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A Multi-Domain Model of Risk Factors for ODD Symptoms in a Community Sample of 4-Year-Olds

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Abstract

Few studies have been designed to assess the pathways by which risk factors are associated with symptoms of psychopathology across multiple domains, including contextual factors, parental depression, parenting, and child characteristics. The present study examines a cross-sectional model of risk factors for symptoms of Oppositional Defiant Disorder (ODD) in a diverse community sample of 796 four-year-old children. In the best-fitting model: (a) SES had indirect effects on contextual factors of stress and conflict, parental depression, and parenting factors including hostility, support, and scaffolding; (b) stress and conflict had both direct effects on ODD symptoms, and indirect effects via parental depression and parenting; (c) parenting had direct effects on ODD symptoms and indirect effects via child effortful control (EC), negative affect (NA) and sensory regulation (SR); (c) NA, EC, and SR had direct effects on symptom frequency, and attachment had indirect effects via EC, and SR. These results highlight the importance of using a multi-domain model to examine risk factors for symptoms of ODD, and also provide information about areas to target in treatment.

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Authors and Affiliations

  1. Children’s Memorial Hospital, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

    John V. Lavigne, Karen R. Gouze & Susan A. LeBailly

  2. Mary Ann and J. Milburn Smith Child Health Research Program, Children’s Memorial Research Center, Chicago, IL, USA

    John V. Lavigne, Karen R. Gouze & Susan A. LeBailly

  3. College of Psychology, Illinois Institute of Technology, Chicago, IL, USA

    Joyce Hopkins

  4. Department of Psychology, Loyola University Chicago, Chicago, IL, USA

    Fred B. Bryant

  5. Department of Child and Adolescent Psychiatry (#10), Children’s Memorial Hospital, 2300 Children’s Plaza, Chicago, IL, 60614, USA

    John V. Lavigne

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Correspondence to John V. Lavigne.

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This research was supported by National Institute of Mental Health grant MH 063665.

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Lavigne, J.V., Gouze, K.R., Hopkins, J. et al. A Multi-Domain Model of Risk Factors for ODD Symptoms in a Community Sample of 4-Year-Olds. J Abnorm Child Psychol 40, 741–757 (2012). https://doi.org/10.1007/s10802-011-9603-6

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