The latent structure of oppositional defiant disorder and conduct disorder

WCU Author/Contributor (non-WCU co-authors, if there are any, appear on document)
Nathan Andrew Miller (Creator)
Western Carolina University (WCU )
Web Site:
L. Alvin Malesky, Jr.

Abstract: The purpose of this study is to explore the underlying structure of Oppositional Defiant Disorder and Conduct Disorder -- the Disruptive Behavior Disorders. As the bulk of this study was conducted in expectation of the imminent fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, it was deemed prudent to review the construct development of the Disruptive Behavior Disorders through the previous editions. A review of the literature was conducted, and the latent structures of Oppositional Defiant Disorder and Conduct Disorder were studied and contrasted with the accepted constructs. A theoretical alternative structure was developed based on the results and implications of the literature about the disorders. Exploratory factor analysis and statistical comparison were used to process data collected during structured diagnostic interviews with male youth in a juvenile justice population. The measure used was the Practical Adolescent Dual Diagnosis Interview (PADDI), and the population consisted of 519 males, mean age of M = 16.34, SD = 1.02. The EFA revealed a two-factor solution inconsistent with the current categorical constructs, yet consistent with the proposed theoretical structure. Additionally, symptomatic groups were found which, under the limited scrutiny possible with this data, fit the proposed theoretical restructuring of the Disruptive Behavior Disorders. These results suggest that the present categorical distinction between ODD and CD is incompatible with the actual presentation of the disruptive symptoms among youth in the juvenile justice system. This implies that changes in the way these disorders are categorized and diagnosed would improve accuracy and perhaps even treatment outcomes.

Additional Information

Language: English
Date: 2013
Conduct, Defiant, Dimensional, Factor, Oppositional, Structure
Oppositional defiant disorder in adolescence -- Diagnosis
Conduct disorders in adolescence -- Diagnosis

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