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Clinical usefulness of the Oppositional Defiant Disorder Rating Scale

Dissertation
Author: Jessica L. Hackenberg
Abstract:
The present study examined the reliability, validity, and clinical utility of the Oppositional Defiant Disorder Rating Scale (ODDRS) in a clinic-referred population. In addition, the diagnostic benefit of using a rating scale specific to Oppositional Defiant Disorder (ODD), in addition to a broad range behavior scale, was investigated. Parents and teachers of 121 clinic-referred children provided ratings on the ODDRS. Modest agreement was found between parent and teacher ratings on some items. However, the average correlation between parent and teacher ratings was minimal (r = .16). Children diagnosed with ODD through structured parent interviews were found to have elevated scores on the parent version of the ODDRS, as compared to children without a research diagnosis of ODD. Results yielded modest support for convergent and divergent validity of the ODDRS. However there was no evidence of incremental validity as classification rates did not significant increase when considering the ODDRS in addition to the Aggression subscale of the Behavior Assessment Scale for Children (BASC-2; Reynolds, & Kamphaus, 2004). Overall, results of the study showed that the ODDRS did not demonstrate the ability to discriminate between groups of children diagnosed with and without ODD at a level over and above differences shown by parent and teacher ratings on the BASC-2 Aggression subscale in a clinical population. However, results did show that the ODDRS performs well as a screening tool for ODD as there were very few false negatives in a clinical population.

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Full document contains 111 pages
Abstract: The present study examined the reliability, validity, and clinical utility of the Oppositional Defiant Disorder Rating Scale (ODDRS) in a clinic-referred population. In addition, the diagnostic benefit of using a rating scale specific to Oppositional Defiant Disorder (ODD), in addition to a broad range behavior scale, was investigated. Parents and teachers of 121 clinic-referred children provided ratings on the ODDRS. Modest agreement was found between parent and teacher ratings on some items. However, the average correlation between parent and teacher ratings was minimal (r = .16). Children diagnosed with ODD through structured parent interviews were found to have elevated scores on the parent version of the ODDRS, as compared to children without a research diagnosis of ODD. Results yielded modest support for convergent and divergent validity of the ODDRS. However there was no evidence of incremental validity as classification rates did not significant increase when considering the ODDRS in addition to the Aggression subscale of the Behavior Assessment Scale for Children (BASC-2; Reynolds, & Kamphaus, 2004). Overall, results of the study showed that the ODDRS did not demonstrate the ability to discriminate between groups of children diagnosed with and without ODD at a level over and above differences shown by parent and teacher ratings on the BASC-2 Aggression subscale in a clinical population. However, results did show that the ODDRS performs well as a screening tool for ODD as there were very few false negatives in a clinical population.