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Comorbid Psychiatric Symptom Associated With Oppositional Defiant Symptom in Community School-Age Children
Yong Hun Kim1, Duk-Soo Moon2, Na Ri Kang2
1Jeju National University School of Medicine, Jeju, Korea.
Children with oppositional defiant disorder (ODD) show higher rates of comorbid psychiatric symptoms, particularly generalized anxiety disorder and conduct disorder. These conditions are significantly associated with ODD in elementary schoolers.
Area of Science:
- Child and Adolescent Psychiatry
- Developmental Psychology
- Behavioral Science
Background:
- Oppositional defiant disorder (ODD) frequently co-occurs with other psychiatric conditions in children.
- Understanding these comorbidities is crucial for effective diagnosis and treatment.
Purpose of the Study:
- To investigate comorbid psychiatric symptoms in elementary school children exhibiting ODD symptoms.
- To identify factors associated with these comorbidities.
Main Methods:
- A study involving 205 mother-offspring pairs.
- Assessment of psychiatric symptoms using the Diagnostic Predictive Scales and Korean Child Behavior Checklist.
- Multivariate logistic regression analysis to determine associations.
Main Results:
- Children with ODD showed significant associations with internalizing and externalizing problems.
- Higher comorbidity rates were observed with anxiety disorder, depressive disorder, attention-deficit/hyperactivity disorder, and conduct disorder.
- Generalized anxiety disorder (GAD) and conduct disorder were significantly associated with ODD symptoms.
Conclusions:
- Children with ODD symptoms exhibit substantially higher rates of comorbid psychiatric conditions.
- Generalized anxiety disorder and conduct disorder are key associated disorders in children with ODD.
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