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Chunk #28 — Study 2 — Discussion

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The latent structure of oppositional defiant disorder in children and adults.
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on a dichotomized, categorical decision. Somewhat improved over its predecessor, an ODD diagnosis in DSM-5 includes a current severity index (mild, moderate, or severe, which is a required specifier for the diagnosis; APA, 2013), which at least recognizes dimensionality within the disorder. However, severity is based on number of settings in which symptoms and impairment take place (i.e., pervasiveness) once an individual meets the diagnostic cut-off for the condition of ODD, rather than considering subclinical levels of ODD. The latter consideration is the more pertinent one for a dimensional latent structure of ODD.