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Irritability, Defiant and Obsessive-Compulsive Problems Development from Childhood to Adolescence
Journal of Youth and Adolescence ( IF 3.7 ) Pub Date : 2021-11-02 , DOI: 10.1007/s10964-021-01528-7
Lourdes Ezpeleta 1, 2 , Eva Penelo 1, 3 , J Blas Navarro 1, 3 , Núria de la Osa 1, 2 , Esther Trepat 1, 2
Affiliation  

Little is known about the coexistence of oppositionality and obsessive-compulsive problems (OCP) in community children and how it affects their development until adolescence to prevent possible dysfunctions. The co-development of oppositional defiant dimensions and OCP is studied in 563 children (49.7% female) from ages 6 to 13 years, assessed yearly with measures answered by parents and teachers. A 4-class model based on Latent Class Growth Analysis for three parallel processes (irritability, defiant, and OCP) was selected, which showed adequate fitting indexes. Class 1 (n = 349, 62.0%) children scored low on all the measures. Class 2 (n = 53, 9.4%) contained children with high OCP and low irritability and defiant. Class 3 (n = 108, 19.2%) clustered children with high irritability and defiant and low OCP. Class 4 (n = 53, 9.4%) clustered comorbid irritability, defiant, and OCP characteristics. The classes showed different clinical characteristics through development. The developmental co-occurrence of irritability and defiant plus obsessive-compulsive behaviors is frequent and adds severity through development regarding comorbidity, peer problems, executive functioning difficulties, and daily functioning. The identification of different classes when combining oppositional problems and OCP may be informative to prevent developmental dysfunctions and to promote good adjustment through development.



中文翻译:

从童年到青春期的易怒、挑衅和强迫症问题的发展

关于社区儿童中对立性和强迫症(OCP)的共存以及它如何影响他们直到青春期的发育以防止可能的功能障碍,我们知之甚少。对 563 名 6 至 13 岁儿童(49.7% 为女性)的对立违抗维度和 OCP 的共同发展进行了研究,并根据家长和老师的回答每年进行评估。选择了基于潜在类别增长分析的 4 类模型,用于三个并行过程(易怒、挑衅和 OCP),显示出足够的拟合指数。1 级 ( n  = 349, 62.0%) 儿童在所有测量中得分较低。2 级 ( n  = 53, 9.4%) 包含具有高 OCP 和低易怒和挑衅的儿童。第 3 类 ( n = 108, 19.2%) 具有高度易怒、挑衅和低 OCP 的聚集儿童。4 级 ( n  = 53, 9.4%) 聚集共病易怒、挑衅和 OCP 特征。这些类别在发展过程中表现出不同的临床特征。易怒、挑衅和强迫行为的发展共同发生是频繁的,并通过发展有关合并症、同伴问题、执行功能困难和日常功能而增加严重性。结合对立问题和 OCP 时,不同类别的识别可能有助于防止发育障碍并通过发育促进良好的调整。

更新日期:2021-11-02
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