First-incidence, age of onset outcomes and risk factors of onset of DSM-5 oppositional defiant disorder from ages 3 to 9
Ezpeleta, Lourdes (Universitat Autònoma de Barcelona. Unitat d'Epidemiologia i de Diagnòstic en Psicopatologia del Desenvolupament)
Navarro, J. B.. (José Blas) (Universitat Autònoma de Barcelona. Unitat d'Epidemiologia i de Diagnòstic en Psicopatologia del Desenvolupament)
Osa, Nuria de la (Universitat Autònoma de Barcelona. Unitat d'Epidemiologia i de Diagnòstic en Psicopatologia del Desenvolupament)
Penelo Werner, Eva (Universitat Autònoma de Barcelona. Unitat d'Epidemiologia i de Diagnòstic en Psicopatologia del Desenvolupament)
Doménech Massons, José M. (Universitat Autònoma de Barcelona. Unitat d'Epidemiologia i de Diagnòstic en Psicopatologia del Desenvolupament)

Date:	2019
Abstract:	Objective: To examine the 1-year first incidence and prevalence of oppositional defiant disorder (ODD), the outcomes on psychopathology and functioning by age of onset and the risk factors of onset of ODD from ages 3 to 9 in children from the Spanish general population. Design: Longitudinal with seven follow-ups and double cohort (ODD and non-ODD children). Setting: General population of preschool and elementary school children in Barcelona (Spain). Participants: On a first phase, the parent-rated Strengths and Difficulties Questionnaire conduct problems scale plus ODD Diagnostic and Statistical Manual of Mental Disorders, fourth version, symptoms were used to screen for behavioural problems. The second phase sample size contained 622 cases at age 3 and, at age 9, 418 remained in the study. Results: The probability of the onset of ODD showed increasing values at ages 4 (R=2. 7%) and 5 years (R=4. 4%). These values decreased until age 7 (R=1. 9%) and increased again until age 9 (R=3. 6%). Up to 9 years old, the cumulative risk of new cases of ODD was 21. 9%. Early onset was associated with a higher risk of depression comorbidity and later onset with higher functional impairment and symptomatology. Subthreshold ODD, high scores in irritability and headstrong dimensions, attention deficit/hyperactivity disorder and other comorbidity, negative affectivity until age 7, difficulties in inhibit and emotional control, punitive parenting and maternal internalising problems were risk factors of a first episode of ODD during this 7-year period.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Published in:	BMJ open, Vol. 9, núm. 3 (2019) , p. e022493, ISSN 2044-6055

Adreça alternativa: https://bmjopen.bmj.com/content/9/3/e022493
DOI: 10.1136/bmjopen-2018-022493
PMID: 30928923

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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)
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