Home > Articles > Published articles > Prevalence, comorbidity, functioning and long-term effects of subthreshold oppositional defiant disorder in a community sample of preschoolers |
Date: | 2019 |
Abstract: | To study the prevalence of subthreshold oppositional defiant disorder (ST ODD)-less than 4 symptoms, but nonetheless an impairing form of oppositional defiant disorder (ODD)-its coexistence with other homotypic externalizing and heterotypical internalizing problems in children and associated impairment, as well as the long-term effect of this condition. A population-based sample of 622 preschoolers (5. 0% boys) was followed up from preschool to preadolescence. Parents were interviewed when the children were 3, 6 and 9 years old with the Diagnostic Interview for Preschoolers/Children and Adolescents versions following DSM-5 and the children's functioning was assessed by trained clinicians. ST ODD diagnosis is highly prevalent (19. 4-25. 5%), highly comorbid [homo- (1. 9-18. 4%) and heterotypical (5. 8-23. 7%)], resulting in functional impairment across child development in a similar way for both genders. ST is also a risk factor condition that predicts the presence of psychological problems and impairment in childhood and preadolescence from preschool age. A broader clinical assessment and intervention similar to that provided full syndrome cases is needed for children presenting subthreshold forms of ODD. |
Grants: | Ministerio de Economía y Competitividad PSI2012-32695 Ministerio de Economía y Competitividad PSI2015-63965-R Agència de Gestió d'Ajuts Universitaris i de Recerca 2014/SGR-312 |
Rights: | Tots els drets reservats. |
Language: | Anglès |
Document: | Article ; recerca ; Versió acceptada per publicar |
Subject: | Dimensional ; ODD ; Preschoolers ; Subthreshold |
Published in: | European child & adolescent psychiatry, 2019 , ISSN 1018-8827 |
Post-print 23 p, 265.8 KB |