Treatment of Aggressive ADHD in Children and Adolescents: Conceptualization and Treatment of Comorbid Behavior Disorders

  title={Treatment of Aggressive ADHD in Children and Adolescents: Conceptualization and Treatment of Comorbid Behavior Disorders},
  author={Keith Mcburnett and Linda J. Pfiffner},
  journal={Postgraduate Medicine},
  pages={158 - 165}
Abstract Primary care physicians who treat attention-deficit/hyperactivity disorder (ADHD) may expect to encounter oppositional defiant disorder (ODD) in about half of patients with ADHD. Up to 20% of patients with ADHD may meet criteria for conduct disorder (CD), and a higher percentage will exhibit aggressiveness or other symptoms of CD without meeting full diagnostic criteria. Primary care physicians self-report more competence in managing ADHD alone than when it is accompanied by comorbid… 
The Psychosocial Outcome of Conduct and Oppositional Defiant Disorder in Children With Attention Deficit Hyperactivity Disorder
The results of this study review showed the comorbidity of ODD and CD is very strong and ODD is a strong predictor of CD in boys, and the presence of ADHD with ODD in children is a significant predictor of adolescent onset CD.
Screening Adolescents for ADHD, Oppositional Defiant Disorder, and Conduct Disorder in Primary Care
  • H. Joshi, R. Apple
  • Psychology
    Adolescent Health Screening: an Update in the Age of Big Data
  • 2019
The value and reassurance that screening adds to pediatric primary care are discussed relative both the patient and physician, as this occurs quite frequently among behavioral disorders.
Attention Deficit Hyperactivity Disorder (ADHD) and Offending Behaviour- Case Report
The association between Attention Deficit Hyperactivity Disorder (ADHD) and Offending behaviour is well documented in Literature. The DSM IV and the NICE Clinical guidelines state that Hyperactivity,
Epidemiology of Attention Deficit/Hyperactivity Disorder
Attention deficit/hyperactivity disorder (ADHD), a neuropsychiatric disorder, varies in prevalence from one country to another with several associations.
Attention Deficit Hyperactivity Disorder - A Pre Audit Study of the Pattern of Drug Treatment in a Specialist Community Child and Adolescent Mental Health Service in the UK
The initial findings are useful and would help to modify the data sheet for improved quality and help to set the ‘audit standards’ for the main audit study.
A Critical Appraisal of a Harm Study: Being Children of Immigrant Parents and Acquiring Attention-Deficit/Hyperactivity Disorder
Background and aims: Mental health problems are not uncommon among children of the immigrants. Recently, the immigrants' toll has increased in most developed nations. The children of immigrant
Effectiveness of child training for children exhibiting disruptive behavioural problems, including attention deficit/hyperactivity disorder (AD/HD) and oppositional defiant disorder (ODD), when compared with other treatment methods for this population
Select copyrighted material from published articles may be included in this CAT for the purpose of providing a context for an informed critical appraisal. Readers are strongly encouraged to seek out
Does Comorbid Disruptive Behavior Modify the Effects of Atomoxetine on ADHD Symptoms as Measured by a Continuous Performance Test and a Motion Tracking Device?
It is shown that atomoxetine reduced ADHD severity as measured by cb-CPT and MT parameters regardless of whether comorbid ODD/CD was present.
The Role of Alpha2-Adrenergic Agonists in Attention-Deficit/Hyperactivity Disorder
This review will encompass the clinical study database for novel formulations of alpha2-adrenergic agonists, enabling the reader to appreciate their place in ADHD treatment as well as the potential utility of a combination approach with psychostimulants for patients with complex ADHD.
Tratamiento actual del trastorno por déficit de atención e hiperactividad (TDAH) Actual treatment of attention defi cit hyperactivity disorder (ADHD)
Treatment of attention defi cit hyperactivity disorder (ADHD) includes pharmacological, psychosocial and educational interventions. A custom designed treatment taking into account patient


ADHD With Comorbid Oppositional Defiant Disorder or Conduct Disorder
In children with ADHD, significant differences emerged between ODD and CD in the domains of delinquency, overt aggression, and ADHD symptom severity; ADHD with CD was most severe, followed by ADHD with ODD, and ADD had the least severe symptoms.
Family Correlates of Oppositional and Conduct Disorders in Children With Attention Deficit/Hyperactivity Disorder
Efforts to prevent and/or treat CD should consider not only provision of structure and prudent discipline, but also the affective qualities of the relationship between the primary caretaker and child.
Practice parameter for the assessment and treatment of children and adolescents with oppositional defiant disorder.
  • H. Steiner, Lisa Remsing
  • Medicine, Psychology
    Journal of the American Academy of Child and Adolescent Psychiatry
  • 2007
Although compared with CD there exists a smaller and less sophisticated empirical database for ODD, this parameter draws upon the existing ODD and CD literature to make recommendations regarding diagnosis and treatment of ODD.
Families of Children With Attention-Deficit/Hyperactivity Disorder: Review and Recommendations for Future Research
Evidence suggests that the presence of ADHD in children is associated to varying degrees with disturbances in family and marital functioning, disrupted parent–child relationships, specific patterns of parental cognitions about child behavior and reduced parenting self-efficacy, and increased levels of parenting stress and parental psychopathology.
Effect of comorbid symptoms of oppositional defiant disorder on responses to atomoxetine in children with ADHD: a meta-analysis of controlled clinical trial data
Atomoxetine treatment significantly reduced ADHD symptoms in both ODD-comorbid and noncomor bid subjects to similar extents, indicating that the presence of comorbid symptoms of oppositionality does not affect clinical outcomes of treatment of ADHD with atomoxetines.
Methylphenidate in Children With Oppositional Defiant Disorder and Both Comorbid Chronic Multiple Tic Disorder and ADHD
Results indicated significant improvement in both oppositional and ADHD behaviors with medication; however, the magnitude of treatment effect varied considerably as a function of disorder (ADHD > Oppositional behaviors), informant (teacher > mother), assessment instrument, and specific oppositional behavior.
Association of parental psychopathology to the comorbid disorders of boys with attention deficit-hyperactivity disorder.
Findings support specific modes of familial transmission, in contrast to theories that comorbidity simply reflects more severe psychopathology in children with ADHD.
Atomoxetine treatment in children and adolescents with attention-deficit/hyperactivity disorder and comorbid oppositional defiant disorder.
Youths with ADHD and comorbid ODD showed statistically significant improvement in ADHD, ODD, and quality-of-life measures, although the COMorbid group may require higher doses of atomoxetine.
Psychopathology in the parents of children with conduct disorder and hyperactivity.
Findings that CD is linked to parental psychopathology but ADD/ H is not confirmed, when CD and ADD/H co-occur, however, there is markedly more aggression and illegal activity in both fathers and children.
Clinical efficacy of methylphenidate in conduct disorder with and without attention deficit hyperactivity disorder.
Methylphenidate has short-term positive effects on children and adolescents with CD and key aspects of antisocial adjustment appear to be treatment responsive, independent of severity of the children's initial ADHD symptoms.