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Dysthymic disorder contributes to oppositional defiant behaviour in children with Attention Deficit Hyperactivity Disorder, combined type (ADHD-CT).
J Affect Disord. 2005 Jun; 86(2-3):329-33.JA

Abstract

BACKGROUND

The specific relationships between oppositional defiant disorder (ODD), ADHD-CT, dysthymic disorder (DD) and anxiety disorders symptoms have not been studied in children with ADHD-CT. The relationship to DD is important because DD is common, has an earlier age of onset, is associated with significant morbidity and with increased rates of treatment non-responsiveness when comorbid with major depressive disorder and/or ADHD-CT.

METHODS

200 clinically referred children with ADHD-CT, without comorbid major depressive disorder, were identified. "ODD", "ADHD-CT", "DD" and "anxiety disorders" symptoms were defined by composite measures of (1) semi-structured clinical interview and (2) parent and/or child standardized questionnaires. Standard multiple regression was used to examine how well "ADHD-CT", "DD" and "anxiety disorders" symptoms predict "ODD" symptoms.

RESULTS

Only "ADHD-CT" (15% of the variance) and "DD" (8% of the variance) symptoms made independent significant contributions to the prediction of "ODD" symptoms.

LIMITATIONS

The study's sample size did not allow "ODD" and "conduct disorder" symptoms to be analysed separately.

CONCLUSIONS

The association of DD with ODD may reflect a unique contribution of DD to ODD in children, whether ADHD-CT is present or not, or only when ADHD-CT is present.

Authors+Show Affiliations

Vance A
Academic Child Psychiatry Unit, Department of Paediatrics, University of Melbourne, Royal Children's Hospital, Murdoch Children's Research Institute, Parkville, VIC 3052, Australia. avance@unimelb.edu.au
Sanders M
No affiliation info available
Arduca Y
No affiliation info available

MeSH

Age of OnsetAnxiety DisordersAttention Deficit Disorder with HyperactivityAttention Deficit and Disruptive Behavior DisordersAustraliaChildComorbidityDepressive Disorder, MajorDysthymic DisorderFemaleHumansMalePersonality InventoryPsychiatric Status Rating ScalesRegression AnalysisSurveys and Questionnaires

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

15935256

Citation

Vance, Alasdair, et al. "Dysthymic Disorder Contributes to Oppositional Defiant Behaviour in Children With Attention Deficit Hyperactivity Disorder, Combined Type (ADHD-CT)." Journal of Affective Disorders, vol. 86, no. 2-3, 2005, pp. 329-33.
Vance A, Sanders M, Arduca Y. Dysthymic disorder contributes to oppositional defiant behaviour in children with Attention Deficit Hyperactivity Disorder, combined type (ADHD-CT). J Affect Disord. 2005;86(2-3):329-33.
Vance, A., Sanders, M., & Arduca, Y. (2005). Dysthymic disorder contributes to oppositional defiant behaviour in children with Attention Deficit Hyperactivity Disorder, combined type (ADHD-CT). Journal of Affective Disorders, 86(2-3), 329-33.
Vance A, Sanders M, Arduca Y. Dysthymic Disorder Contributes to Oppositional Defiant Behaviour in Children With Attention Deficit Hyperactivity Disorder, Combined Type (ADHD-CT). J Affect Disord. 2005;86(2-3):329-33. PubMed PMID: 15935256.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dysthymic disorder contributes to oppositional defiant behaviour in children with Attention Deficit Hyperactivity Disorder, combined type (ADHD-CT). AU - Vance,Alasdair, AU - Sanders,Michelle, AU - Arduca,Yolanda, PY - 2004/11/26/received PY - 2005/03/08/revised PY - 2005/03/09/accepted PY - 2005/6/7/pubmed PY - 2005/9/24/medline PY - 2005/6/7/entrez SP - 329 EP - 33 JF - Journal of affective disorders JO - J Affect Disord VL - 86 IS - 2-3 N2 - BACKGROUND: The specific relationships between oppositional defiant disorder (ODD), ADHD-CT, dysthymic disorder (DD) and anxiety disorders symptoms have not been studied in children with ADHD-CT. The relationship to DD is important because DD is common, has an earlier age of onset, is associated with significant morbidity and with increased rates of treatment non-responsiveness when comorbid with major depressive disorder and/or ADHD-CT. METHODS: 200 clinically referred children with ADHD-CT, without comorbid major depressive disorder, were identified. "ODD", "ADHD-CT", "DD" and "anxiety disorders" symptoms were defined by composite measures of (1) semi-structured clinical interview and (2) parent and/or child standardized questionnaires. Standard multiple regression was used to examine how well "ADHD-CT", "DD" and "anxiety disorders" symptoms predict "ODD" symptoms. RESULTS: Only "ADHD-CT" (15% of the variance) and "DD" (8% of the variance) symptoms made independent significant contributions to the prediction of "ODD" symptoms. LIMITATIONS: The study's sample size did not allow "ODD" and "conduct disorder" symptoms to be analysed separately. CONCLUSIONS: The association of DD with ODD may reflect a unique contribution of DD to ODD in children, whether ADHD-CT is present or not, or only when ADHD-CT is present. SN - 0165-0327 UR - https://www.unboundmedicine.com/medline/citation/15935256/Dysthymic_disorder_contributes_to_oppositional_defiant_behaviour_in_children_with_Attention_Deficit_Hyperactivity_Disorder_combined_type__ADHD_CT__ DB - PRIME DP - Unbound Medicine ER -