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