Conduct Disorder Flashcards
What is conduct disorder?
Aggression to people and animals, destruction of property, deceitfulness, theft and violation of rules in more than 12 months. Subdivided into childhood onset and adolescent onset (cutoff 10y).
What is the aetiology of conduct disorder?
Environmental risk factor: low SES, homeless, parent drug use, overcrowding, parental mental illness, single parent, large family, child abuse and neglect etc. Child factors: diffuclt temperament, low IQ, neuro comorbidity.
What is the epidemiology of conduct disorder?
CD is the main referral to CAMHS. 4% childhood, 6% adolescent prevalence.
What may be in the history/ exam of conduct disorder?
Minimum 6 month history of symptoms.
Childhood: temper tantrums, disobedience, lying, destruction of property, hitting, biting
Adolescent onset: vandalism, bullying, shouting, lying, stealing, truancy.
What is the management of conduct disorder?
Child focused therapy: CBT, behavioral, psychotherapy.
Parent training interventions: reward systems, promote daily play, encourage recognition, short specific commands and rewards, calm response to bad behavior.
Family interventions with therapist.
What investigations may you do for conduct disorder?
CAMHS specialist formal assessment with Child Behavior Checklist CBCL. MSE may be hard as they do not engange in conversation / pronounced lying.
What are the complications of conduct disorder?
Impact on education, comorbid with ADHD, ASD, depression, LD, substance misuse, psychosis.
What is the prognosis of conduct disorder?
Early conduct disorder are best predictor of future criminality. 50% are diagnosed with antisocial personality disorder and will go on to have substance and alcohol abuse.
