The development of opposition-defiance during toddlerhood: a population-based cohort study

J Dev Behav Pediatr. 2012 Oct;33(8):608-17. doi: 10.1097/DBP.0b013e3182653c6c.

Abstract

Objective: There is now emerging epidemiological evidence that a substantial proportion of toddlers in the general population may be experiencing a significant opposition-defiance problem before 2 years of age. This article describes the continuity and discontinuity in boys' and girls' opposition-defiance statuses during toddlerhood.

Method: Data came from The Québec Longitudinal Study of Child Development, a survey of a representative birth cohort of children from the Canadian province of Québec. A time-specific latent variables (Markov) model was used to estimate the proportion of toddlers who cease or start to exhibit oppositional-defiant behaviors (ODBs) on a frequent basis between 17 and 29 months of age and to test for gender differences therein.

Results: A majority of toddlers who had exhibited ODBs on a frequent basis at 17 months of age were still doing so 1 year later. Also, a majority of toddlers who did exhibit ODBs on a frequent basis at 29 months of age had done so 1 year earlier. The results also show that there are more toddlers who start than stop exhibiting ODBs on a frequent basis during this period. Further, the continuity and discontinuity in toddlers' opposition-defiance statuses during this period did not vary between boys and girls, suggesting that gender differences in opposition-defiance have not yet emerged by the second half of the third year of life.

Conclusion: The predictive accuracy of early opposition-defiance is very good, with a substantial proportion of toddlers experiencing a significant opposition-defiance problem throughout toddlerhood.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age of Onset
  • Attention Deficit and Disruptive Behavior Disorders / epidemiology
  • Attention Deficit and Disruptive Behavior Disorders / etiology*
  • Child, Preschool
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Markov Chains
  • Quebec / epidemiology
  • Sex Factors
  • Surveys and Questionnaires