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Cited by 211Attention Deficit Hyperactivity DisorderChild and Adolescent Psychosocial and Emotional DevelopmentBehavioral and Psychological Studies

Impact of Comorbid Oppositional or Conduct Problems on Attention-Deficit Hyperactivity Disorder

KUHNE, MICHAEL, SCHACHAR, RUSSELL, TANNOCK, ROSEMARY·1997·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/00004583-199712000-00020
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Abstract

Objective To investigate whether the presence of comorbid oppositional defiant disorder (ODD) or conduct disorder (CD) alters the correlates of attention-deficit hyperactivity disorder (ADHD).Method Three groups of children (33 "pure" ADHD, 46 ADHD + ODD, and 12 ADHD + CD) were compared on measures of ADHD, aggression, anxiety, parental psychopathology, self-esteem, school, and social-emotional functioning.Results Findings indicated that the presence of comorbid oppositional or conduct problems in children with ADHD altered the correlates of ADHD across a number of areas, including greater ADHD symptom severity and social dysfunction. Nevertheless, some correlates were more closely linked with the comorbid condition of ADHD + CD (e.g., higher aggression, anxiety, and maternal pathology, as well as decreased self-esteem), while others appeared more closely linked with ADHD + ODD (e.g., social withdrawal, elevated academic achievement paired with higher perceived scholastic competence).Conclusions Findings support the distinctive profiles of the disruptive behavior disorder groups and emphasize the deleterious effects on the quality of life experienced by the comorbid conditions. The need for syndrome-specific interventions is stressed.

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Crossref · 10.1097/00004583-199712000-00020

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  • The ADHD+ODD group is a clinically significant subgroup of the population by virtue of its elevated risk for negative outcomes.

    “Children with both ADHD and ODD had the greatest level of risk taking, further supporting that this group of children is a clinically significant subgroup of the population by virtue of its elevated risk for negative outcomes (Gadow and Nolan 2002; Kuhne et al. 1997).”

    From Risk taking and sensitivity to punishment in children with ADHD, ODD, ADHD+ODD, and controls (2011) · cites this paper as Kuhne et al. 1997

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  1. Befera, 1985, Hyperactive and normal girls and boys: mother-child interactions, parent psychiatric status, and child psychopathology, J Child Adolesc Psychiatry, 26, 439

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Authors
KUHNE, M., SCHACHAR, R., & TANNOCK, R.
Affiliations
University of Toronto (CA)
Corresponding author
TANNOCK, ROSEMARY
ORCID
SCHACHAR, RUSSELL
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
1997-12
Volume
36
Issue
12
Pages
1715-1725
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/00004583-199712000-00020
OpenAlex
W2032874175
Cited by
209
References
47
Citations by year
2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 5 · 2020: 1 · 2019: 6 · 2018: 2 · 2017: 7 · 2016: 11 · 2015: 6 · 2014: 5 · 2013: 11 · 2012: 14
FWCI
3.38
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
Keywords
attention deficit hyperactivity disorder, oppositional defiant disorder, conduct disorder, comorbidities, disruptive behavior disorders, aggression, anxiety, parental psychopathology, self-esteem, social-emotional functioning, academic performance, social withdrawal, children
MeSH terms
Achievement, Aggression, Anxiety, Attention Deficit Disorder with Hyperactivity, Child, Child, Preschool, Female, Humans, Male, Personality Assessment, Self Concept, Social Adjustment, Comorbidity, Child of Impaired Parents, Attention Deficit and Disruptive Behavior Disorders

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