Increasing Early Awareness of Hazard of Children with ADHD’s ODD and Aggression by Structural Equation Modeling (SEM)
DOI:
https://doi.org/10.6000/1929-6029.2014.03.04.12Keywords:
ADHD, ODD, Aggression, DESR, SEMAbstract
Background: The hazard of children with Attention Deficit Hyperactivity Disorder (ADHD) occurring Oppositional Defiant Disorder (ODD) (shorten as ADHD’s ODD) and aggression is not well understood. This study employs structural equation modeling (SEM) to operationalize aggression as joined symptoms on children with ADHD’s ODD by analyzing how aggression symptom transact the symptom severity of ADHD’s ODD.
Methods: ADHD children and adolescents received clinical diagnosis and inattention (ADHD-I), hyperactivity/impulsivity (ADHD-H/I), and ODD subscale of Swanson, Nolan, and Pelham, version IV scale (SNAP-IV-C) and child behaviour check list (CBCL). SEM was applied to associate ADHD-I, ADHD-H/I, and ODD subscale toaggression.
Results: Significantly aggressive symptom on CBCL interact with symptom of ADHD, ODD on SNAP; the standardized direct effect of ADHD symptom by SNAP on behavior symptom by CBCL is 0.57 and the standardized total (direct and indirect) effect of ODD symptom on behavior symptom is 0.34. Children with ADHD’s ODD symptom share similar characteristic symptom as symptom of ADHD children with deficient emotional self-regulation (DESR). The aggression is highly correlated with ODD (0.607).
Conclusions: On ADHD symptom, the likelihood of symptom severity is predicted by the symptom of ADHD-I, ADHD-H/I, and ODD. On ODD symptom, ODD is associated with aggression and anxiety/depression symptom. There is a need to regard child with symptom of ADHD’s ODD and aggression as a child with heavy genetic loading and predictor of disruptive behavior disorder.
References
Nagin D, Tremblay RE. Trajectories of boys' physical aggression, opposition, and hyperactivity on the path to physically violent and nonviolent juvenile delinquency. Child Dev 1999; 70(5): 1181-96. http://dx.doi.org/10.1111/1467-8624.00086 DOI: https://doi.org/10.1111/1467-8624.00086
Jester JM, Nigg JT, Adams K, Fitzgerald HE, Puttler LI, Wong MM, et al. Inattention/hyperactivity and aggression from early childhood to adolescence: heterogeneity of trajectories and differential influence of family environment characteristics. Development and psychopathology 2005; 17(1): 99-125. http://dx.doi.org/10.1017/S0954579405050066 DOI: https://doi.org/10.1017/S0954579405050066
Pederson CA, Fite PJ. The Impact of Parenting on the Associations Between Child Aggression Subtypes and Oppositional Defiant Disorder Symptoms. Child psychiatry and human development 2014. http://dx.doi.org/10.1007/s10578-014-0441-y DOI: https://doi.org/10.1007/s10578-014-0441-y
Biederman J, Spencer T, Lomedico A, Day H, Petty CR, Faraone SV. Deficient emotional self-regulation and pediatric attention deficit hyperactivity disorder: a family risk analysis. Psychol Med 2012; 42(3): 639-46. http://dx.doi.org/10.1017/S0033291711001644 DOI: https://doi.org/10.1017/S0033291711001644
Barkley RA. Deficient Emotional Self-Regulation: A Core Component of Attention-Deficit/Hyperactivity Disorder. Journal of ADHD and Related Disorders 2010; 1(2): 5–37.
Becker SP, Luebbe AM, Fite PJ, Greening L, Stoppelbein L. Oppositional defiant disorder symptoms in relation to psychopathic traits and aggression among psychiatrically hospitalized children: ADHD symptoms as a potential moderator. Aggressive behavior 2013; 39(3): 201-11. http://dx.doi.org/10.1002/ab.21471 DOI: https://doi.org/10.1002/ab.21471
Aebi M, Plattner B, Metzke CW, Bessler C, Steinhausen HC. Parent- and self-reported dimensions of oppositionality in youth: construct validity, concurrent validity, and the prediction of criminal outcomes in adulthood. J Child Psychol Psychiatry 2013; 54(9): 941-9. http://dx.doi.org/10.1111/jcpp.12039 DOI: https://doi.org/10.1111/jcpp.12039
Stringaris A, Goodman R. Three dimensions of oppositionality in youth. J Child Psychol Psychiatry 2009; 50(3): 216-23. http://dx.doi.org/10.1111/j.1469-7610.2008.01989.x DOI: https://doi.org/10.1111/j.1469-7610.2008.01989.x
Pardini DA, Fite PJ. Symptoms of conduct disorder, oppositional defiant disorder, attention-deficit/hyperactivity disorder, and callous-unemotional traits as unique predictors of psychosocial maladjustment in boys: advancing an evidence base for DSM-V. J Am Acad Child Adolesc Psychiatry 2010; 49(11): 1134-44. DOI: https://doi.org/10.1097/00004583-201011000-00007
Kim HW, Cho SC, Kim BN, Kim JW, Shin MS, Yeo JY. Does oppositional defiant disorder have temperament and psychopathological profiles independent of attention deficit/hyperactivity disorder? Compr Psychiatry 2010; 51(4): 412-8. http://dx.doi.org/10.1016/j.comppsych.2009.09.002 DOI: https://doi.org/10.1016/j.comppsych.2009.09.002
Masi G, Muratori P, Manfredi A, Lenzi F, Polidori L, Ruglioni L, et al. Response to treatments in youth with disruptive behavior disorders. Compr Psychiatry 2013. http://dx.doi.org/10.1016/j.comppsych.2013.04.007 DOI: https://doi.org/10.1016/j.comppsych.2013.04.007
Ercan ES, Kandulu R, Uslu E, Ardic UA, Yazici KU, Basay BK, et al. Prevalence and diagnostic stability of ADHD and ODD in Turkish children: a 4-year longitudinal study. Child and adolescent psychiatry and mental health 2013; 7(1): 30. http://dx.doi.org/10.1186/1753-2000-7-30 DOI: https://doi.org/10.1186/1753-2000-7-30
Coghill D. Editorial: Do clinical services need to take conduct disorder more seriously? J Child Psychol Psychiatry 2013; 54(9): 921-3. http://dx.doi.org/10.1111/jcpp.12135 DOI: https://doi.org/10.1111/jcpp.12135
Poulton AS. Time to redefine the diagnosis of oppositional defiant disorder. J Paediatr Child Health 2011; 47(6): 332-4. http://dx.doi.org/10.1111/j.1440-1754.2010.01736.x DOI: https://doi.org/10.1111/j.1440-1754.2010.01736.x
Kuhne M, Schachar R, Tannock R. Impact of comorbid oppositional or conduct problems on attention-deficit hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 1997; 36(12): 1715-25. http://dx.doi.org/10.1097/00004583-199712000-00020 DOI: https://doi.org/10.1097/00004583-199712000-00020
Kadesjo C, Hagglof B, Kadesjo B, Gillberg C. Attention-deficit-hyperactivity disorder with and without oppositional defiant disorder in 3- to 7-year-old children. Dev Med Child Neurol 2003; 45(10): 693-9. http://dx.doi.org/10.1017/S0012162203001282 DOI: https://doi.org/10.1017/S0012162203001282
Elia J, Ambrosini P, Berrettini W. ADHD characteristics: I. Concurrent co-morbidity patterns in children & adolescents. Child and adolescent psychiatry and mental health 2008; 2(1): 15. http://dx.doi.org/10.1186/1753-2000-2-15 DOI: https://doi.org/10.1186/1753-2000-2-15
Burke JD, Hipwell AE, Loeber R. Dimensions of oppositional defiant disorder as predictors of depression and conduct disorder in preadolescent girls. J Am Acad Child Adolesc Psychiatry 2010; 49(5): 484-92. DOI: https://doi.org/10.1016/j.jaac.2010.01.016
Burke JD, Loeber R. The Effectiveness of the Stop Now and Plan (SNAP) Program for Boys at Risk for Violence and Delinquency. Prevention science : the official journal of the Society for Prevention Research 2014. DOI: https://doi.org/10.1007/s11121-014-0490-2
Violato C, Hecker KG. How to use structural equation modeling in medical education research: a brief guide. Teaching and learning in medicine 2007; 19(4): 362-71. http://dx.doi.org/10.1080/10401330701542685 DOI: https://doi.org/10.1080/10401330701542685
Swanson JM, Kraemer HC, Hinshaw SP, Arnold LE, Conners CK, Abikoff HB, et al. Clinical relevance of the primary findings of the MTA: success rates based on severity of ADHD and ODD symptoms at the end of treatment. J Am Acad Child Adolesc Psychiatry 2001; 40(2): 168-79. http://dx.doi.org/10.1097/00004583-200102000-00011 DOI: https://doi.org/10.1097/00004583-200102000-00011
Liu YC, Liu SK, Shang CY, Lin CH, Tu C, Gau SS. Norm of the Chinese Version of the Chinese version of the Swanson, Nolan, and Pelham, version IV scale for ADHD. Taiwanese J psychiatry 2006; 20(4): 290-304.
Huang HL, Chuang SF, Wang YC, editors. Developing the multiaxial behavioral assessment of children in Taiwan. In: Psychological Assessment in Chinese- Speaking Society [in Chinese]. Taipei, Taiwan: Chinese Assessment Association; 2004.
Yang HJ, Soong WT, Chiang CN, Chen WJ. Competence and behavioral/emotional problems among Taiwanese adolescents as reported by parents and teachers. J Am Acad Child Adolesc Psychiatry 2000; 39(2): 232-9. http://dx.doi.org/10.1097/00004583-200002000-00024 DOI: https://doi.org/10.1097/00004583-200002000-00024
Arbuckle JL. IBM SPSS Amos 21.0 User's Guide: AMOS Development Corporation.; 2012.
Bentler PM, Bonett DG. Significance tests and goodness of fit in the analysis of covariance structures. Psychol Bull 1980; 88: 588-606. http://dx.doi.org/10.1037/0033-2909.88.3.588 DOI: https://doi.org/10.1037/0033-2909.88.3.588
Browne MW, Cudeck R. Testing structural equation models. London: Sage Ltd.; 1993.
Hooper D, Coughlan J, Mullen MR. Structural Equation Modelling: Guidelines for Determining Model Fit. . The Electronic Journal of Business Research Methods 2008; 6: 53-60.
What lies beneath. Nature 2014; 507(7492): 273. http://dx.doi.org/10.1038/507273a DOI: https://doi.org/10.1038/507273a
Kolko DJ, Pardini DA. ODD dimensions, ADHD, and callous-unemotional traits as predictors of treatment response in children with disruptive behavior disorders. J Abnorm Psychol 2010; 119(4): 713-25. http://dx.doi.org/10.1037/a0020910 DOI: https://doi.org/10.1037/a0020910
Carlson GA, Cantwell DP. Unmasking masked depression in children and adolescents. The American journal of psychiatry 1980; 137(4): 445-9. DOI: https://doi.org/10.1176/ajp.137.4.445
Ezpeleta L, Domenech JM, Angold A. A comparison of pure and comorbid CD/ODD and depression. Journal of Child Psychology and Psychiatry and Allied Disciplines 2006; 47(7): 704-12. http://dx.doi.org/10.1111/j.1469-7610.2005.01558.x DOI: https://doi.org/10.1111/j.1469-7610.2005.01558.x
Vance A, Sanders M, Arduca Y. Dysthymic disorder contributes to oppositional defiant behaviour in children with Attention Deficit Hyperactivity Disorder, combined type (ADHD-CT). Journal of affective disorders 2005; 86(2-3): 329-33. http://dx.doi.org/10.1016/j.jad.2005.03.007 DOI: https://doi.org/10.1016/j.jad.2005.03.007
Burke JD, Loeber R, Lahey BB, Rathouz PJ. Developmental transitions among affective and behavioral disorders in adolescent boys. Journal of Child Psychology and Psychiatry and Allied Disciplines 2005; 46(11): 1200-10. http://dx.doi.org/10.1111/j.1469-7610.2005.00422.x DOI: https://doi.org/10.1111/j.1469-7610.2005.00422.x
Greene RW, Biederman J, Zerwas S, Monuteaux MC, Goring JC, Faraone SV. Psychiatric comorbidity, family dysfunction, and social impairment in referred youth with oppositional defiant disorder. Am J Psychiatry 2002; 159(7): 1214-24. http://dx.doi.org/10.1176/appi.ajp.159.7.1214 DOI: https://doi.org/10.1176/appi.ajp.159.7.1214
Gudjonsson GH, Sigurdsson JF, Adalsteinsson TF, Young S. The relationship between ADHD symptoms, mood instability, and self-reported offending. Journal of attention disorders 2013; 17(4): 339-46. http://dx.doi.org/10.1177/1087054711429791 DOI: https://doi.org/10.1177/1087054711429791
Biederman J, Petty CR, Byrne D, Wong P, Wozniak J, Faraone SV. Risk for switch from unipolar to bipolar disorder in youth with ADHD: a long term prospective controlled study. J Affect Disord 2009; 119(1-3): 16-21. http://dx.doi.org/10.1016/j.jad.2009.02.024 DOI: https://doi.org/10.1016/j.jad.2009.02.024
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