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Dimensions of Oppositionality in a Brazilian Community Sample: Testing the DSM-5 Proposal and Etiological Links

OBJECTIVE: Investigating dimensions of oppositional symptoms may help to explain heterogeneity of etiology and outcomes for mental disorders across development and provide further empirical justification for the DSM-5–proposed modifications of oppositional defiant disorder (ODD). However, dimensions...

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Autores principales: Krieger, Fernanda Valle, Polanczyk, Guilherme Vanoni, Goodman, Robert, Rohde, Luis Augusto, Graeff-Martins, Ana Soledade, Salum, Giovanni, Gadelha, Ary, Pan, Pedro, Stahl, Daniel, Stringaris, Argyris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2013
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3834546/
https://www.ncbi.nlm.nih.gov/pubmed/23582870
http://dx.doi.org/10.1016/j.jaac.2013.01.004
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author Krieger, Fernanda Valle
Polanczyk, Guilherme Vanoni
Goodman, Robert
Rohde, Luis Augusto
Graeff-Martins, Ana Soledade
Salum, Giovanni
Gadelha, Ary
Pan, Pedro
Stahl, Daniel
Stringaris, Argyris
author_facet Krieger, Fernanda Valle
Polanczyk, Guilherme Vanoni
Goodman, Robert
Rohde, Luis Augusto
Graeff-Martins, Ana Soledade
Salum, Giovanni
Gadelha, Ary
Pan, Pedro
Stahl, Daniel
Stringaris, Argyris
author_sort Krieger, Fernanda Valle
collection PubMed
description OBJECTIVE: Investigating dimensions of oppositional symptoms may help to explain heterogeneity of etiology and outcomes for mental disorders across development and provide further empirical justification for the DSM-5–proposed modifications of oppositional defiant disorder (ODD). However, dimensions of oppositionality have not previously been tested in samples outside Europe or the United States. In this study, we used a large Brazilian community sample to compare the fit of different models for dimensions of oppositional symptoms; to examine the association of psychiatric diagnoses and symptoms with dimensions of oppositionality; and to examine the associations between dimensions of oppositionality and parental history of mental disorders. METHOD: A Brazilian community sample of 2,512 children 6 through 12 years old were investigated in this study. Confirmatory factorial analyses were performed to compare the fit of alternative models, followed by linear and logistic regression analyses of associations with psychiatric diagnosis and parental history of psychopathology. RESULTS: A three-factor model with irritable, headstrong, and hurtful dimensions fitted best. The irritable dimension showed a strong association with emotional disorders in the child (p<.001) and history of depression (p<.01) and suicidality (p<.05) in the mother. The headstrong dimension was uniquely associated with attention-deficit/hyperactivity disorder (ADHD) in the child (p<.001) and with maternal history of ADHD symptoms (p<.05). The hurtful dimension was specifically associated with conduct disorder (p< .05). CONCLUSIONS: Our findings from a large community sample of Brazilian children support a distinction between dimensions of oppositionality consistent with current DSM-5 recommendations and provide further evidence for etiological distinctions between these dimensions.
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spelling pubmed-38345462013-11-20 Dimensions of Oppositionality in a Brazilian Community Sample: Testing the DSM-5 Proposal and Etiological Links Krieger, Fernanda Valle Polanczyk, Guilherme Vanoni Goodman, Robert Rohde, Luis Augusto Graeff-Martins, Ana Soledade Salum, Giovanni Gadelha, Ary Pan, Pedro Stahl, Daniel Stringaris, Argyris J Am Acad Child Adolesc Psychiatry New Research OBJECTIVE: Investigating dimensions of oppositional symptoms may help to explain heterogeneity of etiology and outcomes for mental disorders across development and provide further empirical justification for the DSM-5–proposed modifications of oppositional defiant disorder (ODD). However, dimensions of oppositionality have not previously been tested in samples outside Europe or the United States. In this study, we used a large Brazilian community sample to compare the fit of different models for dimensions of oppositional symptoms; to examine the association of psychiatric diagnoses and symptoms with dimensions of oppositionality; and to examine the associations between dimensions of oppositionality and parental history of mental disorders. METHOD: A Brazilian community sample of 2,512 children 6 through 12 years old were investigated in this study. Confirmatory factorial analyses were performed to compare the fit of alternative models, followed by linear and logistic regression analyses of associations with psychiatric diagnosis and parental history of psychopathology. RESULTS: A three-factor model with irritable, headstrong, and hurtful dimensions fitted best. The irritable dimension showed a strong association with emotional disorders in the child (p<.001) and history of depression (p<.01) and suicidality (p<.05) in the mother. The headstrong dimension was uniquely associated with attention-deficit/hyperactivity disorder (ADHD) in the child (p<.001) and with maternal history of ADHD symptoms (p<.05). The hurtful dimension was specifically associated with conduct disorder (p< .05). CONCLUSIONS: Our findings from a large community sample of Brazilian children support a distinction between dimensions of oppositionality consistent with current DSM-5 recommendations and provide further evidence for etiological distinctions between these dimensions. Elsevier 2013-04 /pmc/articles/PMC3834546/ /pubmed/23582870 http://dx.doi.org/10.1016/j.jaac.2013.01.004 Text en © 2013 American Academy of Child and Adolescent Psychiatry. All rights reserved. https://creativecommons.org/licenses/by/4.0/ Open Access under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/) license
spellingShingle New Research
Krieger, Fernanda Valle
Polanczyk, Guilherme Vanoni
Goodman, Robert
Rohde, Luis Augusto
Graeff-Martins, Ana Soledade
Salum, Giovanni
Gadelha, Ary
Pan, Pedro
Stahl, Daniel
Stringaris, Argyris
Dimensions of Oppositionality in a Brazilian Community Sample: Testing the DSM-5 Proposal and Etiological Links
title Dimensions of Oppositionality in a Brazilian Community Sample: Testing the DSM-5 Proposal and Etiological Links
title_full Dimensions of Oppositionality in a Brazilian Community Sample: Testing the DSM-5 Proposal and Etiological Links
title_fullStr Dimensions of Oppositionality in a Brazilian Community Sample: Testing the DSM-5 Proposal and Etiological Links
title_full_unstemmed Dimensions of Oppositionality in a Brazilian Community Sample: Testing the DSM-5 Proposal and Etiological Links
title_short Dimensions of Oppositionality in a Brazilian Community Sample: Testing the DSM-5 Proposal and Etiological Links
title_sort dimensions of oppositionality in a brazilian community sample: testing the dsm-5 proposal and etiological links
topic New Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3834546/
https://www.ncbi.nlm.nih.gov/pubmed/23582870
http://dx.doi.org/10.1016/j.jaac.2013.01.004
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