Comorbid Psychiatric Symptom Associated With Oppositional Defiant Symptom in Community School-Age Children

• Published in: Journal of the Korean Academy of Child and Adolescent Psychiatry Vol. 34; no. 3; pp. 169 - 174
• Main Authors: Kim, Yong Hun, Moon, Duk-Soo, Kang, Na Ri
• Format: Journal Article
• Language: English
• Published: Korea (South) 대한소아청소년정신의학회 01.07.2023; Korean Academy of Child and Adolescent Psychiatry; 대한소아청소년 정신의학회
• Subjects: Age; Anxiety disorders; Attention deficit hyperactivity disorder; Behavior; Chi-square test; Children & youth; Community schools; Comorbidity; Epidemiology; Families & family life; Health risk assessment; Mental depression; Mental disorders; Mental health; Original; Panic attacks; Post traumatic stress disorder; Psychopathology; Questionnaires; Separation anxiety; Social anxiety; Sociodemographics; Socioeconomic factors; Socioeconomic status; Teenagers; 정신과학; United States > US; Oppositional defiant disorder; Comorbidity; Children
• ISSN: 1225-729X; 2233-9183; 2233-9183
• DOI: 10.5765/jkacap.230026

Oppositional defiant disorder (ODD) is often comorbid with other psychiatric disorders in childhood. This study aimed to investigate comorbid psychiatric symptoms and associated factors in elementary school children with symptoms of ODD. The participants consisted of 205 mother-offspring pairs. Psychiatric symptoms were measured using the Diagnostic Predictive Scales and Korean Child Behavior Checklist. Psychiatric comorbid symptoms were compared between children with ODD symptom and those without ODD symptom. Multivariate logistic regression analysis was used to estimate the odds ratio of psychiatric symptom on ODD. ODD group had a significant association with internalizing and externalizing problem (p=0.001, p<0.001, respectively). ODD group were more comorbid with anxiety disorder, depressive disorder, attention-deficit/hyperactivity disorder, and conduct disorder. Among psychiatric disorder, generalized anxiety disorder (GAD) (adjusted odds ratio [AOR]=18.620, p<0.001) and conduct disorder (AOR=9.529, p=0.014) were associated with ODD symptom. These findings suggest that children with ODD symptom had significantly higher rates of comorbid psychiatric symptoms. And GAD and conduct disorder are related to ODD symptom.