"Current evidence does not justify conceptualizing PDA as a uniquely anxiety-driven construct. No research exists that shows anxiety is the cause of PDA."
"Anxiety and PDA go together, but we do not yet understand the directionality of the association. It is plausible to view anxiety as an outcome of chronic demand conflict."
"Children with ADHD and ODD frequently exhibit elevated rates of anxiety symptoms, indicating a complex interplay between these conditions and demand avoidance."
"Anger, irritability, and explosive outbursts are core features of ODD and are commonly observed in children with ADHD, complicating the narrative around PDA."
Pathological demand avoidance (PDA) is often linked to anxiety, but recent research indicates that this connection may not imply causation. PDA traits are also present in ADHD and oppositional-defiant disorder (ODD), where anxiety symptoms are common. Anger and irritability, characteristic of PDA, are also seen in ODD and ADHD. Current evidence suggests that viewing anxiety as an outcome of chronic demand conflict may be more clinically useful than considering it the primary driver of PDA.
Read at Psychology Today
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