Kim Yong Hun, Moon Duk-Soo, Kang Na Ri
Jeju National University School of Medicine, Jeju, Korea.
Department of Psychiatry, Jeju National University School of Medicine, Jeju, Korea.
J Korean Acad Child Adolesc Psychiatry. 2023 Jul 1;34(3):169-174. doi: 10.5765/jkacap.230026.
Oppositional defiant disorder (ODD) is often comorbid with other psychiatric disorders in childhood. This study aimed to investigate comorbid psychiatric symptoms and associated factors in elementary school children with symptoms of ODD.
The participants consisted of 205 mother-offspring pairs. Psychiatric symptoms were measured using the Diagnostic Predictive Scales and Korean Child Behavior Checklist. Psychiatric comorbid symptoms were compared between children with ODD symptom and those without ODD symptom. Multivariate logistic regression analysis was used to estimate the odds ratio of psychiatric symptom on ODD.
ODD group had a significant association with internalizing and externalizing problem (p=0.001, p<0.001, respectively). ODD group were more comorbid with anxiety disorder, depressive disorder, attention-deficit/hyperactivity disorder, and conduct disorder. Among psychiatric disorder, generalized anxiety disorder (GAD) (adjusted odds ratio [AOR]=18.620, p<0.001) and conduct disorder (AOR=9.529, p=0.014) were associated with ODD symptom.
These findings suggest that children with ODD symptom had significantly higher rates of comorbid psychiatric symptoms. And GAD and conduct disorder are related to ODD symptom.
对立违抗性障碍（ODD）在儿童期常与其他精神障碍共病。本研究旨在调查有ODD症状的小学生的共病精神症状及相关因素。
参与者包括205对母婴。使用诊断预测量表和韩国儿童行为清单测量精神症状。比较有ODD症状的儿童和无ODD症状的儿童的精神共病症状。采用多因素逻辑回归分析来估计精神症状与ODD的比值比。
ODD组与内化问题和外化问题有显著关联（分别为p = 0.001，p < 0.001）。ODD组更易共患焦虑症、抑郁症、注意力缺陷多动障碍和品行障碍。在精神障碍中，广泛性焦虑症（GAD）（调整后的比值比[AOR]=18.620，p < 0.001）和品行障碍（AOR = 9.529，p = 0.014）与ODD症状相关。
这些发现表明，有ODD症状的儿童共病精神症状的发生率显著更高。且广泛性焦虑症和品行障碍与ODD症状有关。
