Helping Clinicians to Detect ODD in Children with ADHD in Clinical Settings
The objectives of this study were to provide a basic tool for pediatricians or other physicians to suspect and detect ODD in children with ADHD and to distinguish the symptomatic profile of ODD from ADHD. 101 subjects with ADHD, 83 with both ADHD and ODD and 342 controls aged 8 to 15 years were incl...
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Veröffentlicht in: | Psychiatric quarterly 2021-06, Vol.92 (2), p.821-832 |
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creator | Tahillioğlu, Akın Dogan, Nurhak Ercan, Eyüp Sabri Rohde, Luis Augusto |
description | The objectives of this study were to provide a basic tool for pediatricians or other physicians to suspect and detect ODD in children with ADHD and to distinguish the symptomatic profile of ODD from ADHD. 101 subjects with ADHD, 83 with both ADHD and ODD and 342 controls aged 8 to 15 years were included in the study. A semi-structured interview was performed for evaluation of psychiatric diagnoses. Both parents and teachers completed DSM-IV Disruptive Behavior Disorders Rating Scale. We found differences among all three diagnostic subsamples in two-by-two analyses for all dimensions (Inattention, Hyperactivity/Impulsivity and ODD) both according to parent and teacher reports (
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p
< 0.03 for all analyses). Based on parental ODD scores, ROC Curve analyses between ‘only ADHD’ and ‘ADHD+ODD’ groups showed that AUC was equal 0.80 (95%CI = 0.73–0.86) and the best cutoff point for ODD diagnosis in the ADHD subjects was 0.68. This study demonstrates the presence of a basic tool for detection and suspicion of ODD in children with ADHD for primary care clinicians or pediatricians in clinical settings. Findings also indicate that patients with ODD and ADHD have more severe inattention, hyperactivity/impulsivity and oppositional symptoms than those with only ADHD have.</description><identifier>ISSN: 0033-2720</identifier><identifier>EISSN: 1573-6709</identifier><identifier>DOI: 10.1007/s11126-020-09855-x</identifier><identifier>PMID: 33130959</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Attention deficit hyperactivity disorder ; Behavior disorders ; Children ; Disruptive behaviour ; Hyperactivity ; Impulsive behavior ; Impulsivity ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Original Paper ; Pediatricians ; Pediatrics ; Primary care ; Psychiatry ; Public Health ; Sociology ; Teachers</subject><ispartof>Psychiatric quarterly, 2021-06, Vol.92 (2), p.821-832</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-d5b43d3a6a964a06f518525cd250818c1fffb82ac856ae06d254254e9b2545f3</citedby><cites>FETCH-LOGICAL-c375t-d5b43d3a6a964a06f518525cd250818c1fffb82ac856ae06d254254e9b2545f3</cites><orcidid>0000-0002-6425-091X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11126-020-09855-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11126-020-09855-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,12846,27924,27925,30999,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33130959$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tahillioğlu, Akın</creatorcontrib><creatorcontrib>Dogan, Nurhak</creatorcontrib><creatorcontrib>Ercan, Eyüp Sabri</creatorcontrib><creatorcontrib>Rohde, Luis Augusto</creatorcontrib><title>Helping Clinicians to Detect ODD in Children with ADHD in Clinical Settings</title><title>Psychiatric quarterly</title><addtitle>Psychiatr Q</addtitle><addtitle>Psychiatr Q</addtitle><description>The objectives of this study were to provide a basic tool for pediatricians or other physicians to suspect and detect ODD in children with ADHD and to distinguish the symptomatic profile of ODD from ADHD. 101 subjects with ADHD, 83 with both ADHD and ODD and 342 controls aged 8 to 15 years were included in the study. A semi-structured interview was performed for evaluation of psychiatric diagnoses. Both parents and teachers completed DSM-IV Disruptive Behavior Disorders Rating Scale. We found differences among all three diagnostic subsamples in two-by-two analyses for all dimensions (Inattention, Hyperactivity/Impulsivity and ODD) both according to parent and teacher reports (
p
< 0.03 for all analyses). Based on parental ODD scores, ROC Curve analyses between ‘only ADHD’ and ‘ADHD+ODD’ groups showed that AUC was equal 0.80 (95%CI = 0.73–0.86) and the best cutoff point for ODD diagnosis in the ADHD subjects was 0.68. This study demonstrates the presence of a basic tool for detection and suspicion of ODD in children with ADHD for primary care clinicians or pediatricians in clinical settings. Findings also indicate that patients with ODD and ADHD have more severe inattention, hyperactivity/impulsivity and oppositional symptoms than those with only ADHD have.</description><subject>Attention deficit hyperactivity disorder</subject><subject>Behavior disorders</subject><subject>Children</subject><subject>Disruptive behaviour</subject><subject>Hyperactivity</subject><subject>Impulsive behavior</subject><subject>Impulsivity</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Pediatricians</subject><subject>Pediatrics</subject><subject>Primary care</subject><subject>Psychiatry</subject><subject>Public Health</subject><subject>Sociology</subject><subject>Teachers</subject><issn>0033-2720</issn><issn>1573-6709</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kF9LwzAUxYMobv75Aj5IwBdfqjdJk7aPo1UnDvbg3kOapltG186mxfntjetU8EG45MK9v3NuOAhdEbgjANG9I4RQEQCFAJKY82B3hMaERywQESTHaAzAWEAjCiN05twagBDB6CkaMUYYJDwZo5epqba2XuK0srXVVtUOdw3OTGd0h-dZhm2N05WtitbU-N12KzzJpsN0r1AVfjVd5y3cBTopVeXM5aGfo8XjwyKdBrP503M6mQWaRbwLCp6HrGBKqESECkTJScwp1wXlEJNYk7Is85gqHXOhDAg_D32ZJPcvL9k5uh1st23z1hvXyY112lSVqk3TO0lDLmJBOaUevfmDrpu-rf3npN97LhJR4ik6ULptnGtNKbet3aj2QxKQX0nLIWnpk5b7pOXOi64P1n2-McWP5DtaD7ABcH5VL037e_sf20_e7Yal</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Tahillioğlu, Akın</creator><creator>Dogan, Nurhak</creator><creator>Ercan, Eyüp Sabri</creator><creator>Rohde, Luis Augusto</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6425-091X</orcidid></search><sort><creationdate>20210601</creationdate><title>Helping Clinicians to Detect ODD in Children with ADHD in Clinical Settings</title><author>Tahillioğlu, Akın ; Dogan, Nurhak ; Ercan, Eyüp Sabri ; Rohde, Luis Augusto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-d5b43d3a6a964a06f518525cd250818c1fffb82ac856ae06d254254e9b2545f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Attention deficit hyperactivity disorder</topic><topic>Behavior disorders</topic><topic>Children</topic><topic>Disruptive behaviour</topic><topic>Hyperactivity</topic><topic>Impulsive behavior</topic><topic>Impulsivity</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Pediatricians</topic><topic>Pediatrics</topic><topic>Primary care</topic><topic>Psychiatry</topic><topic>Public Health</topic><topic>Sociology</topic><topic>Teachers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tahillioğlu, Akın</creatorcontrib><creatorcontrib>Dogan, Nurhak</creatorcontrib><creatorcontrib>Ercan, Eyüp Sabri</creatorcontrib><creatorcontrib>Rohde, Luis Augusto</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatric quarterly</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tahillioğlu, Akın</au><au>Dogan, Nurhak</au><au>Ercan, Eyüp Sabri</au><au>Rohde, Luis Augusto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Helping Clinicians to Detect ODD in Children with ADHD in Clinical Settings</atitle><jtitle>Psychiatric quarterly</jtitle><stitle>Psychiatr Q</stitle><addtitle>Psychiatr Q</addtitle><date>2021-06-01</date><risdate>2021</risdate><volume>92</volume><issue>2</issue><spage>821</spage><epage>832</epage><pages>821-832</pages><issn>0033-2720</issn><eissn>1573-6709</eissn><abstract>The objectives of this study were to provide a basic tool for pediatricians or other physicians to suspect and detect ODD in children with ADHD and to distinguish the symptomatic profile of ODD from ADHD. 101 subjects with ADHD, 83 with both ADHD and ODD and 342 controls aged 8 to 15 years were included in the study. A semi-structured interview was performed for evaluation of psychiatric diagnoses. Both parents and teachers completed DSM-IV Disruptive Behavior Disorders Rating Scale. We found differences among all three diagnostic subsamples in two-by-two analyses for all dimensions (Inattention, Hyperactivity/Impulsivity and ODD) both according to parent and teacher reports (
p
< 0.03 for all analyses). Based on parental ODD scores, ROC Curve analyses between ‘only ADHD’ and ‘ADHD+ODD’ groups showed that AUC was equal 0.80 (95%CI = 0.73–0.86) and the best cutoff point for ODD diagnosis in the ADHD subjects was 0.68. This study demonstrates the presence of a basic tool for detection and suspicion of ODD in children with ADHD for primary care clinicians or pediatricians in clinical settings. Findings also indicate that patients with ODD and ADHD have more severe inattention, hyperactivity/impulsivity and oppositional symptoms than those with only ADHD have.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33130959</pmid><doi>10.1007/s11126-020-09855-x</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-6425-091X</orcidid></addata></record> |
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subjects | Attention deficit hyperactivity disorder Behavior disorders Children Disruptive behaviour Hyperactivity Impulsive behavior Impulsivity Medical diagnosis Medicine Medicine & Public Health Original Paper Pediatricians Pediatrics Primary care Psychiatry Public Health Sociology Teachers |
title | Helping Clinicians to Detect ODD in Children with ADHD in Clinical Settings |
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