Time to redefine the diagnosis of oppositional defiant disorder

Oppositional defiant disorder.

Oppositional defiant disorder is defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., as a recurrent pattern of developmentally inappropriate, negativistic, defiant, and disobedient behavior toward authority figures. This behavior often appears in the preschool years, but initially it can be difficult to distinguish from developmentally appropriate, albeit troublesome,...

Defining oppositional defiant disorder.

BACKGROUND ICD-10 and DSM-IV include similar criterial symptom lists for conduct disorder (CD) and oppositional defiant disorder (ODD), but while DSM-IV treats each list separately, ICD-10 considers them jointly. One consequence is that ICD-10 identifies a group of children with ODD subtype who do not receive a diagnosis under DSM-IV. METHODS We examined the characteristics of this group of c...

Oppositional defiant disorder: current insight

Oppositional defiant disorder (ODD) is diagnosed broadly on the basis of frequent and persistent angry or irritable mood, argumentativeness/defiance, and vindictiveness. Since its inception in the third Diagnostic and Statistical Manual of Mental Disorders, epidemiological and longitudinal studies have strongly suggested a distinct existence of ODD that is different from other closely related e...

The many faces of oppositional defiant disorder.

The clinical heterogeneity within oppositional defiant disorder (ODD) is gaining some face validity with new research identifying two symptom factors within the eight DSM ODD symptoms. An “irritable/negative affect” symptom cluster is associated with internalizing disorders and a “headstrong/oppositional” cluster is differentially predictive of disruptive disorders (Stringaris & Goodman, 2009; ...

Oppositional defiant disorder and conduct disorder.