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Published on: March 14, 2018
Sex differences in oppositional defiant disorder
Esther Trepat1, Lourdes Ezpeleta
1Facultad de Psicología, Universidad Autónoma de Barcelona, 08193 Barcelona, Spain. etrepat@ipsicologia.cat
Boys with Oppositional Defiant Disorder (ODD) show more externalizing symptoms and functional impairment, while girls exhibit higher rates of internalizing disorders. Understanding these sex differences is crucial for effective ODD diagnosis and treatment.
Area of Science:
- Child and Adolescent Psychiatry
- Developmental Psychology
- Behavioral Science
Background:
- Oppositional Defiant Disorder (ODD) is a common behavioral disorder in children and adolescents.
- Previous research suggests potential sex differences in ODD presentation, but further investigation is warranted.
Purpose of the Study:
- To investigate sex-based differences in ODD symptoms, comorbidities, and functional impairment among pediatric outpatients.
- To inform tailored diagnostic and treatment strategies for ODD in boys and girls.
Main Methods:
- A cohort of 343 children and adolescents (aged 8–17) diagnosed with ODD was assessed.
- Utilized semi-structured diagnostic interviews and dimensional measures of psychopathology and functional impairment.
Main Results:
- Boys with ODD more frequently exhibited "deliberately annoys" and "blames others" symptoms, comorbid ADHD, and greater school/community functional impairment.
- Girls with ODD showed higher comorbidity with internalizing symptoms, including anxiety, depression, and somatic complaints.
Conclusions:
- Significant sex differences exist in the clinical presentation of ODD.
- Clinical assessment and treatment approaches for ODD should consider the patient's sex for improved efficacy.
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