Longitudinal Associations between Oppositional Defiant Symptoms and Interpersonal Relationships among Chinese Children
Children with oppositional defiant disorder (ODD) are at increased risk for developing poor relationships with people around them, but the longitudinal links between ODD symptoms and subsequent interpersonal functioning remain unclear. In the current study, we examined the bidirectional associations between ODD symptoms and children’s relationships with parents, peers, and teachers. We included separate analyses for parent vs. teacher reports of ODD symptoms, with regard to subsequent interpersonal relationships. Participants included 256 children with ODD, recruited in China, along with their parents and teachers, assessed at three time points roughly two years apart. Parents and teachers reported child ODD symptoms at each time point, and children reported their perceptions of father– and mother–child attachment, peer relationships, and teacher–student relationships across the three time points. ODD symptoms reported either by parents or teachers predicted impairments in interpersonal functioning. Meanwhile, child interpersonal impairments with peers and teachers predicted subsequent increase in teacher-reported ODD symptoms. These findings highlight the importance of transactional models of influence—and of considering early intervention for ODD in protecting children from developing further deficits and impairments. Additionally, we discuss the perspectives of multiple informants on ODD symptoms, including their different patterns of association with subsequent interpersonal relationships.
KeywordsOppositional defiant disorder Parent–child attachment Peer relationship Teacher–student relationship Longitudinal
The study described in this report was Funded by Open Research Fund of the State Key Laboratory of Cognitive Neuroscience and Learning in 2015 (CNLZD1503), and Supported by Beijing Natural Science Foundation (7162115) and The National Natural Science Foundation of China (31522028, 81571056). The content is solely the responsibility of the authors and does not necessarily represent the official views of State Key Laboratory Foundation and Beijing Organization Committee. We are appreciative of the parents, children, and teachers who participated in our study and the many people who assisted in data collection.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3th ed.). Washington, DC: American Psychiatric Association.Google Scholar
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text revision ed.). Washington, DC: American Psychiatric Association.Google Scholar
- Burke, J. D. (2009). The relationship between conduct disorder and oppositional defiant disorder and their continuity with antisocial behaviors: Evidence from longitudinal clinical studies. In D. Shaffer, E. Leibenluft, & L. A. Rohde (Eds.), Externalizing disor- ders of childhood: Refining the research agenda for DSM-V. Arlington, VA: American Psychiatric Association.Google Scholar
- Burke, J. D., Pardini, D. A., & Loeber, R. (2008). Reciprocal relationships between parenting behavior and disruptive psychopathology from childhood through adolescence. Journal of Abnormal Child Psychology, 36(5), 679–692. https://doi.org/10.1007/s10802-008-9219-7.CrossRefPubMedPubMedCentralGoogle Scholar
- Chen, X., Hastings, P. D., Rubin, K. H., Chen, H., Cen, G., & Stewart, S. L. (1998). Child-rearing attitudes and behavioral inhibition in Chinese and Canadian toddlers: A cross-cultural study. Developmental Psychology, 34(4), 677–686. https://doi.org/10.1037//0012-1618.104.22.1687.CrossRefPubMedGoogle Scholar
- Chen, X., He, Y., Oliveira, A. M. D., Coco, A. L., Zappulla, C., Kaspar, V., et al. (2004). Loneliness and social adaptation in Brazilian, Canadian, Chinese and Italian children: A multi-national comparative study. Journal of Child Psychology and Psychiatry, 45(8), 1373–1384. https://doi.org/10.1111/j.1469-7610.2004.00329.x.CrossRefPubMedGoogle Scholar
- Demmer, D. H., Hooley, M., Sheen, J., McGillivray, J. A., & Lum, J. A. (2017). Sex differences in the prevalence of oppositional defiant disorder during middle childhood: A meta-analysis. Journal of Abnormal Child Psychology, 45(2), 313–325. https://doi.org/10.1007/s10802-016-0170-8.CrossRefPubMedGoogle Scholar
- Déry, M., Lapalme, M., Jagiellowicz, J., Poirier, M., Temcheff, C., & Toupin, J. (2017). Predicting depression and anxiety from oppositional defiant disorder symptoms in elementary school-age girls and boys with conduct problems. Child Psychiatry and Human Development, 48(1), 53–62. https://doi.org/10.1007/s10578-016-0652-5.CrossRefPubMedGoogle Scholar
- Drabick, D. A., Gadow, K. D., & Loney, J. (2007). Source-specific oppositional defiant disorder: Comorbidity and risk factors in referred elementary schoolboys. Journal of the American Academy of Child & Adolescent Psychiatry, 46(1), 92–101. https://doi.org/10.1097/01.chi.0000242245.00174.90.CrossRefGoogle Scholar
- Drabick, D. A., Bubier, J., Chen, D., Price, J., & Lanza, H. I. (2011). Source-specific oppositional defiant disorder among inner-city children: Prospective prediction and moderation. Journal of Clinical Child & Adolescent Psychology, 40(1), 23–35. https://doi.org/10.1080/15374416.2011.533401.CrossRefGoogle Scholar
- Enders, C. K. (2010). Applied missing data analysis. New York: Guilford Press.Google Scholar
- Evans, S. C., Pederson, C. A., Fite, P. J., Blossom, J. B., & Cooley, J. L. (2016). Teacher-reported irritable and defiant dimensions of oppositional defiant disorder: Social, behavioral, and academic correlates. School Mental Health, 8(2), 292–304. https://doi.org/10.1007/s12310-015-9163-y.CrossRefGoogle Scholar
- Greene, R. W., Biederman, J., Zerwas, S., Monuteaux, M. C., Goring, J. C., & Faraone, S. V. (2002). Psychiatric comorbidity, family Disfunction, and social impairment in Reffered youth with oppositional defiant disorder. American Journal of Psychiatry, 159(7), 1214–1224. https://doi.org/10.1176/appi.ajp.159.7.1214.CrossRefPubMedGoogle Scholar
- Huang, Y., Xie, X., & Zhou, H. (2016). Parental attachment and children’ s problem behaviors: Teacher-student relationship as a moderator. Chinese Journal of Clinical Psychology, 24(6), 1074–1078.Google Scholar
- Jin, C., Zou, H., & Yu, Y. (2011). The trait of filial piety belief and the relationship of filial piety belief, attachment and interpersonal adaptation of middle school students. Psychological Development and Education (Chinese), 27(6), 619–624.Google Scholar
- Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: The Guilford Press.Google Scholar
- Kochanska, G., Brock, R. L., Chen, K.-H., Aksan, N., & Anderson, S. W. (2015). Paths from mother–child and father–child relationships to externalizing behavior problems in children differing in electrodermal reactivity: A longitudinal study from infancy to age 10. Journal of Abnormal Child Psychology, 43(4), 721–734. https://doi.org/10.1007/s10802-014-9938-x.CrossRefPubMedPubMedCentralGoogle Scholar
- Lavigne, J. V., Dahl, K. P., Gouze, K. R., LeBailly, S. A., & Hopkins, J. (2015). Multi-domain predictors of oppositional defiant disorder symptoms in preschool children: Cross-informant differences. Child Psychiatry and Human Development, 46(2), 308–319. https://doi.org/10.1007/s10578-014-0472-4.CrossRefPubMedPubMedCentralGoogle Scholar
- Leadbeater, B. J., & Ames, M. E. (2016). The longitudinal effects of oppositional defiant disorder symptoms on academic and occupational functioning in the transition to young adulthood. Journal of Abnormal Child Psychology, 1–15. https://doi.org/10.1007/s10802-016-0190-4.
- Leung, P. W. S., Wong, W. C. W., Chen, W. Q., & Tang, C. S. K. (2008). Prevalence and determinants of child maltreatment among high school students in southern China: A large-scale school based survey. Child and Adolescent Psychiatry and Mental Health, 2(1), 27–48. https://doi.org/10.1186/1753-2000-2-27.CrossRefPubMedPubMedCentralGoogle Scholar
- Li, W., Li, L., Lin, X., Liu, W., Yang, P., & Yao, J. (2014). Parent-child relationship, teacher–child relationship and peer relationship in children with oppositional defiant disorder. Chinese Journal of Clinical Psychology, 22(3), 428–432.Google Scholar
- Lin, X., Li, L., Heath, M. A., Chi, P., Xu, S., & Fang, X. (2016b). Multiple levels of family factors and oppositional defiant disorder symptoms among Chinese children. Family Process. https://doi.org/10.1111/famp.12269.
- Maughan, B., Rowe, R., Messer, J., Goodman, R., & Meltzer, H. (2004). Conduct disorder and oppositional defiant disorder in a national sample: Developmental epidemiology. Journal of Child Psychology and Psychiatry, 45(3), 609–621. https://doi.org/10.1111/j.1469-7610.2004.00250.x.CrossRefPubMedGoogle Scholar
- McClowry, S. G., Rodriguez, E. T., Tamis-LeMonda, C. S., Spellmann, M. E., Carlson, A., & Snow, D. L. (2013). Teacher/student interactions and classroom behavior: The role of student temperament and gender. Journal of Research in Childhood Education, 27(3), 283–301. https://doi.org/10.1080/02568543.2013.796330.CrossRefGoogle Scholar
- Munkvold, L., Lundervold, A., Lie, S. A., & Manger, T. (2009). Should there be separate parent and teacher-based categories of ODD? Evidence from a general population. Journal of Child Psychology and Psychiatry, 50(10), 1264–1272. https://doi.org/10.1111/j.1469-7610.2009.02091.x.CrossRefPubMedGoogle Scholar
- Munkvold, L. H., Lundervold, A. J., & Manger, T. (2011). Oppositional defiant disorder: Gender differences in co-occurring symptoms of mental health problems in a general population of children. Journal of Abnormal Child Psychology, 39(4), 577–587. https://doi.org/10.1007/s10802-011-9486-6.CrossRefPubMedGoogle Scholar
- Muthén, L. K., & Muthén, B. O. (2012). Mplus User’s guide (7th ed.). Los Angeles, CA: Muthén and Muthén.Google Scholar
- National Health and Family Planning Commission of the PRC. (2015). China family development report 2015. Beijing, China: China Population Publishing House.Google Scholar
- Nelson, J. A., O’Brien, M., Blankson, A., Calkins, S. D., & Keane, S. P. (2009). Family stress and parental responses to children’s negative emotions: Tests of the spillover, crossover, and compensatory hypotheses. Journal of Family Psychology, 23(5), 671–679. https://doi.org/10.1037/a0015977.CrossRefPubMedPubMedCentralGoogle Scholar
- Nock, M. K., Kazdin, A. E., Hiripi, E., & Kessler, R. C. (2007). Lifetime prevalence, correlates, and persistence of oppositional defiant disorder: Results from the national comorbidity survey replication. Journal of Child Psychology and Psychiatry, 48(7), 703–713. https://doi.org/10.1111/j.1469-7610.2007.01733.x.CrossRefPubMedGoogle Scholar
- Patterson, G. R. (1982). A social learning approach (vol. 3): Coercive family process. Eugene, OR: Castalia Publishing Company.Google Scholar
- Pianta, R. (2001). STRS: Student–teacher relationship scale. Professional manual. Charlotscille. VA: University of Virginia.Google Scholar
- Taylor, T. K., Burns, G. L., Rusby, J. C., & Foster, E. M. (2006). Oppositional defiant disorder toward adults and oppositional defiant disorder toward peers: Initial evidence for two separate constructs. Psychological Assessment, 18(4), 439–443. https://doi.org/10.1037/1040-3522.214.171.1249.CrossRefPubMedPubMedCentralGoogle Scholar
- van Lier, P. A., & Koot, H. M. (2010). Developmental cascades of peer relations and symptoms of externalizing and internalizing problems from kindergarten to fourth-grade elementary school. Development and Psychopathology, 22(03), 569–582. https://doi.org/10.1017/S0954579410000283.CrossRefPubMedGoogle Scholar
- Wei, X., & Li, Q. (2013). The Confucian value of harmony and its influence on Chinese social interaction. Cross-Cultural Communication, 9(1), 60–66. https://doi.org/10.3968/j.ccc.1923670020130901.12018.Google Scholar
- Zou, H., Qu, Z., & Ye, Y. (2007). The characteristics of teacher–student relationships and its relationship with school adjustment of students. Psychological Development and Education (Chinese), 23(4), 77–82.Google Scholar