Classes of oppositional-defiant behavior: concurrent and predictive validity

J Child Psychol Psychiatry. 2014 Oct;55(10):1162-71. doi: 10.1111/jcpp.12233. Epub 2014 Mar 26.

Abstract

Background: Oppositional defiant disorder (ODD) has components of both irritability and defiance. It remains unclear whether children with variation in these domains have different adult outcomes. This study examined the concurrent and predictive validity of classes of oppositional defiant behavior.

Methods: Latent class analysis was performed on the oppositional defiant problems scale of the Child Behavior Checklist in two samples, one in the US (the Achenbach Normative Sample, N = 2029) and one in the Netherlands (the Zuid-Holland Study, N = 2076). A third sample of American children (The Vermont Family Study, N = 399) was examined to determine concurrent validity with DSM diagnoses. Predictive validity over 14 years was assessed using the Zuid-Holland Study.

Results: Four classes of oppositional defiant problems were consistent in the two latent class analyses: No Symptoms, All Symptoms, Irritable, and Defiant. Individuals in the No Symptoms Class were rarely diagnosed concurrently with ODD or any future disorder. Individuals in the All Symptoms Class had an increased frequency of concurrent childhood diagnosis of ODD and of violence in adulthood. Subjects in the Irritable Class had low concurrent diagnosis of ODD, but increased odds of adult mood disorders. Individuals in the Defiant Class had low concurrent diagnosis of ODD, but had increased odds of violence as adults.

Conclusions: Only children in the All Symptoms class were likely to have a concurrent diagnosis of ODD. Although not diagnosed with ODD, children in the Irritable Class were more likely to have adult mood disorders and children in the Defiant Class were more likely to engage in violent behavior.

Keywords: Child Behavior Checklist; Oppositional defiant disorder; longitudinal studies; validity.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Attention Deficit and Disruptive Behavior Disorders / classification*
  • Attention Deficit and Disruptive Behavior Disorders / diagnosis
  • Checklist
  • Child
  • Child Behavior / classification
  • Child Behavior / psychology
  • Child, Preschool
  • Cross-Cultural Comparison
  • Female
  • Humans
  • Interview, Psychological
  • Juvenile Delinquency / psychology
  • Longitudinal Studies
  • Male
  • Netherlands
  • Pyrimidines
  • Reproducibility of Results
  • Triazoles
  • United States

Substances

  • (5-methyl(1,2,4)triazolo(1,5-a)pyrimidin-7-yl)(4-trifluoromethylphenyl)amine
  • Pyrimidines
  • Triazoles