Construction, Validation and Reliability of Oppositional Defiant and Conduct Disorder Questionnaire for Boys in Elementary School in Tabriz based on DSM-5*

Document Type : Original Article


1 PhD student-Azad University of Tabriz

2 Professor of Psychology

3 Islamic Azad University of Tabriz


Aim: The aim of this study was making a questionnaire for diagnosis of Oppositional Defiant and Conduct Disorder in primary boys' school (6-12 years old) and to assess its validity and reliability. Method: The research method was descriptive correlational. A total of 1200 male elementary school students in Tabriz were selected by multi-stage random sampling method and with the cooperation of mothers of the same students, the questionnaire was constructed based on DSM-5. Results: The results of exploratory factor analysis using independent Varimax rotation introduced three independent conduct factors, argumentative/defiant behavior and angry/irritable mood that explained 15.79%, 14.75% and 14.06% of the variance of variables and 44.61% of the total variance of variables, respectively. In order to assess the validity, the Eigevalue method was used more than 1 and the results showed that both the three factors and the whole questionnaire have good validity. Cronbach's alpha coefficient in assessing the reliability of the three factors of the questionnaire was 0.74, 0.60, 0.74 and for the whole questionnaire (α=0.77), respectively. The mean prevalence of conduct disorder, argumentative/defiant behavior and angry/irritable mood behavior of children in the sample group were 2.7%, 7.8% and 15.6%, respectively, based on DSM-5 dimensional approach. Conclusion: Considering the desirable behavioral characteristics of Oppositional Defiant and Conduct Disorder Questionnaire, this tool can be used for research and clinical applications.


Achenbach, T. M. (1992). Manual for the child behavior checklist/2-3 and 1992 profile. Burlington: University of Vermont, Department of Psychoses. [Link]
Aggarwal, A., Lindegaard, V., & Marwaha, R. (2020). Oppositional Defiant Disorder. In StatPearls [Internet]. StatPearls Publishing. [Link]
Amini Naghani, S., Najarpourian, S., & Samavi, S. A. (2020). Comparing the Effectiveness of the Triple P-Positive Parenting Program and Parenting Program of Acceptance and Commitment Therapy on Parent-Child Relationship and Self-efficacy of Mothers with Oppositional Defiant Disorder Children. Journal of Research and Health10(2), 111-122. [Link]
Araban, M., Montazeri, A., Stein, L. A. R., Karimy, M., & Mehrizi, A. A. H. (2020). Prevalence and factors associated with disruptive behavior among Iranian students during 2015: a cross-sectional study. Italian journal of pediatrics46(1), 1-7. [Link]
Bandura, A., & Hall, P. (2018). Albert bandura and social learning theory. Learning Theories for Early Years Practice, 63. [Link]
Carlson, R. G., Hock, R., George, M., Kumpiene, G., Yell, M., McCartney, E. D., ... & Weist, M. D. (2020). Relational Factors Influencing Parents’ Engagement in Special Education for High School Youth with Emotional/Behavioral Problems. Behavioral Disorders, 0198742919883276. [Link]
Chen, Y. L., Chen, W. J., Lin, K. C., Shen, L. J., & Gau, S. S. F. (2020). Prevalence of DSM-5 mental disorders in a nationally representative sample of children in Taiwan: methodology and main findings. Epidemiology and psychiatric sciences, 29. [Link]
Danforth, J. S., & Diller, J. W. (2020). The adaptive nature of coercive interactions between parents and their children with defiant Attention Deficit Hyperactivity Disorder: implications for treatment. In Functional Analysis in Clinical Treatment (pp. 123-149). Academic Press. [Link]
Eyberg. S. m. & pincus, D. (1999). The eyberg Child Behanir Inventory and Sutter- Eyberg Student Behavior Inventory: professional manual. Odessa, FL: Psychological Assessment Resources. [Link]
Granqvist, P., Mikulincer, M., & Shaver, P. R. (2020). An attachment theory perspective on religion and spirituality. In The Science of Religion, Spirituality, and Existentialism (pp. 175-186). Academic Press. [Link]
Hendrickx, G., De Roeck, V., Maras, A., Dieleman, G., Gerritsen, S., Purper-Ouakil, D., ... & Street, C. (2020). Challenges during the transition from child and adolescent mental health services to adult mental health services. BJPsych Bulletin, 1-6. [Link]
Hines, E. M., Moore III, J. L., Mayes, R. D., Harris, P. C., Vega, D., Robinson, D. V., ... & Jackson, C. E. (2020). Making student achievement a priority: The role of school counselors in turnaround schools. Urban Education55(2), 216-237. [Link]
Koechlin, H., Donado, C., Berde, C. B., & Kossowsky, J. (2018). Effects of childhood life events on adjustment problems in adolescence: a longitudinal study. Journal of Developmental & Behavioral Pediatrics39(8), 629-641. [Link]
Li, M. (2020). Effect of Maslow's Hierarchy of Needs Theory on Psychotherapy of Patients with Depression. Investigación Clínica61(1). [Link]
Magnin, E. & Maurs, C. (2017). Attention deficit/ hyperactivity disorder during adulthood. Reviwe Neurologique.173(7-8): 506-515. [Link]
Matsuura, M., Okubo, Y., Toru, M., Kojima, T., He, Y., Shen, Y., & Lee, C. K. (1993). A cross-national EEG study of children with emotional and behavioral problems: a WHO collaborative study in the Western Pacific Region. Biological psychiatry, 34(1-2), 59-65. [Link]
Merrill, B. M., Molina, B. S., Coxe, S., Gnagy, E. M., Altszuler, A. R., Macphee, F. L., ... & Pelham, W. E. (2019). Functional outcomes of young adults with childhood adhd: A latent profile analysis. Journal of Clinical Child & Adolescent Psychology49(2), 215-228. [Link]
Mishra, N., Mishra, A., & Dwivedi, R. (2015). Prevalence of conduct disorder in primary school children of rural Area. Journal of Evolution of Medical and Dental Sciences4(12), 1917-1923. [Link]
Mohammadi, M. R., Salmanian, M., Hooshyari, Z., Shakiba, A., Alavi, S. S., Ahmadi, A., ... & Ahmadi, N. (2019). Lifetime prevalence, sociodemographic predictors, and comorbidities of oppositional defiant disorder: The National Epidemiology of Iranian Child and Adolescent Psychiatric disorders (IRCAP). Brazilian Journal of Psychiatry42, 162-167. [Link]
Narzisi, A., Posada, M., Barbieri, F., Chericoni, N., Ciuffolini, D., Pinzino, M., ... & Muratori, F. (2020). Prevalence of autism spectrum disorder in a large Italian catchment area: a school-based population study within the ASDEU project. Epidemiology and psychiatric sciences29. [Link]
Park, S. C., & Park, Y. C. (2020). Korea in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Journal of Korean Medical Science35(2), e6. [Link]
Prabaharan, N. & Spadafora, N. (2019). Rejected Children. Encyclopedia of Evolutionary Psychological Science, Publisher: Springer. [Link]
Sekaran, V. C., Kamath, V. G., Ashok, L., Kamath, A., Hegde, A. P., & Devaramane, V. (2020). Parenting attitudes and dimensions as predictors of adolescent behavioural problems in the Indian context: A community-based study. Asian journal of psychiatry50, 101941. [Link]
Senol, V., Unalan, D., Akca, R. P., & Basturk, M. (2018). Prevalence of attention-deficit/hyperactivity and other disruptive behavior disorder symptoms among primary school-age children in Kayseri, Turkey. Journal of International Medical Research46(1), 122-134. [Link]
Setiawati, Y., Ardani, I. G. A. I., Yuniar, S., Atika, A., & Syulthoni, Z. B. (2020). Validity and Reliability of the Indonesian Version of the Conduct Disorder Rating Scale (CDRS)-Parent and Teacher as an Initial Screening for Conduct Disorders in Elementary School Children. Systematic Reviews in Pharmacy11(5), 744-749. [Link]
Tandon, M., & Pergjika, A. (2017). Attention deficit hyperactivity disorder in preschool-age children. Child and Adolescent Psychiatric Clinics26(3), 523-538. [Link]
Urban, J. R. (2020). Attachment Theory and Its Relationship with Anxiety. The Kabod6(2), 2. [Link]
Waddell, C., Shepherd, C., Schwartz, C., & Barican, J. (2014). Child and youth mental disorders: prevalence and evidence-based interventions. Vancouver, BC: Children’s Health Policy Centre, Faculty of Health Sciences, Simon Fraser University. [Link]
Whitcomb, S. A. (2013). Behavioral, social, and emotional assessment of children and adolescents. Routledge. Available on: [Link]
Winnicott, D. W. (2019). Attachment Theory. Key Concepts in Mental Health10, 421-8. [Link]
Yousefi, F., Shahvesi, S., Shahvesi, M., & Servatyari, K. (2020). The prevalence of oppositional defiant disorder and related factors among students of primary schools in Sanandaj in 2014. Shenakht Journal of Psychology and Psychiatry, 7(1), 117-125. [Link]
Zhang, N., Lee, S. K., Zhang, J., Piehler, T., & Gewirtz, A. (2020). Growth trajectories of parental emotion socialization and child adjustment following a military parenting intervention: A randomized controlled trial. Developmental psychology56(3), 652. [Link]