Conduct disorder Flashcards
Define 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).
Explain the aetiology/risk factors for 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.
Summarise the epidemiology of conduct disorder.
CD is the main referral to CAMHS.
4% childhood, 6% adolescent prevalence.
What are signs and symptoms 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 investigations should be performed 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 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 are complications associated with 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.
