Which better predicts conduct problems? The relationship of trajectories of Conduct Problems, with ODD and ADHD Symptoms from childhood into adolescence

P.A.C. van Lier, J. van der Ende, H.M. Koot, F.C. Verhulst

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Abstract

Background: To assess the co-occurrence in deviant trajectories of parent-rated symptoms of conduct disorder (CD), oppositional defiant disorder (ODD) and attention-deficit/hyperactivity disorder (ADHD) from age 4 to 18 years old in a general population sample of Dutch children. Methods: Developmental trajectories of CD, ODD, and ADHD were estimatedin a sample of 1,016 males and 1,060 females. Children's disruptive problem behaviors were rated at 5 time-points. The co-occurrence patterns between the deviant CD trajectory, and the high ODD and high ADHD trajectory were studied for males and females separately. Results: Four percent of males and 2% of females followed a deviant CD trajectory. Six percent of the sample followed a high ODD trajectory, and 5% a high ADHD trajectory. Engagement in the deviant CD trajectory was predicted by ODD and ADHD in females, but only by ODD in males. Conclusions: Although ADHD co-occurs with CD, the association between ADHD and CD is largely accounted for by accompanying ODD. Gender differences should be taken into account in understanding the onset of CD. © 2007 The Authors Journal compilation © 2007 Association for Child and Adolescent Mental Health.
Original languageEnglish
Pages (from-to)601-608
Number of pages8
JournalJournal of Child Psychology and Psychiatry
Volume48
DOIs
Publication statusPublished - 2007

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