Current issues in the diagnosis of attention deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorder

Paul J. Frick, Joel Nigg

Research output: Contribution to journalArticle

123 Citations (Scopus)

Abstract

This review evaluates the diagnostic criteria for three of the most common disorders for which children and adolescents are referred for mental health treatment: attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD). Although research supports the validity and clinical utility of these disorders, several issues are highlighted that could enhance the current diagnostic criteria. For ADHD, defining the core features of the disorder and its fit with other disorders, enhancing the validity of the criteria through the lifespan, considering alternative ways to form subtypes of the disorder, and modifying the age-of-onset criterion are discussed relative to the current diagnostic criteria. For ODD, eliminating the exclusionary criteria of CD, recognizing important symptom domains within the disorder, and using the cross-situational pervasiveness of the disorder as an index of severity are highlighted as important issues for improving classification. Finally, for CD, enhancing the current subtypes related to age of onset and integrating callous-unemotional traits into the diagnostic criteria are identified as key issues for improving classification. ©

Original languageEnglish (US)
Pages (from-to)77-107
Number of pages31
JournalAnnual Review of Clinical Psychology
Volume8
DOIs
StatePublished - Apr 27 2012

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Attention Deficit and Disruptive Behavior Disorders
Conduct Disorder
Attention Deficit Disorder with Hyperactivity
Age of Onset
Mental Health
Research
Therapeutics

Keywords

  • classification
  • developmental issues
  • diagnostic criteria
  • DSM
  • subtypes

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

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