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

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

Author Krieger, Fernanda Valle Google Scholar
Polanczyk, Guilherme Vanoni Google Scholar
Goodman, Robert Google Scholar
Rohde, Luis Augusto Google Scholar
Graeff-Martins, Ana Soledade Autor UNIFESP Google Scholar
Salum, Giovanni Google Scholar
Gadelha, Ary Autor UNIFESP Google Scholar
Pan, Pedro Mario Autor UNIFESP Google Scholar
Stahl, Daniel Google Scholar
Stringaris, Argyris Google Scholar
Institution Universidade de São Paulo (USP)
Kings Coll London
Univ Fed Rio Grande do Sul
Universidade Federal de São Paulo (UNIFESP)
Abstract 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. J. Am. Acad. Child Adolesc. Psychiatry; 201352(4):389-400.
Keywords oppositionality
dimensions
irritability
depression
Language English
Sponsor Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Novartis
Abbott
Eli Lilly and Co.
Janssen-Cilag
Shire
Wellcome Trust
U.K. Department of Health
Date 2013-04-01
Published in Journal of the American Academy of Child and Adolescent Psychiatry. Amsterdam: Elsevier B.V., v. 52, n. 4, p. 389-400, 2013.
ISSN 0890-8567 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 389-400
Origin http://dx.doi.org/10.1016/j.jaac.2013.01.004
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000317319500008
URI http://repositorio.unifesp.br/handle/11600/36108

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