M Kuhne1, R Schachar, R Tannock. 1. Department of Child and Adolescent Psychiatry, Hospital for Sick Children, Toronto, Ontario, Canada.
Abstract
OBJECTIVE: To investigate whether the presence of comorbid oppositional defiant disorder (ODD) or conduct disorder (CD) alters the correlates of attention-deficit hyperactivity disorder (ADHD). METHOD: Three groups of children (33 "pure" ADHD, 46 ADHD + ODD, and 12 ADHD + CD) were compared on measures of ADHD, aggression, anxiety, parental psychopathology, self-esteem, school, and social-emotional functioning. RESULTS: Findings indicated that the presence of comorbid oppositional or conduct problems in children with ADHD altered the correlates of ADHD across a number of areas, including greater ADHD symptom severity and social dysfunction. Nevertheless, some correlates were more closely linked with the comorbid condition of ADHD + CD (e.g., higher aggression, anxiety, and maternal pathology, as well as decreased self-esteem), while others appeared more closely linked with ADHD + ODD (e.g., social withdrawal, elevated academic achievement paired with higher perceived scholastic competence). CONCLUSIONS: Findings support the distinctive profiles of the disruptive behavior disorder groups and emphasize the deleterious effects on the quality of life experienced by the comorbid conditions. The need for syndrome-specific interventions is stressed.
OBJECTIVE: To investigate whether the presence of comorbid oppositional defiant disorder (ODD) or conduct disorder (CD) alters the correlates of attention-deficit hyperactivity disorder (ADHD). METHOD: Three groups of children (33 "pure" ADHD, 46 ADHD + ODD, and 12 ADHD + CD) were compared on measures of ADHD, aggression, anxiety, parental psychopathology, self-esteem, school, and social-emotional functioning. RESULTS: Findings indicated that the presence of comorbid oppositional or conduct problems in children with ADHD altered the correlates of ADHD across a number of areas, including greater ADHD symptom severity and social dysfunction. Nevertheless, some correlates were more closely linked with the comorbid condition of ADHD + CD (e.g., higher aggression, anxiety, and maternal pathology, as well as decreased self-esteem), while others appeared more closely linked with ADHD + ODD (e.g., social withdrawal, elevated academic achievement paired with higher perceived scholastic competence). CONCLUSIONS: Findings support the distinctive profiles of the disruptive behavior disorder groups and emphasize the deleterious effects on the quality of life experienced by the comorbid conditions. The need for syndrome-specific interventions is stressed.
Authors: Mark A Riddle; Kseniya Yershova; Deborah Lazzaretto; Natalya Paykina; Gayane Yenokyan; Laurence Greenhill; Howard Abikoff; Benedetto Vitiello; Tim Wigal; James T McCracken; Scott H Kollins; Desiree W Murray; Sharon Wigal; Elizabeth Kastelic; James J McGough; Susan dosReis; Audrey Bauzó-Rosario; Annamarie Stehli; Kelly Posner Journal: J Am Acad Child Adolesc Psychiatry Date: 2013-02-08 Impact factor: 8.829
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
Authors: Howard B Abikoff; Peter S Jensen; L L Eugene Arnold; Betsy Hoza; Lily Hechtman; Simcha Pollack; Diane Martin; Jose Alvir; John S March; Stephen Hinshaw; Benedetto Vitiello; Jeffrey Newcorn; Andrew Greiner; Dennis P Cantwell; C Keith Conners; Glen Elliott; Laurence L Greenhill; Helena Kraemer; William E Pelham; Joanne B Severe; James M Swanson; Karen Wells; Tim Wigal Journal: J Abnorm Child Psychol Date: 2002-08