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The role of a lifetime history of oppositional defiant and conduct disorders in adults with ADHD: implications for clinical practice

Published online by Cambridge University Press:  04 May 2012

Eduardo S. Vitola ,
Carlos A. I. Salgado ,
Katiane L. Silva ,
Rafael G. Karam ,
Marcelo M. Victor ,
Nina R. Mota ,
Verônica Contini ,
Felipe A. Picon ,
Paula O. Guimarães-da-Silva  and
Rafael S. Giordani
...Show all authors
Eduardo S. Vitola
Affiliation:
ADHD Outpatient Program–Adult Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Post-Graduate Program in Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
Carlos A. I. Salgado
Affiliation:
ADHD Outpatient Program–Adult Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Post-Graduate Program in Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
Katiane L. Silva
Affiliation:
ADHD Outpatient Program–Adult Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Post-Graduate Program in Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
Rafael G. Karam
Affiliation:
ADHD Outpatient Program–Adult Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Post-Graduate Program in Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
Marcelo M. Victor
Affiliation:
ADHD Outpatient Program–Adult Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Post-Graduate Program in Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
Nina R. Mota
Affiliation:
ADHD Outpatient Program–Adult Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Post-Graduate Program in Genetics and Molecular Biology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
Verônica Contini
Affiliation:
ADHD Outpatient Program–Adult Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Post-Graduate Program in Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil Post-Graduate Program in Genetics and Molecular Biology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
Felipe A. Picon
Affiliation:
ADHD Outpatient Program–Adult Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Post-Graduate Program in Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
Paula O. Guimarães-da-Silva
Affiliation:
ADHD Outpatient Program–Adult Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Post-Graduate Program in Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
Rafael S. Giordani
Affiliation:
ADHD Outpatient Program–Adult Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
Luis A. Rohde
Affiliation:
ADHD Outpatient Program–Adult Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Post-Graduate Program in Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
Paulo Belmonte-de-Abreu
Affiliation:
ADHD Outpatient Program–Adult Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Post-Graduate Program in Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
Claiton H. D. Bau*
Affiliation:
ADHD Outpatient Program–Adult Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Post-Graduate Program in Genetics and Molecular Biology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
Eugenio H. Grevet
Affiliation:
ADHD Outpatient Program–Adult Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil Post-Graduate Program in Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
*
*Address for correspondence: Prof. Claiton H. D. Bau, Departamento de Genética, UFRGS, Campus do Vale, Av. Bento Gonçalves, 9500, 91501-970 Porto Alegre, RS, Brazil. (Email [email protected])
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Abstract

Introduction

Attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD) are frequently co-occurring disorders in children and adolescents. However, their clinical status among adults is still under discussion. This study analyzes how the current clinical presentation of adult ADHD might be influenced by a lifetime history of CD and ODD.

Methods

We compared three groups of patients: ADHD without history of CD/ODD (n = 178), ADHD + history of ODD (n = 184), and ADHD + history of CD (n = 96).

Results

A history of CD (and to a lower extent ODD) is associated with a more severe and externalizing profile.

Conclusion

Past CD and ODD entail a significant negative mental health impact on persistent ADHD, reinforcing the importance of actively assessing the developmental history of adult ADHD patients.

Keywords

ADHDadultsconductexternalizingoppositional
Type
Original Research
Information
CNS Spectrums , Volume 17 , Issue 2 , June 2012 , pp. 94 - 99
Copyright
Copyright © Cambridge University Press 2012

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Footnotes

This study was supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (FAPERGS-PRONEX), Hospital de Clínicas de Porto Alegre (FIPE-HCPA), and FAPERGS/DECIT/SCTIE/MS/PPSUS.

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