Dr. Langbehn et al., DISTINCT CONTRIBUTIONS OF CONDUCT AND OPPOSITIONAL DEFIANT SYMPTOMS TO ADULT ANTISOCIAL-BEHAVIOR EVIDENCE FROM AN ADOPTION STUDY, Archives of general psychiatry, 55(9), 1998, pp. 821-829
Background: We conducted an exploratory multivariate analysis of juven
ile behavior symptoms in an adoption data set. One goal was to see if
a few DSM-interpretable symptom dimensions economically captured infor
mation within the data. A second goal was to study the relationships b
etween any such dimensions, biological and environmental background, a
nd eventual adult antisocial behavior. Methods: The data originated fr
om a retrospective adoption study. Probands with a biological backgrou
nd for parental antisocial personality or alcoholism were heavily over
sampled. Symptoms were ascertained by proband and adoptive parent inte
rview. We performed, by gender, orthogonal rotated principal component
analyses of juvenile behavior disturbance symptoms (females, n=87; ma
les, n = 88). We used structural equation modeling to examine the rela
tionships hypothesized above. Results: For both genders, an opposition
al defiant disorder (ODD) component and at least 1 conduct component e
merged. Regardless of the conduct component scores, the ODD components
were significant predictors of adult antisocial behavior. For males,
the ODD component was predicted by an antisocial biological background
, but not by scores on the Adverse Adoptive Environment Scale. The con
duct components were predicted by adoptive environment alone. For fema
les, biological background or biological-environmental interactions pr
edicted each of the components. Conclusions: There has been little pre
vious distinction between conduct disorder and ODD in studies of genet
ic and environmental influences on juvenile behavior. The study sugges
ts that adolescent ODD symptoms may be a distinct antecedent of adult
antisocial personality. In males, adolescent ODD symptoms may represen
t early expression of genetic sociopathic personality traits.