/161631
dc.description.abstract	Recent theories conceptualize oppositional defiant disorder (ODD) as a two-dimensional construct with angry/irritable (i.e., affective) and argumentative/defiant (i.e., behavioral) components. This view has been supported by studies of nonreferred youth but not yet examined in clinic-referred youth. In a reanalysis of data regarding children who received one of two psychosocial ODD treatments, we examined multiple conceptualizations of ODD, whether children showed improvements across these ODD dimensions, and whether main and joint effects of ODD dimension improvement predicted clinical outcome. One hundred thirty-four clinic-referred youth (ages 7-14 years, 38% female, 84% White) who met Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria for ODD received 1 of 2 psychosocial treatments. At pretreatment, 1-week follow-up, and 6-month follow-up, mothers reported child aggression and conduct problems, clinicians reported global clinical impairment and clinical improvement, and ODD symptom counts were collected from a semistructured diagnostic interview with mothers. Baseline ODD symptom were used to test previously supported multidimensional models. One- and two-factor conceptualizations were supported; however, the two-factor solution was preferred. With this solution, each dimension significantly and similarly improved across treatment conditions. Improvements across affective and behavioral ODD factors also had significant effects on clinician- and mother-reported clinical outcomes. The current findings provide empirical support for the ongoing study of multidimensional ODD conceptualizations in clinic-referred youth.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Informa UK Limited
dc.relation	National Institute of Mental HealthR01MH076141
dc.relation	National Institute of Mental HealthR01MH059308
dc.relation.ispartof	J Clin Child Adolesc Psychol
dc.relation.isbasedon	10.1080/15374416.2017.1286594
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1701 Psychology, 1702 Cognitive Sciences
dc.subject.classification	Developmental & Child Psychology
dc.subject.mesh	Adolescent
dc.subject.mesh	Attention Deficit and Disruptive Behavior Disorders
dc.subject.mesh	Child
dc.subject.mesh	Diagnostic and Statistical Manual of Mental Disorders
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Humans
dc.subject.mesh	Attention Deficit and Disruptive Behavior Disorders
dc.subject.mesh	Diagnostic and Statistical Manual of Mental Disorders
dc.subject.mesh	Adolescent
dc.subject.mesh	Child
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.title	Testing Multiple Conceptualizations of Oppositional Defiant Disorder in Youth.
dc.type	Journal Article
utslib.citation.volume	47
utslib.location.activity	England
utslib.for	1701 Psychology
utslib.for	1702 Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Science
utslib.copyright.status	closed_access	*
dc.date.updated	2022-09-10T23:34:06Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	47
utslib.citation.issue	4

Abstract:

Recent theories conceptualize oppositional defiant disorder (ODD) as a two-dimensional construct with angry/irritable (i.e., affective) and argumentative/defiant (i.e., behavioral) components. This view has been supported by studies of nonreferred youth but not yet examined in clinic-referred youth. In a reanalysis of data regarding children who received one of two psychosocial ODD treatments, we examined multiple conceptualizations of ODD, whether children showed improvements across these ODD dimensions, and whether main and joint effects of ODD dimension improvement predicted clinical outcome. One hundred thirty-four clinic-referred youth (ages 7-14 years, 38% female, 84% White) who met Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria for ODD received 1 of 2 psychosocial treatments. At pretreatment, 1-week follow-up, and 6-month follow-up, mothers reported child aggression and conduct problems, clinicians reported global clinical impairment and clinical improvement, and ODD symptom counts were collected from a semistructured diagnostic interview with mothers. Baseline ODD symptom were used to test previously supported multidimensional models. One- and two-factor conceptualizations were supported; however, the two-factor solution was preferred. With this solution, each dimension significantly and similarly improved across treatment conditions. Improvements across affective and behavioral ODD factors also had significant effects on clinician- and mother-reported clinical outcomes. The current findings provide empirical support for the ongoing study of multidimensional ODD conceptualizations in clinic-referred youth.

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http://hdl.handle.net/10453/161631