DSM-IV field trials for oppositional defiant disorder and conduct disorder in children and adolescents

Benjamin B. Lahey, Brooks Applegate, Russell A. Barkley, Barry Garfinkel, Keith McBurnett, Lynn Kerdyk, Laurence Greenhill, George W. Hynd, Paul J. Frick, Jeffrey Newcorn, Joseph Biederman, Thomas Ollendick, Elizabeth L. Hart, Dorcas Perez, Irwin Waldman, David Shaffer

Research output: Contribution to journalArticle

149 Scopus citations

Abstract

Objective: The purpose of the field trials for oppositional defiant disorder and conduct disorder was to select valid diagnostic thresholds for these disorders and to compare the psychometric properties of DSM-IV criteria for oppositional defiant disorder and conduct disorder with previous DSM diagnostic formulations. Method: Structured diagnostic interviews, standardized clinician's validation diagnoses, and multiple measures of impairment were obtained for 440 clinic-referred children and adolescents aged 4-17 years. Results: A diagnostic threshold of four symptoms of oppositional defiant disorder optimized identification of impaired children, improved agreement somewhat with the clinician's validation diagnosis, and had somewhat better test-retest agreement than DSM-III-R. In the case of conduct disorder, the optimal time window for ascertainment of symptoms was clarified. A diagnostic threshold of three symptoms of conduct disorder maximized accurate identification of impaired children and agreement with the clinician's validation diagnosis and resulted in slightly better test-retest agreement than DSM-III-R. Compared with the DSM-III-R definition, the DSM-IV definition of oppositional defiant disorder was somewhat more prevalent, but the prevalence of conduct disorder was essentially unchanged. Conclusions: DSM-IV definitions of oppositional defiant disorder and conduct disorder are somewhat better than DSM-III-R definitions in terms of internal consistency and test-retest agreement, and the validity of the DSM-IV definition of oppositional defiant disorder is slightly better than that of DSM-III-R.

Original languageEnglish (US)
Pages (from-to)1163-1171
Number of pages9
JournalAmerican Journal of Psychiatry
Volume151
Issue number8
DOIs
StatePublished - Aug 1994

ASJC Scopus subject areas

  • Psychiatry and Mental health

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    Lahey, B. B., Applegate, B., Barkley, R. A., Garfinkel, B., McBurnett, K., Kerdyk, L., Greenhill, L., Hynd, G. W., Frick, P. J., Newcorn, J., Biederman, J., Ollendick, T., Hart, E. L., Perez, D., Waldman, I., & Shaffer, D. (1994). DSM-IV field trials for oppositional defiant disorder and conduct disorder in children and adolescents. American Journal of Psychiatry, 151(8), 1163-1171. https://doi.org/10.1176/ajp.151.8.1163