TY - JOUR
T1 - Co-developmental Trajectories of Defiant/Headstrong, Irritability, and Prosocial Emotions from Preschool Age to Early Adolescence
AU - Ezpeleta, Lourdes
AU - Penelo, Eva
AU - Navarro, J. Blas
AU - de la Osa, Núria
AU - Trepat, Esther
N1 - Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2021/4/30
Y1 - 2021/4/30
N2 - This study ascertains how the proposed subtypes and specifiers of oppositional defiant disorder (ODD) based on irritability and prosocial emotions co-develop and describes the clinical characteristics of the resultant classes. A sample of 488 community children was followed up from ages 3 to 12 years and assessed with categorical and dimensional measures answered by parents and teachers. Latent class growth analysis for three parallel processes [defiant/headstrong, irritability, and limited prosocial emotions (LPE)] identified a 4-class model with adequate entropy (.912) and posterior probabilities of class membership (≥.921). Class 1 (n = 38, 7.9%) was made up of children with defiant/headstrong with chronic irritability and LPE. Class 2 (n = 128, 26.3%) was comprised of children with defiant/headstrong with chronic irritability and typical prosocial emotions. Class 3 (n = 101, 20.7%) clustered children with LPE without defiant/headstrong and without irritability. Class 4 (n = 220, 45.1%) included children with the lowest scores in all the processes. The classes were distinguishable and showed different clinical characteristics through development. These findings support the validity of ICD-11 ODD subtypes based on chronic irritability and may help to guide clinicians’ decision-making regarding treating oppositionality in children.
AB - This study ascertains how the proposed subtypes and specifiers of oppositional defiant disorder (ODD) based on irritability and prosocial emotions co-develop and describes the clinical characteristics of the resultant classes. A sample of 488 community children was followed up from ages 3 to 12 years and assessed with categorical and dimensional measures answered by parents and teachers. Latent class growth analysis for three parallel processes [defiant/headstrong, irritability, and limited prosocial emotions (LPE)] identified a 4-class model with adequate entropy (.912) and posterior probabilities of class membership (≥.921). Class 1 (n = 38, 7.9%) was made up of children with defiant/headstrong with chronic irritability and LPE. Class 2 (n = 128, 26.3%) was comprised of children with defiant/headstrong with chronic irritability and typical prosocial emotions. Class 3 (n = 101, 20.7%) clustered children with LPE without defiant/headstrong and without irritability. Class 4 (n = 220, 45.1%) included children with the lowest scores in all the processes. The classes were distinguishable and showed different clinical characteristics through development. These findings support the validity of ICD-11 ODD subtypes based on chronic irritability and may help to guide clinicians’ decision-making regarding treating oppositionality in children.
KW - Defiant/headstrong
KW - Developmental trajectories
KW - Irritability
KW - Limited prosocial emotions
KW - Oppositional defiant
KW - Subtypes
UR - http://www.scopus.com/inward/record.url?scp=85105406991&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/cb33e946-e023-3748-acb4-203282bcbe1d/
U2 - 10.1007/s10578-021-01180-z
DO - 10.1007/s10578-021-01180-z
M3 - Article
C2 - 33939109
AN - SCOPUS:85105406991
SN - 0009-398X
VL - 53
SP - 908
EP - 918
JO - Child Psychiatry and Human Development
JF - Child Psychiatry and Human Development
IS - 5
ER -