scholarly journals Medication Refusal in Children with Oppositional Defiant Disorder or Conduct Disorder and Comorbid Attention-Deficit/Hyperactivity Disorder: Medication History and Clinical Correlates

2011 ◽  
Vol 21 (1) ◽  
pp. 57-66 ◽  
Author(s):  
Mark Demidovich ◽  
David J. Kolko ◽  
Oscar G. Bukstein ◽  
Jonathan Hart
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Conduct Disorder ◽  
Oppositional Defiant Disorder ◽  
Attention Deficit ◽  
Medication History ◽  
Clinical Correlates ◽  
Hyperactivity Disorder ◽  
Oppositional Defiant

Oppositional Defiant Disorder and Its Clinical Management

2017 ◽  
Author(s):  
Paul Croarkin ◽  
Reem Shafi
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Conduct Disorder ◽  
Oppositional Defiant Disorder ◽  
Treatment Planning ◽  
Attention Deficit ◽  
Hyperactivity Disorder ◽  
Disruptive Mood Dysregulation Disorder ◽  
Dsm 5 ◽  
Oppositional Defiant ◽  
Mood Dysregulation

Oppositional defiant disorder (ODD) is a psychiatric disorder classified in the DSM-5 among disruptive, impulse control, and conduct disorder. The core features of ODD include a pervasive and impairing pattern of anger, irritability, inflexibility, defiance, malevolence, and aggression. Symptoms of ODD typically present during preschool. ODD can be a harbinger of conduct disorder. Isolated, transient symptoms of ODD are normal during development. Mood disorders, attention-deficit/hyperactivity disorder, and neurodevelopmental disorders are important considerations in differential diagnosis. However, ODD frequently co-occurs with other psychiatric diagnoses. Complex interactions with temperamental emotional dysregulation, family stress, early life stress, inconsistent parenting, and genetic and physiologic factors likely underlie the risk, pathophysiology, and prognosis of ODD. Unfortunately, these interactions and the neurobiological underpinnings of ODD are still poorly characterized. Although first-line treatments for ODD involve behavioral and psychosocial interventions, a thoughtful consideration of pharmacotherapy for co-occurring disorders and severe symptoms is an important component of treatment planning. Herein we review the epidemiology, etiology, pathophysiology, diagnostic evaluation, and treatment planning of ODD. Recent applicable controversies such as dimensional conceptualization of psychiatric disorders and the potential intersection of ODD and disruptive mood dysregulation disorder are also summarized.  This review contains 5 figures, 4 tables, and 44 references. Key words: aggression, attention-deficit/hyperactivity disorder, conduct disorder, defiance, disruptive behaviors, disruptive mood dysregulation disorder, DSM-5, irritability, oppositional defiant disorder, parent management training

Driving-Related Risks and Outcomes of Attention Deficit Hyperactivity Disorder in Adolescents and Young Adults: A 3- to 5-Year Follow-up Survey

PEDIATRICS ◽  
1993 ◽  
Vol 92 (2) ◽  
pp. 212-218
Author(s):  
Russell A. Barkley ◽  
David C. Guevremont ◽  
Arthur D. Anastopoulos ◽  
George J. DuPaul ◽  
Tern L. Shelton
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Young Adults ◽  
Conduct Disorder ◽  
Oppositional Defiant Disorder ◽  
Attention Deficit ◽  
Rating Scale ◽  
Hyperactivity Disorder ◽  
Control Subjects ◽  
Oppositional Defiant ◽  
Teenagers And Young Adults

Objective. To determine whether teenagers and young adults with attention deficit hyperactivity disorder (ADHD) have more motor vehicle citations and crashes and are more careless drivers than their normal peers. Design. A comparison of two groups of teenagers and young adults (ADHD and normal) followed up 3 to 5 years after original diagnosis. Setting. A university medical center clinic for ADHD patients. Patients. Thirty-five subjects with ADHD and 36 control subjects between 16 and 22 years of age, all of whom were licensed drivers. Main outcome measures. Parent ratings of current symptoms of ADHD, oppositional defiant disorder, and conduct disorder, a survey of various negative driving outcomes, and a rating scale of driving behavior. Results. Subjects with ADHD used less sound driving habits. This deficiency was associated with greater driving-related negative outcomes in all categories surveyed. Subjects with ADHD were more likely than control subjects to have had auto crashes, to have had more such crashes, to have more bodily injuries associated with such crashes, and to be at fault for more crashes than control subjects. They were also more likely to have received traffic citations and received more such citations than control subjects, particularly for speeding. The subgroup of teenagers with ADHD having greater comorbid oppositional defiant disorder and conduct disorder symptoms were at highest risk for such deficient driving skills/habits and negative driving-related outcomes. Conclusions. ADHD, and especially its association with oppositional defiant disorder/conduct disorder, is associated with substantially increased risks for driving among teenagers and young adults and worthy of attention when clinicians counsel such patients and their parents.

Sign in / Sign up

Export Citation Format

Share Document