Do some children diagnosed with oppositional defiant disorder develop querulous disorder?
The outcome of children diagnosed with oppositional defiant disorder (ODD) has yet to be clearly established. Oppositional disorder (OD) first appeared in DSM III (1980), and then ODD replaced it in the DSM III-R (1987). At the time of this writing, there were no published articles in the literature on children followed into adulthood who were previously diagnosed with either OD or ODD. Might at least some children with ODD develop a personality disorder in the transition to adulthood? The entire cluster of ODD symptoms is not contained in a solitary personality disorder in the DSM IV-TR or International Classification of Diseases, 10th edition (ICD-10). A personality disorder from pre-DSM and pre-ICD personality nosology that had symptoms that met ODD diagnostic criteria was found. This personality disorder clearly appeared to be a more severe disorder than ODD. Ongoing misperceptions and an uncompromising, argumentative stance are the most prominent characteristics of this more severe disorder. Full DSM-style diagnostic criteria are proposed for it. These can be tested to determine this disorder's validity. However, further research is needed.
Tucker
Sheridan G
SG
Child, Adolescent, and General Psychiatrist, Mississippi State Hospital, Whitfield, MS 39193, USA. clinneurochemist@msn.com
Weller
Ronald A
RA
Petersen
Connie L
CL
Weller
Elizabeth B
EB
D000293:Adolescent; D000328:Adult; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D002648:Child; D002908:Chronic Disease; D003220:Conflict, Psychological; D003430:Cross-Sectional Studies; D003702:Delusions / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D003937:Diagnosis, Differential; D039721:Diagnostic and Statistical Manual of Mental Disorders; D034462:Dissent and Disputes; D005500:Follow-Up Studies; D006801:Humans; D038801:International Classification of Diseases; D010554:Personality Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology