Faculty of Psychology, University of Bergen, 5015 Bergen, Norway.
J Child Psychol Psychiatry. 2009 Oct;50(10):1264-72. doi: 10.1111/j.1469-7610.2009.02091.x. Epub 2009 Apr 8.
To examine the occurrence of oppositional defiant disorder (ODD) symptoms in a general population of boys and girls, as reported by parents and teachers, and to investigate differences in prevalence estimates, depending on how parents' and teachers' ratings were combined.
Data were collected from 7007 children (aged 7-9) who participated in The Bergen Child Study (BCS), an ongoing population-based study of children's development and mental health. ODD symptoms were measured by the SNAP-IV (Swanson, Nolan, & Pelham-IV) Oppositional Defiant Disorder sub-scale (SNAP-IV ODD) that was distributed to parents and teachers. Co-occurring symptoms of mental health problems were measured by the Strengths and Difficulties Questionnaire (SDQ).
Prevalence-estimates of ODD varied considerably depending on how ratings from parents and teachers were combined. Specific ODD symptoms occurred at very different rates depending on the rater and on the gender of the child being rated. Parents and teachers co-identified very few children with ODD. ODD identified by only one informant was associated with high levels of comorbid mental health problems and impairment according to both informants. The results support an informant-specific conceptualization of childhood ODD.
通过家长和教师报告，调查普通男童和女童中对立违抗性障碍（ODD）症状的发生情况，并探讨根据父母和教师评分的组合方式，患病率估计值的差异。
本研究数据来自于参加卑尔根儿童研究（BCS）的 7007 名儿童（年龄为 7-9 岁），这是一项针对儿童发展和心理健康的正在进行的基于人群的研究。ODD 症状采用 SNAP-IV（Swanson、Nolan 和 Pelham-IV）对立违抗性障碍分量表（SNAP-IV ODD）进行测量，该分量表分发给家长和教师。同时采用长处和困难问卷（SDQ）测量心理健康问题的共病症状。
根据父母和教师评分的组合方式，ODD 的患病率估计值差异很大。特定的 ODD 症状根据评定者和被评定儿童的性别而发生的频率也不同。父母和教师共同识别出患有 ODD 的儿童非常少。仅由一位信息提供者识别出的 ODD 与两位信息提供者都认为存在共病的心理健康问题和功能损害高度相关。研究结果支持特定于信息提供者的儿童 ODD 概念化。
