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- Title
Longitudinal Profiles of Girls' Irritable, Defiant and Antagonistic Oppositional Symptoms: Evidence for Group Based Differences in Symptom Severity.
- Authors
Boylan, Khrista; Rowe, Richard; Duku, Eric; Waldman, Irwin; Stepp, Stephanie; Hipwell, Alison; Burke, Jeffrey
- Abstract
Three subdimensions of ODD symptoms have been proposed -angry/irritable (IR), argumentative/defiant (DF) and antagonism (AN). This study tested whether longitudinal symptom trajectories could be identified by these subdimensions. Group-based trajectory analysis was used to identify developmental trajectories of IR, DF and AN symptoms. Multi-group trajectory analysis was then used to identify how subdimension trajectories were linked together over time. Data were drawn from the Pittsburgh Girls Study (PGS; N = 2450), an urban community sample of girls between the ages of five--eight at baseline. We included five waves of annual data across ages five-13 to model trajectories. Three trajectories were identified for each ODD subdimension: DF and AN were characterized by high, medium and low severity groups; IR was characterized by low, medium stable, and high increasing groups. Multi-trajectory analysis confirmed these subdimensions were best linked together based on symptom severity. We did not identify girls' trajectory groups that were characterized predominantly by a particular subdimension of ODD symptoms. Membership in more severe symptom groups was significantly associated with worse outcomes five years later. In childhood and early adolescence girls with high levels of ODD symptoms can be identified, and these youth are characterized by a persistently elevated profile of IR, DF and AN symptoms. Further studies in clinical samples are required to examine the ICD-10 proposal that ODD with irritability is a distinct or more severe form of ODD.
- Subjects
OPPOSITIONAL defiant disorder in children; SEVERITY of illness index; DIAGNOSIS related groups; OPPOSITIONAL defiant disorder in adolescence; ADOLESCENT psychopathology; CHILD psychopathology; AFFECT (Psychology); ANGER; EMOTIONS; INTERPERSONAL relations; LONGITUDINAL method; CLASSIFICATION
- Publication
Journal of Abnormal Child Psychology, 2017, Vol 45, Issue 6, p1133
- ISSN
0091-0627
- Publication type
journal article
- DOI
10.1007/s10802-016-0231-z