Significant indirect, cascading effects on age 6
ODD symptom levels were noted for age 4 socioeconomic status via age 5 conflict and scaffolding skills; age 4 parental depression via age 5 child NA; age 4 parental hostility and support via age 5 EC; age 4 support via age 5 EC; and age 4 attachment via age 5 EC.
Parenting contributed to EC, and the age 5 EC effects on subsequent
ODD symptom levels were distinct from age 5 parental contributions.
Results of these comparisons showed that the subsamples were still matched for age, gender, IQ, and ADHD - type (for diagnostic groups), and showed similar group comparison results in terms of ADHD symptom and
ODD symptom levels, as shown in Table 1.
Not exact matches
Pearson's product — moment correlation coefficient was used to address research question 3, which addressed the size of the association between CD /
ODD symptoms and
level of insecurity.
Moreover, this study was limited to children with clinical
levels of CD and / or
ODD, or for whom data on
symptoms of these specific disorders was available.
Parents reporting higher
levels of initial parental distress had children who displayed more
ODD - related
symptoms on the Eyberg intensity scale at pretreatment, but made greater gains by follow - up than children of parents reporting less initial parental distress.
In general, the child characteristics that were significant predictors of treatment outcomes followed a similar pattern to that for the parent characteristics, with children showing poorer initial functioning showing greater gains with treatment (i.e., more internalizing
symptoms, more temperamental difficulty, greater functional impairment), but the children with less severe initial problems showing lower
levels of
ODD - related
symptoms at each trial.
Secondly, to our knowledge, no empirical research exists addressing the question of how children with various
levels of CU traits, anxiety and
ODD symptoms process positive emotional faces, such as happy expressions.
In terms of gender differences, males had higher
levels of
ODD and ADHD
symptoms in early childhood and they reported higher
levels of substance use in adolescence and of APP in young adulthood (2.63 ≤ ts ≤ 3.50, p < 0.01; effect sizes for these comparisons measured as Cohen's d: 0.26 ≤ ds ≤ 0.39).
Table 2 contains the GLM and logistic regressions assessing the contribution of the independent variables, CU
levels, and the presence / absence of
ODD on the children's psychological measures for the total sample (n = 622), adjusted by the covariates family SES, children's ethnicity and sex, other comorbid disorder different from
ODD and the number of DSM - IV CD
symptoms.
Regression analyses indicated that, above and beyond demographic characteristics, ADHD
symptom severity, and initial
levels of comorbidity, sleep problems significantly predicted greater
ODD symptoms, general externalizing behavior problems, and depressive
symptoms 1 year later.
Neither do the results suggest that
ODD symptoms may develop secondarily to CD
symptoms, as none of the paths between
ODD and CD
symptom levels in the unidirectional and the cross-lagged models were significant.
In multivariate models simultaneously including
ODD diagnosis and CU
levels, controlling by socioeconomic status, ethnicity, sex, severity of conduct disorder
symptoms and other comorbidity, high CU scores were related to higher
levels of aggression, withdrawn, externalizing and global symptomatology, functional impairment and higher probability of comorbid disorders and use of services.
High CU
levels at age 3 were predictive of higher
levels of CU traits (callousness, uncaring, unemotional, total), a higher number of
ODD symptoms, CAS total aggression, relational aggression, CBCL emotionally withdrawn, aggressive behavior, internalizing, externalizing and total scores, lower scores in functional impairment and high risk of use of services.
One possible reason for this is that whereas Rowe et al. [11] based their results on analyses utilizing clinical cut - offs, we examined the temporal relations between
ODD and CD dimensionally in a sample that overall did not display very high
symptom levels.
Specifically, if both
levels were at high at age 3 they predicted a higher number of
ODD symptoms and worse functional impairment at age 5.
Children who self - reported higher
levels of family routine were rated as low on teacher - reported
ODD symptoms, regardless of teacher - reported HI
levels.
Lower
levels of family routine may confer risk for
ODD symptoms among low - income, urban, ethnic - minority children experiencing higher
levels of HI.
The results indicated that negative affect and effortful control are associated with higher
levels of
ODD symptoms in preschoolers.