ERIC Number: EJ967048
Record Type: Journal
Publication Date: 2012
Pages: 12
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0891-4222
EISSN: N/A
Available Date: N/A
Symptoms of Autism and Schizophrenia Spectrum Disorders in Clinically Referred Youth with Oppositional Defiant Disorder
Gadow, Kenneth D.; Drabick, Deborah A. G.
Research in Developmental Disabilities: A Multidisciplinary Journal, v33 n4 p1157-1168 Jul-Aug 2012
Examined autism spectrum disorder (ASD) and schizophrenia spectrum disorder (SSD) symptoms in a clinically referred, non-ASD sample (N = 1160; ages 6-18) with and without oppositional defiant disorder (ODD). Mothers and teachers completed "DSM-IV"-referenced symptom checklists. Youth with ODD were subdivided into angry/irritable symptom (AIS) or noncompliant symptom (NS) subtypes. Two different classification strategies were used: within-informant (source-specific) and between-informant (source-exclusive). For the source-specific strategy, youth were classified AIS, NS, or Control (C) according to mothers' and teachers' ratings separately. A second set of analyses focused on youth classified AIS according to mother or teacher report but not both (source-exclusive) versus both mother and teacher (cross-informant) AIS. Results indicated the mother-defined source-specific AIS groups generally evidenced the most severe ASD and SSD symptoms (AIS greater than NS greater than C), but this was more pronounced among younger youth. Teacher-defined source-specific ODD groups exhibited comparable levels of symptom severity (AIS, NS greater than C) with the exception of SSD (AIS greater than NS greater than C; younger youth). Source-exclusive AIS groups were clearly differentiated from each other, but there was little evidence of differential symptom severity in cross-informant versus source-exclusive AIS. These findings were largely dependent on the informant used to define the source-exclusive groups. AIS and NS groups differed in their associations with ASD and SSD symptoms. Informant discrepancy provides valuable information that can inform nosological and clinical concerns and has important implications for studies that use different strategies to configure clinical phenotypes. (Contains 4 tables.)
Descriptors: Mother Attitudes, Schizophrenia, Autism, Severity (of Disability), Symptoms (Individual Disorders), Pervasive Developmental Disorders, Behavior Disorders, Check Lists, Classification, Psychological Patterns, Teacher Attitudes, Genetics, Clinics, Referral
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A
Author Affiliations: N/A