Dimensions of Oppositionalay in a Brazilian Communiiy Sample: Testing the DSM-5 Proposal and Etiological Links
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1016/j.jaac.2013.01.004 http://repositorio.unifesp.br/handle/11600/36108 |
Resumo: | Objective: Investigating dimensions of oppositional symptoms may help to explain heterogeneity of etiology and outcomes for mental disorders across development and provide further empirical justification for the DSM-5-proposed modifications of oppositional defiant disorder (ODD). However, dimensions of oppositionality have not previously been tested in samples outside Europe or the United States. in this study, we used a large Brazilian community sample to compare the fit of different models for dimensions of oppositional symptoms; to examine the association of psychiatric diagnoses and symptoms with dimensions of oppositionality; and to examine the associations between dimensions of oppositionality and parental history of mental disorders. Method: A Brazilian community sample of 2,512 children 6 through 12 years old were investigated in this study. Confirmatory factorial analyses were performed to compare the fit of alternative models, followed by linear and logistic regression analyses of associations with psychiatric diagnosis and parental history of psychopathology. Results: A three-factor model with irritable, headstrong, and hurtful dimensions fitted best. the irritable dimension showed a strong association with emotional disorders in the child (p < .001) and history of depression (p < .01) and suicidality (p < .05) in the mother. the headstrong dimension was uniquely associated with attention-deficit/hyperactivity disorder (ADHD) in the child (p < .001) and with maternal history of ADHD symptoms (p < .05). the hurtful dimension was specifically associated with conduct disorder (p < .05). Conclusions: Our findings from a large community sample of Brazilian children support a distinction between dimensions of oppositionality consistent with current DSM-5 recommendations and provide further evidence for etiological distinctions between these dimensions. J. Am. Acad. Child Adolesc. Psychiatry; 201352(4):389-400. |
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Dimensions of Oppositionalay in a Brazilian Communiiy Sample: Testing the DSM-5 Proposal and Etiological LinksoppositionalitydimensionsirritabilitydepressionObjective: Investigating dimensions of oppositional symptoms may help to explain heterogeneity of etiology and outcomes for mental disorders across development and provide further empirical justification for the DSM-5-proposed modifications of oppositional defiant disorder (ODD). However, dimensions of oppositionality have not previously been tested in samples outside Europe or the United States. in this study, we used a large Brazilian community sample to compare the fit of different models for dimensions of oppositional symptoms; to examine the association of psychiatric diagnoses and symptoms with dimensions of oppositionality; and to examine the associations between dimensions of oppositionality and parental history of mental disorders. Method: A Brazilian community sample of 2,512 children 6 through 12 years old were investigated in this study. Confirmatory factorial analyses were performed to compare the fit of alternative models, followed by linear and logistic regression analyses of associations with psychiatric diagnosis and parental history of psychopathology. Results: A three-factor model with irritable, headstrong, and hurtful dimensions fitted best. the irritable dimension showed a strong association with emotional disorders in the child (p < .001) and history of depression (p < .01) and suicidality (p < .05) in the mother. the headstrong dimension was uniquely associated with attention-deficit/hyperactivity disorder (ADHD) in the child (p < .001) and with maternal history of ADHD symptoms (p < .05). the hurtful dimension was specifically associated with conduct disorder (p < .05). Conclusions: Our findings from a large community sample of Brazilian children support a distinction between dimensions of oppositionality consistent with current DSM-5 recommendations and provide further evidence for etiological distinctions between these dimensions. J. Am. Acad. Child Adolesc. Psychiatry; 201352(4):389-400.Univ São Paulo, BR-05403903 São Paulo, BrazilKings Coll London, Inst Psychiat, London WC2R 2LS, EnglandUniv São Paulo, Res Support Ctr Neurodev & Mental Hlth, BR-05403903 São Paulo, BrazilUniv Fed Rio Grande do Sul, BR-90046900 Porto Alegre, RS, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilWeb of ScienceConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)NovartisAbbottEli Lilly and Co.Janssen-CilagShireWellcome TrustU.K. Department of HealthElsevier B.V.Universidade de São Paulo (USP)Kings Coll LondonUniv Fed Rio Grande do SulUniversidade Federal de São Paulo (UNIFESP)Krieger, Fernanda VallePolanczyk, Guilherme VanoniGoodman, RobertRohde, Luis AugustoGraeff-Martins, Ana Soledade [UNIFESP]Salum, GiovanniGadelha, Ary [UNIFESP]Pan, Pedro Mario [UNIFESP]Stahl, DanielStringaris, Argyris2016-01-24T14:31:27Z2016-01-24T14:31:27Z2013-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion389-400application/pdfhttp://dx.doi.org/10.1016/j.jaac.2013.01.004Journal of the American Academy of Child and Adolescent Psychiatry. Amsterdam: Elsevier B.V., v. 52, n. 4, p. 389-400, 2013.10.1016/j.jaac.2013.01.004WOS000317319500008.pdf0890-8567http://repositorio.unifesp.br/handle/11600/36108WOS:000317319500008engJournal of the American Academy of Child and Adolescent Psychiatryinfo:eu-repo/semantics/openAccesshttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policyreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-28T21:00:50Zoai:repositorio.unifesp.br/:11600/36108Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-28T21:00:50Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Dimensions of Oppositionalay in a Brazilian Communiiy Sample: Testing the DSM-5 Proposal and Etiological Links |
title |
Dimensions of Oppositionalay in a Brazilian Communiiy Sample: Testing the DSM-5 Proposal and Etiological Links |
spellingShingle |
Dimensions of Oppositionalay in a Brazilian Communiiy Sample: Testing the DSM-5 Proposal and Etiological Links Krieger, Fernanda Valle oppositionality dimensions irritability depression |
title_short |
Dimensions of Oppositionalay in a Brazilian Communiiy Sample: Testing the DSM-5 Proposal and Etiological Links |
title_full |
Dimensions of Oppositionalay in a Brazilian Communiiy Sample: Testing the DSM-5 Proposal and Etiological Links |
title_fullStr |
Dimensions of Oppositionalay in a Brazilian Communiiy Sample: Testing the DSM-5 Proposal and Etiological Links |
title_full_unstemmed |
Dimensions of Oppositionalay in a Brazilian Communiiy Sample: Testing the DSM-5 Proposal and Etiological Links |
title_sort |
Dimensions of Oppositionalay in a Brazilian Communiiy Sample: Testing the DSM-5 Proposal and Etiological Links |
author |
Krieger, Fernanda Valle |
author_facet |
Krieger, Fernanda Valle Polanczyk, Guilherme Vanoni Goodman, Robert Rohde, Luis Augusto Graeff-Martins, Ana Soledade [UNIFESP] Salum, Giovanni Gadelha, Ary [UNIFESP] Pan, Pedro Mario [UNIFESP] Stahl, Daniel Stringaris, Argyris |
author_role |
author |
author2 |
Polanczyk, Guilherme Vanoni Goodman, Robert Rohde, Luis Augusto Graeff-Martins, Ana Soledade [UNIFESP] Salum, Giovanni Gadelha, Ary [UNIFESP] Pan, Pedro Mario [UNIFESP] Stahl, Daniel Stringaris, Argyris |
author2_role |
author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade de São Paulo (USP) Kings Coll London Univ Fed Rio Grande do Sul Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Krieger, Fernanda Valle Polanczyk, Guilherme Vanoni Goodman, Robert Rohde, Luis Augusto Graeff-Martins, Ana Soledade [UNIFESP] Salum, Giovanni Gadelha, Ary [UNIFESP] Pan, Pedro Mario [UNIFESP] Stahl, Daniel Stringaris, Argyris |
dc.subject.por.fl_str_mv |
oppositionality dimensions irritability depression |
topic |
oppositionality dimensions irritability depression |
description |
Objective: Investigating dimensions of oppositional symptoms may help to explain heterogeneity of etiology and outcomes for mental disorders across development and provide further empirical justification for the DSM-5-proposed modifications of oppositional defiant disorder (ODD). However, dimensions of oppositionality have not previously been tested in samples outside Europe or the United States. in this study, we used a large Brazilian community sample to compare the fit of different models for dimensions of oppositional symptoms; to examine the association of psychiatric diagnoses and symptoms with dimensions of oppositionality; and to examine the associations between dimensions of oppositionality and parental history of mental disorders. Method: A Brazilian community sample of 2,512 children 6 through 12 years old were investigated in this study. Confirmatory factorial analyses were performed to compare the fit of alternative models, followed by linear and logistic regression analyses of associations with psychiatric diagnosis and parental history of psychopathology. Results: A three-factor model with irritable, headstrong, and hurtful dimensions fitted best. the irritable dimension showed a strong association with emotional disorders in the child (p < .001) and history of depression (p < .01) and suicidality (p < .05) in the mother. the headstrong dimension was uniquely associated with attention-deficit/hyperactivity disorder (ADHD) in the child (p < .001) and with maternal history of ADHD symptoms (p < .05). the hurtful dimension was specifically associated with conduct disorder (p < .05). Conclusions: Our findings from a large community sample of Brazilian children support a distinction between dimensions of oppositionality consistent with current DSM-5 recommendations and provide further evidence for etiological distinctions between these dimensions. J. Am. Acad. Child Adolesc. Psychiatry; 201352(4):389-400. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-04-01 2016-01-24T14:31:27Z 2016-01-24T14:31:27Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.jaac.2013.01.004 Journal of the American Academy of Child and Adolescent Psychiatry. Amsterdam: Elsevier B.V., v. 52, n. 4, p. 389-400, 2013. 10.1016/j.jaac.2013.01.004 WOS000317319500008.pdf 0890-8567 http://repositorio.unifesp.br/handle/11600/36108 WOS:000317319500008 |
url |
http://dx.doi.org/10.1016/j.jaac.2013.01.004 http://repositorio.unifesp.br/handle/11600/36108 |
identifier_str_mv |
Journal of the American Academy of Child and Adolescent Psychiatry. Amsterdam: Elsevier B.V., v. 52, n. 4, p. 389-400, 2013. 10.1016/j.jaac.2013.01.004 WOS000317319500008.pdf 0890-8567 WOS:000317319500008 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal of the American Academy of Child and Adolescent Psychiatry |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy |
eu_rights_str_mv |
openAccess |
rights_invalid_str_mv |
http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy |
dc.format.none.fl_str_mv |
389-400 application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier B.V. |
publisher.none.fl_str_mv |
Elsevier B.V. |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1814268397068746752 |