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Table 1 Problematic behavior (PB) and Problematic traits (PT) are two of the three themes from the qualitative content analysis. The figure presents the different categories with their subcategories and some examples of different problems, described by the mothers

From: Bottom-up and top-down approaches to understanding oppositional defiant disorder symptoms during early childhood: a mixed method study

Category (PB)

Subcategory/dimensions

Examples of problems

Defiant behavior

Disobediance

Does not obey; Does not obey when choosing clothes; Causes trouble when eating; Does not do homework; Creates conflicts in everyday routine situations; Does not listen; Does not mind me

Inflexibility

Has his own rules; Wants to decide everything himself; Wants to do things in his own way; Has strange ideas; Has fixed ideas

Rebelliousness

Powerstruggles with mother daily; Constant contrary to parents; Test limits; Protesters; Refuses to follow rules; Refuses to follow corrections; Refuses to stop; Refuses to cooperate; Constant struggles each time when doing things

Emotionally externalizing behavior

Outbursts

Aggressive outbursts; Severe outbursts of anger; Temper tantrums

Noise

Screaming and shouting

Norm-breaking behavior

Dishonesty

Lying; Fibbing; Blaming others

Negativ behavior

Running away from home;

Breaking things; Drawing on walls

Provocative behavior

Teasing

Teases little brother; Treats brother bad

Conflict seeking

Seeking and initiating conflict; Fighting with siblings; Fighting with peers

Aggressive behavior

Violates siblings

Hits little brother; Attacks younger sister; Physical fights with siblings

Violates parents

Attacks mother; Wants to hurt dad

Violates peers

Attacks others, Constantly fighting; Attacks those who pass

Hyperactive behavior

High activity

Overactivity; Anxiety with restlessness

Category (PT)

 Defiant traits

Disobediant traits

Is obstinate; Bossy; Insistent; Loudmouthed; Contentious

Inflexible traits

Is stubbhorn; Headstrong; Strong-willed

Rebellious traits

Is impertinent; Disrespectful

Provocative traits

Is provocative; Disorderly

 Negative emotional traits

Internalized traits

Is tense and anxious; Afraid; Constantly Worried; Has fears; Is afraid to fail; Is sad; Does not feel well; Has low self-esteem

Negativistic traits

Is unpleasant; Jealous; Negative; Is grumpy; Frustrated; Never satisfied; Whiny

Aggressive traits

Is angry; Aggressive; Frustrated and angry; Aggressive with no provocation

 Hyperactive and impulsive traits

High activity traits

Is restless; Active; Intense; Extremely impatient

Impulsive traits

Is intrusive; Impulsive