Prevalence of oppositional defiant disorder in Spain
| Autor: | Jesús María Andrés-De Llano, José Antonio López-Villalobos, Ana María Sacristán-Martín, María Isabel Sánchez-Azón, María Teresa Martínez-Rivera, Mercedes Garrido-Redondo, Susana Alberola-López, Luis Rodríguez-Molinero |
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| Rok vydání: | 2014 |
| Předmět: |
Male
Clinical consultation medicine.medical_specialty Adolescent education Prevalence Dysfunctional family General Medicine Mental health El Niño Attention Deficit and Disruptive Behavior Disorders Spain Oppositional defiant mental disorders medicine Humans Population study Female Child Psychiatry Psychology Male gender Demography |
| Zdroj: | Revista de Psiquiatría y Salud Mental (English Edition). 7:80-87 |
| ISSN: | 2173-5050 |
| Popis: | Introduction Oppositional defiant disorder (ODD) is characterised by a pattern of negative, defiant, disobedient and hostile behaviour towards authority figures. ODD is one of the most frequent reasons for clinical consultation on mental health during childhood and adolescence. ODD has a high morbidity and dysfunction, and has important implications for the future if not treated early. Objective To determine the prevalence of ODD in schoolchildren aged 6–16 years in Castile and Leon (Spain). Materials and methods Population study with a stratified multistage sample, and a proportional cluster design. Sample analysed: 1049. Cases were defined according to DSM- IV criteria. Results An overall prevalence rate of 5.6% was found (95% CI: 4.2–7%). Male gender prevalence = 6.8%; female = 4.3%. Prevalence in secondary education = 6.2%; primary education = 5.3%. No significant differences by gender, age, grade, type of school, or demographic area were found. ODD prevalence without considering functional impairment, such as is performed in some research, would increase the prevalence to 7.4%. ODD cases have significantly worse academic outcomes (overall academic performance, reading, maths and writing), and worse classroom behaviour (relationship with peers, respect for rules, organisational skills, academic tasks, and disruption of the class). Conclusions Castile and Leon has a prevalence rate of ODD slightly higher to that observed in international publications. Depending on the distribution by age, morbidity and clinical dysfunctional impact, an early diagnosis and a preventive intervention are required for health planning. |
| Databáze: | OpenAIRE |
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