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Author Notes:

Jeffrey D. Burke, Ph.D., Western Psychiatric Institute and Clinic, 3811 O’Hara Street, Pittsburgh, PA 15213; burkejd@upmc.edu.

This publication is the work of the authors; and Drs. Burke, Boylan, Rowe, Duku, Hipwell, Stepp and Waldman will serve as guarantors for the contents of this paper.

The authors are grateful to all the families who took part in the Avon Longitudinal Study of Parents and Children (ALSPAC) study and to the ALSPAC team.

Subjects:

Research Funding:

This work was supported by a grant to Dr. Burke (MH095969) from the National Institute of Mental Health (NIMH); a grant to Dr. Benjamin B. Lahey (R01 MH59111) from NIMH; grants to Dr. Rolf Loeber from the National Institute of Mental Health (Grant 2013-JF-FX-0058); and from the National Institute of Drug Abuse (Grant 2RO1DA012237-11).

The UK Medical Research Council and the Wellcome Trust (Grant ref: 092731) and the University of Bristol provide core support for ALSPAC.

Keywords:

  • Adolescent
  • Attention Deficit and Disruptive Behavior Disorders
  • Child
  • Child, Preschool
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Irritable Mood
  • Male

Identifying the irritability dimension of odd: Application of a modified bifactor model across five large community samples of children

Tools:

Journal Title:

Journal of Abnormal Psychology

Volume:

Volume 123, Number 4

Publisher:

, Pages 841-851

Type of Work:

Article | Post-print: After Peer Review

Abstract:

The importance of irritability, as measured among the symptoms of oppositional defiant disorder (ODD), has dramatically come to the fore in recent years. New diagnostic categories rely on the distinct clinical utility of irritability, and models of psychopathology suggest it plays a key role in explaining developmental pathways within and between disorders into adulthood. However, only a few studies have tested multidimensional models of ODD, and the results have been conflicting. Further, consensus has not been reached regarding which symptoms best identify irritability. The present analyses use 5 large community data sets with 5 different measures of parent-reported ODD, comprising 16,280 youth in total, to help resolve these questions. Across the samples, ages ranged from 5 to 18, and included both boys and girls. Confirmatory factor analyses demonstrated that a modified bifactor model showed the best fit in each data set. The structure of the model included 2 correlated specific factors (irritability and oppositional behavior) in addition to a general ODD factor. In 4 models, the best fit was obtained using the items "being touchy," "angry," and "often losing temper" as indicators of irritability. Given the structure of the models and the generally high correlation between the specific dimensions, the results suggest that irritability may not be sufficiently distinct from oppositional behavior to support an entirely independent diagnosis. Rather, irritability may be better understood as a dimension of psychopathology that can be distinguished within ODD, and which may be related to particular forms of psychopathology apart from ODD.

Copyright information:

© 2014 American Psychological Association.

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