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Pediatría (Asunción)

On-line version ISSN 1683-9803


TORALES, Julio; BARRIOS, Iván; ARCE, Andrés  and  VIOLA, Laura. Oppositional defiant disorder: an update for pediatricians and pediatric psychiatrists. Pediatr. (Asunción) [online]. 2018, vol.45, n.1, pp.65-73. ISSN 1683-9803.

Oppositional Defiant Disorder is diagnosed in a child who exhibits a disruptive behavior for their age and culture, characterized by a persistent pattern of an angry mood or irritability, and who presents oppositional and / or vindictive behavior for at least the last 6 months. This disorder not only affects the child, but is a public health problem that affects the child's family, teachers and peers. When not addressed properly, oppositional defiant disorder can evolve into a significant behavioral problem, such as conduct disorder or antisocial personality disorder. In order to help pediatricians and child psychiatrists in the recognition and management of these "problematic children", this review article aims to present an update of the definition, pathogenesis, clinical presentation, diagnosis and therapeutic modalities for this challenging group of patients.

Keywords : Oppositional Defiant Disorder; disruptive behavior; diagnosis; treatment.

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