Evidence for developmentally based diagnoses of oppositional defiant disorder and conduct disorder

Rolf Loeber, Kate Keenan, Benjamin B. Lahey, Stephanie M. Green, Christopher Thomas

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

This paper compares the validity of DSM-III-R diagnoses of oppositional defiant disorder (ODD) and conduct disorder (CD) and an alternative option which is subdivided into three levels according to developmental sequence and severity: modified oppositional disorder (MODD), intermediate CD (ICD), and advanced CD (ACD). Using a sample of 177 boys followed over 3 years, both the DSM-III-R and the alternative diagnostic constructs are evaluated on three criteria: symptom discriminative validity, and diagnostic external and predictive validity. Most DSM-III-R ODD and CD symptoms discriminated between ODD and CD, but exceptions are noted. Additional analyses demonstrated considerable overlap among DSM-III-R oppositional symptoms. The majority of the symptoms proposed for the alternative option could be assigned to a specific level based on acceptable symptom discrimination. External validity lent support to the distinctions between DSM-III-R ODD and CD, and between MODD, ICD, and ACD. MODD was a better predictor than ODD of which boys received a later diagnosis of CD. Suggestions are made for the inclusion and exclusion of symptoms for developmentally based diagnoses of oppositional and conduct disorders.

Original languageEnglish (US)
Pages (from-to)377-410
Number of pages34
JournalJournal of Abnormal Child Psychology
Volume21
Issue number4
DOIs
StatePublished - Aug 1993

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Attention Deficit and Disruptive Behavior Disorders
Conduct Disorder
Diagnostic and Statistical Manual of Mental Disorders
Delayed Diagnosis

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology
  • Psychology(all)

Cite this

Evidence for developmentally based diagnoses of oppositional defiant disorder and conduct disorder. / Loeber, Rolf; Keenan, Kate; Lahey, Benjamin B.; Green, Stephanie M.; Thomas, Christopher.

In: Journal of Abnormal Child Psychology, Vol. 21, No. 4, 08.1993, p. 377-410.

Research output: Contribution to journalArticle

Loeber, Rolf ; Keenan, Kate ; Lahey, Benjamin B. ; Green, Stephanie M. ; Thomas, Christopher. / Evidence for developmentally based diagnoses of oppositional defiant disorder and conduct disorder. In: Journal of Abnormal Child Psychology. 1993 ; Vol. 21, No. 4. pp. 377-410.
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