Comorbidity of oppositional defiant disorder and anxiety disorders in preschoolers

Background: The aim was to study the comorbidity of oppositional defiant disorder (ODD) and anxiety disorders (AD) among preschool children of the general population, and to assess the contribution of comorbidity to the child's functional impairment. Method: 622 children were assessed at the ag...

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Detalles Bibliográficos
Autores: Martín-Romera, Virginia, Granero, Roser|||0000-0001-6308-3198, Ezpeleta, Lourdes|||0000-0002-8957-083X
Tipo de recurso: artículo
Fecha de publicación:2014
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:131758
Acceso en línea:https://ddd.uab.cat/record/131758
https://dx.doi.org/urn:doi:10.7334/psicothema2013.75
Access Level:acceso abierto
Palabra clave:Comorbidity
Anxiety disorder
Oppositional defiant disorder
Preschool
Comorbilidad
Trastorno de ansiedad
Trastorno negativista desafiante
Preescolar
Descripción
Sumario:Background: The aim was to study the comorbidity of oppositional defiant disorder (ODD) and anxiety disorders (AD) among preschool children of the general population, and to assess the contribution of comorbidity to the child's functional impairment. Method: 622 children were assessed at the ages of 3 and 5, through a diagnostic interview. They were clustered into three diagnostic groups: only ODD, only AD and comorbid ODD+AD. Results: At age 3, ODD was associated with specific phobia, OR = 4.7, 95% CI [1.4, 14.1], and at age 5, with any anxiety disorder, OR=3.9; 95% CI [1.8, 8.4]. ODD at age 3 was predictive of separation anxiety at age 5, OR=4.1; 95% CI [1.2, 14.3]. Comorbid ODD+AD cases showed a higher risk of functional impairment at school and in behavior toward others. Sex and socioeconomic status were not related to the diagnostic group. Conclusions: ODD+AD comorbidity can be identified in preschool children. Early identification of this association is needed to adequately treat the affected children