CHALLENGES IN DIAGNOSING OPPOSITIONAL DEFIANT DISORDER IN CHILDREN AND ADOLESCENTS: A COMPREHENSIVE REVIEW

• DOI: ttps://doi.org/10.22533/at.ed.1594612427063

• Palavras-chave: Oppositional Defiant Disorder; Diagnosis challenges.

• Keywords: Oppositional Defiant Disorder; Diagnosis challenges.

• Abstract:

  Objective: To explore and synthesize the main obstacles associated with the diagnosis of Oppositional Defiant Disorder (ODD), analyzing how these challenges impact early identification, clinical evaluation and effective treatment of this condition in children and adolescents. Method: To perform bibliographic review in the PubMed - MEDLINE database, initially identifying 51 articles. After rigorous application of the inclusion and exclusion criteria, we selected 10articles to compose this study. Results: The Conduct and Oppositional Defiant Disorder Scale (CODDS), although quick to apply, requires caution due to its limited validity in specific populations. Consideration of cultural factors is crucial, highlighted by the International Disruptive Behavior Scale - Nepal version (DBIS-N), adapted for non-Western cultures. Modifiable risk factors, such as excessive screen exposure and harsh parenting, have been associated with the development of ODD. Socio-environmental assessment and investigation of brain abnormalities using nuclear magnetic resonance were addressed, although the latter is still experimental. Final considerations: A well-systematized diagnostic strategy is essential for the effective treatment of ODD. A comprehensive approach, combining different tools and considering risk factors, is recommended to ensure accurate assessment and timely treatment.