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Latent classes of oppositional defiant disorder in adolescence and prediction to later psychopathology
Development and Psychopathology ( IF 5.317 ) Pub Date : 2022-01-25 , DOI: 10.1017/s0954579421001875
Sarah J Racz 1 , Robert J McMahon 2, 3 , Gretchen Gudmundsen 4, 5 , Elizabeth McCauley 4, 6 , Ann Vander Stoep 4, 7
Affiliation  

Current conceptualizations of oppositional defiant disorder (ODD) place the symptoms of this disorder within three separate but related dimensions (i.e., angry/irritable mood, argumentative/defiant behavior, vindictiveness). Variable-centered models of these dimensions have yielded discrepant findings, limiting their clinical utility. The current study utilized person-centered latent class analysis based on self and parent report of ODD symptomatology from a community-based cohort study of 521 adolescents. We tested for sex, race, and age differences in the identified classes and investigated their ability to predict later symptoms of depression and conduct disorder (CD). Diagnostic information regarding ODD, depression, and CD were collected annually from adolescents (grades 6–9; 51.9% male; 48.7% White, 28.2% Black, 18.5% Asian) and a parent. Results provided evidence for three classes of ODD (high, medium, and low endorsement of symptoms), which demonstrated important developmental differences across time. Based on self-report, Black adolescents were more likely to be in the high and medium classes, while according to parent report, White adolescents were more likely to be in the high and medium classes. Membership in the high and medium classes predicted later increases in symptoms of depression and CD, with the high class showing the greatest risk for later psychopathology.



中文翻译:

青春期对立违抗障碍的潜在类别及对后期精神病理学的预测

目前对对立违抗障碍 (ODD) 的概念化将这种障碍的症状归入三个独立但相关的维度(即愤怒/易怒情绪、好辩/挑衅行为、报复心)。这些维度的以变量为中心的模型产生了不一致的发现,限制了它们的临床应用。目前的研究利用以人为中心的潜在类别分析,该分析基于来自 521 名青少年的社区队列研究的 ODD 症状学自我和父母报告。我们在确定的类别中测试了性别、种族和年龄差异,并调查了他们预测抑郁症和品行障碍 (CD) 后期症状的能力。每年从青少年(6-9 年级;51.9% 男性;48.7% 白人、28.2% 黑人、18.5% 亚洲人)和父母那里收集有关 ODD、抑郁症和 CD 的诊断信息。结果为三类 ODD(症状的高、中和低认可)提供了证据,这表明随着时间的推移存在重要的发育差异。根据自我报告,黑人青少年更有可能进入高中班级,而根据家长报告,白人青少年更有可能进入高中班级。高级和中级成员预示着抑郁症和 CD 症状会在以后增加,高级成员显示出后期精神病理学的风险最大。白人青少年更有可能进入高中和中等阶层。高级和中级成员预示着抑郁症和 CD 症状会在以后增加,高级成员显示出后期精神病理学的风险最大。白人青少年更有可能进入高中和中等阶层。高级和中级成员预示着抑郁症和 CD 症状会在以后增加,高级成员显示出后期精神病理学的风险最大。

更新日期:2022-01-25
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