NEUROPSICHIATRIA QUOTIDIANA PER IL PEDIATRA DI FAMIGLIA Il disturbo oppositivo
Pediatra e psicoterapeuta, Napoli
Key words: Oppositional disorder, Social behaviour disorder, ADHD, Parenting
The oppositional disorder (OD) is the most frequent behavioural disorder during childhood
and adolescence, with a a prevalence which ranges from 1 to 11 % and increases with age.
The author describes the diagnostic features of OD according with the DSM IV classification
and underlines its frequent overlap with ADHD as well as with the social behaviour disorder
(SBD). The need for prevention and early diagnosis to avoid later severe social problems is
stressed. Three types of effective interventions are suggested: psychosocial support to parents,
parents’ training in coherent educational approaches and early stimulation of cognitive and
emotional development of the child. Paediatricians, by playing an active role in preventing
OD, may give an important contribution to societal cohesion.