Comorbidity of anxiety and conduct problems in children: implications for clinical research and practice.
Given the relative lack of research on the comorbidity of anxiety disorders (ADs) and conduct problems (oppositional defiant disorder, conduct disorder) in youth, we examine this comorbidity from both basic and applied perspectives. First, we review the concept of comorbidity and provide a framework for understanding issues pertaining to comorbidity. Second, we examine the comorbidity of ADs and conduct problems in both epidemiological and clinical studies. Third, we explore the artifactual and substantive reasons for the comorbidity of these disorders. Finally, we discuss the implications of comorbidity for assessment and treatment and provide recommendations for future directions in clinical research and practice.
Cunningham
Natoshia Raishevich
NR
Virginia Polytechnic Institute and State University, Blacksburg, VA, USA. natoshia@vt.edu
Ollendick
Thomas H
TH
D000293:Adolescent; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology* / Q000628:therapy; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000453:epidemiology / Q000523:psychology; D035843:Biomedical Research / Q000379:methods; D002648:Child; D015897:Comorbidity; D019955:Conduct Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology* / Q000628:therapy; D006801:Humans; D016487:Parenting; D010290:Parents; D017410:Practice Guidelines as Topic; D011584:Psychology; D012307:Risk Factors
J Abnorm Child Psychol. 2003 Jun;31(3):293-300
12774862
Arch Gen Psychiatry. 1997 Sep;54(9):809-16
9294371
Behav Res Ther. 2001 Dec;39(12):1411-27
11758699
Arch Gen Psychiatry. 1996 Dec;53(12):1129-36
8956679
J Abnorm Child Psychol. 2003 Jun;31(3):267-83
12774860
Clin Child Fam Psychol Rev. 2006 Dec;9(3-4):201-20
17053962
J Consult Clin Psychol. 2005 Jun;73(3):371-388
15982136
J Clin Child Adolesc Psychol. 2008 Apr;37(2):314-26
18470769
Behav Res Ther. 1983;21(6):685-92
6661153
J Am Acad Child Adolesc Psychiatry. 2000 Dec;39(12):1468-84
11128323
J Anxiety Disord. 2007;21(3):420-32
16875798
J Consult Clin Psychol. 1994 Oct;62(5):918-27
7806721
Arch Gen Psychiatry. 1997 Sep;54(9):801-8
9294370
J Consult Clin Psychol. 2004 Apr;72(2):276-87
15065961
J Child Psychol Psychiatry. 1999 Jan;40(1):57-87
10102726
J Clin Child Adolesc Psychol. 2003 Jun;32(2):290-5
12679288
Psychol Bull. 2005 Jul;131(4):483-509
16060799
J Am Acad Child Adolesc Psychiatry. 2000 Jan;39(1):28-38
10638065
J Am Acad Child Adolesc Psychiatry. 1988 Nov;27(6):779-84
3198567
Can J Psychiatry. 2001 Dec;46(10):953-8
11816317
Arch Gen Psychiatry. 1987 Jan;44(1):69-76
2432848
J Child Psychol Psychiatry. 1991 Nov;32(7):1063-80
1787137
J Am Acad Child Adolesc Psychiatry. 2000 Jan;39(1):49-58
10638067
J Child Psychol Psychiatry. 2000 Jul;41(5):657-65
10946757
J Am Acad Child Adolesc Psychiatry. 2004 Mar;43(3):307-15
15076264
J Am Acad Child Adolesc Psychiatry. 2000 Jan;39(1):59-66
10638068
J Child Psychol Psychiatry. 2007 Jul;48(7):703-13
17593151
Biol Psychiatry. 2002 Jan 1;51(1):44-58
11801230
Arch Pediatr Adolesc Med. 2002 Aug;156(8):824-30
12144375
J Abnorm Child Psychol. 1987 Jun;15(2):165-73
3611516
Clin Psychol Rev. 2008 Oct;28(7):1266-80
18571820
J Clin Child Adolesc Psychol. 2004 Sep;33(3):557-65
15271613
J Am Acad Child Adolesc Psychiatry. 1997 Jul;36(7):918-24
9204669
J Am Acad Child Adolesc Psychiatry. 1992 May;31(3):547-56
1592790
J Anxiety Disord. 2007;21(5):717-29
17095184
J Am Acad Child Adolesc Psychiatry. 1999 Feb;38(2):129-37
9951211
Clin Psychol Rev. 2009 Nov;29(7):658-69
19729235
J Am Acad Child Adolesc Psychiatry. 2001 Jul;40(7):787-94
11437017
J Abnorm Child Psychol. 1999 Oct;27(5):383-92
10582839
Am J Psychiatry. 2002 Jul;159(7):1214-24
12091202
J Child Psychol Psychiatry. 2006 Mar-Apr;47(3-4):313-37
16492262
Child Care Health Dev. 2007 Jul;33(4):460-71
17584403
J Abnorm Child Psychol. 2001 Feb;29(1):1-10
11316331
Behav Res Ther. 2010 Sep;48(9):827-31
20573338
J Am Acad Child Adolesc Psychiatry. 2007 Sep;46(9):1111-1118
17712234
Child Dev. 2005 Nov-Dec;76(6):1234-46
16274437
J Am Acad Child Adolesc Psychiatry. 1991 Mar;30(2):187-91
2016220
Am J Psychiatry. 1987 Dec;144(12):1580-3
3688283
J Consult Clin Psychol. 1997 Jun;65(3):366-80
9170760
Am J Psychiatry. 1991 May;148(5):564-77
2018156
Clin Child Psychol Psychiatry. 2007 Oct;12(4):511-24
18095534
J Am Acad Child Adolesc Psychiatry. 1999 Dec;38(12):1569-79
10596258
J Abnorm Child Psychol. 2003 Jun;31(3):231-45
12774858
Behav Res Ther. 2003 Jan;41(1):105-12
12488123
J Am Acad Child Adolesc Psychiatry. 1997 Apr;36(4):554-65
9100431
J Am Acad Child Adolesc Psychiatry. 1996 Apr;35(4):451-60
8919707
J Child Psychol Psychiatry. 2002 Feb;43(2):191-201
11902598
Am J Public Health. 1997 May;87(5):827-32
9184514
Arch Gen Psychiatry. 2003 Aug;60(8):837-44
12912767
Clin Child Fam Psychol Rev. 2002 Mar;5(1):57-83
11993545
J Am Acad Child Adolesc Psychiatry. 1992 Jan;31(1):50-9
1537781
J Abnorm Child Psychol. 2003 Jun;31(3):285-91
12774861
J Child Psychol Psychiatry. 1994 Sep;35(6):1141-57
7995848
J Am Acad Child Adolesc Psychiatry. 1995 Nov;34(11):1514-24
8543520