Prevalence, comorbidity, functioning and long-term effects of subthreshold oppositional defiant disorder in a community sample of preschoolers
Osa, Nuria de la (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)
Penelo Werner, Eva (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de Ciències de la Salut)
Navarro, J. B.. (José Blas) (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de Ciències de la Salut)
Trepat, Esther (Universitat Autònoma de Barcelona. Unitat d'Epidemiologia i de Diagnòstic en Psicopatologia del Desenvolupament)
Ezpeleta, Lourdes (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)

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

DOI: 10.1007/s00787-019-01300-0
PMID: 30834986

Post-print 23 p, 265.8 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Research group Epidemiology and Diagnosis in Psychopathology of Development (UED)
Articles > Research articles
Articles > Published articles