Journal
JOURNAL OF ABNORMAL PSYCHOLOGY
Volume 119, Issue 4, Pages 713-725Publisher
AMER PSYCHOLOGICAL ASSOC
DOI: 10.1037/a0020910
Keywords
callous-unemotional; conduct disorder; oppositional defiant disorder; treatment; longitudinal studies
Funding
- NIMH NIH HHS [R01 MH057727, K01 MH078039, MH 57727, MH 078039] Funding Source: Medline
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To answer several questions pertinent to DSM-V, the authors examined the predictive validity of pretreatment oppositional defiant disorder (ODD) dimensions, attention-deficit/hyperactivity disorder (ADHD), and callous unemotional (CU) traits in relation to several treatment outcomes in 177 children diagnosed with ODD or conduct disorder (CD). Multiple informants completed diagnostic interviews and rating scales at 6 assessment points (pretreatment to 3-year follow-up) to document emotional and behavioral outcomes. After controlling for pretreatment CD, the ODD dimension of hurtfulness was related to treatment-resistant CD, delinquent behaviors, and externalizing problems. In contrast, the ODD dimension tapping irritability was associated with treatment-resistant ODD, internalizing problems, and global functional impairment following treatment. Whereas pretreatment ADHD was associated with posttreatment ODD and social problems, it was unrelated to posttreatment CD symptoms and diagnosis. Contrary to predictions, CU traits were unrelated to any posttreatment outcomes after controlling for other covariates. These findings remained after controlling for measures of pretreatment global functional impairment.
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