Profile Patterns of Oppositional Defiant Disorder Symptoms in Children

Valerie Lynn Scelsa, Fordham University


Recent attempts to determine if specific symptoms of Oppositional Defiant Disorder (ODD) differentially predict future internalizing or externalizing problems have revealed at least two dimensions of ODD symptoms: irritable and oppositional (Burke, Hipwell, & Loeber, 2010; Stringaris & Goodman, 2009). The irritable dimension is predictive of mood disorders, whereas the oppositional dimension is predictive of primarily conduct disorder. However, the exact symptoms that make up the irritable dimension are not completely agreed upon. Temper outbursts are most often included in the irritable dimension, but sometimes fit better with oppositional symptoms. The present study examined if Profile Analysis via Principal Component Analysis (PAPCA; Kim, 2013) of ODD symptoms in a sample of children with self-regulation difficulties would reveal similar profile patterns to the ODD dimensions. Additionally, we investigated if a group of children within the sample deemed to have severe temper outbursts (STO) as a primary presenting problem were more likely than the rest of the clinical sample to follow an irritable profile pattern. Results revealed three profile patterns: Irritable, Spiteful, and Angry. Two of which matched previous dimensions. Children with STO were more likely to follow the irritable profile and children with STO, who did not have comorbid ADHD, were more likely to follow the Angry profile compared to the rest of the clinical sample. Children with ODD experience a variety of ODD symptoms, but results of this study suggest temper outbursts alone can indicate a child is likely experiencing other irritable symptoms and is at risk for mood disorders.

Subject Area

Developmental psychology|Psychology|Clinical psychology

Recommended Citation

Scelsa, Valerie Lynn, "Profile Patterns of Oppositional Defiant Disorder Symptoms in Children" (2018). ETD Collection for Fordham University. AAI10816613.