OBJECTIVE: To seek evidence for the validity of oppositional defiant disorder (ODD) as a behavioral syndrome in adults. METHOD: Two samples of adults, mental health outpatient clinic referrals (N = 490) and community controls (N = 900), completed a Diagnostic and Statistic Manual of Mental Disorders-referenced rating scale and a brief questionnaire (social, educational, occupational, and treatment variables). Participants were separated into four groups: ODD-only, ADHD-only, ODD+ADHD, and NONE. RESULTS: In general, the three symptom groups were more severe than the NONE group; the ODD+ADHD and NONE groups were the most and least severe, respectively; and there were clear differences between the ODD-only and ADHD-only groups. The pattern of group differences was generally similar in both samples. CONCLUSION: Findings support the distinction between ADHD and ODD symptom presentations in adults, and the notion that the comorbid condition is a unique clinical entity, both of which are consistent with the child literature. Nevertheless, additional research with larger samples of patients will be necessary to establish ODD as a potential behavioral syndrome in adults.
OBJECTIVE: To seek evidence for the validity of oppositional defiant disorder (ODD) as a behavioral syndrome in adults. METHOD: Two samples of adults, mental health outpatient clinic referrals (N = 490) and community controls (N = 900), completed a Diagnostic and Statistic Manual of Mental Disorders-referenced rating scale and a brief questionnaire (social, educational, occupational, and treatment variables). Participants were separated into four groups: ODD-only, ADHD-only, ODD+ADHD, and NONE. RESULTS: In general, the three symptom groups were more severe than the NONE group; the ODD+ADHD and NONE groups were the most and least severe, respectively; and there were clear differences between the ODD-only and ADHD-only groups. The pattern of group differences was generally similar in both samples. CONCLUSION: Findings support the distinction between ADHD and ODD symptom presentations in adults, and the notion that the comorbid condition is a unique clinical entity, both of which are consistent with the child literature. Nevertheless, additional research with larger samples of patients will be necessary to establish ODD as a potential behavioral syndrome in adults.
Authors: Martina de Zwaan; Barbara Gruss; Astrid Müller; Holmer Graap; Alexandra Martin; Heide Glaesmer; Anja Hilbert; Alexandra Philipsen Journal: Eur Arch Psychiatry Clin Neurosci Date: 2011-04-17 Impact factor: 5.270
Authors: H Christiansen; W Chen; R D Oades; P Asherson; E A Taylor; J Lasky-Su; K Zhou; T Banaschewski; C Buschgens; B Franke; I Gabriels; I Manor; R Marco; U C Müller; A Mulligan; L Psychogiou; N N J Rommelse; H Uebel; J Buitelaar; R P Ebstein; J Eisenberg; M Gill; A Miranda; F Mulas; H Roeyers; A Rothenberger; J A Sergeant; E J S Sonuga-Barke; H-C Steinhausen; M Thompson; S V Faraone Journal: J Neural Transm (Vienna) Date: 2008-01-16 Impact factor: 3.575