Conduct Disorder Flashcards
What problems is conduct disorder associated with?
mental health, substance abuse, legal, educational, social, health etc
What disorders are included in this section of the DSM5TR
ODD
Intermittent Explosive
Conduct
Pyromania
Kleptomania
what must be considered in assessing CD
a wide range of problems must be assessed because CD reflects a broad range of issues
also it is highly comorbid - screen for more issues
assess risk and protective factors
must address age of onset and presence of callous and unemotional presentation
What is criteria A for CD
repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated
Manifested by at least 3 of 15 symptoms in past 12 months
1 in past 6 months
What are the 7 symptoms associated with aggression to people and animals
(1) often bullies, threatens or intimidates others
(2) often initiates physical fights
(3) has used a weapon that can cause serious physical harm to others
(4) has been physically cruel to people
(5) has been physically cruel to animals
(6) has stolen while confronting a victim (e.g., mugging, purse snatching, extortion, armed robbery)
(7) has forced someone into sexual activity (rape)
What are the 2 symptoms associated with destruction of property
(8) Has deliberately engaged in fire setting with the intention of causing serious damage
(9) Has deliberately destroyed others’ property (other than by fire setting)
what are the 3 symptoms associated with deceitfulness or theft
(10) has broken into someone else’s house, building, or car
(11) often lies to obtain goods or favors or to avoid obligations (i.e., “cons” others)
(12) has stolen items of nontrivial value without confronting a victim (e.g., shoplifting, but without breaking and entering; forgery)
what are the 3 symptoms associated with serious violations of rules
(13) often stays out at night despite parental prohibitions, beginning before age 13 years
(14) has run away from home overnight at least twice while living in the parental or parental surrogate home, or once without returning for a lengthy period
(15) is often truant from school, beginning before age 13 years
what is criteria B for CD
The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning
What is criteria C for CD
If the individual is age 18 years or older, criteria are not met for Antisocial Personality Disorder
What are the 3 Subtypes of CD
(F91.1) Childhood-onset type: individuals show at least one symptom characteristic of conduct disorder prior to age 10 years
(F91.2) Adolescent onset type: individuals show no symptom characteristic of conduct disorder prior to age 10 years
(F91.9) Unspecified onset: criteria for diagnosis of conduct disorder are met, but there is not enough information available to determine whether the onset of the first symptom was before or after age 10 years
What is a specifier for CD
With limited Prosocial Emotions
what is the specifier “with limited prosocial emotions”
an individual must have displayed at least two of the following characteristics persistently over at least 12 months and in multiple relationships and settings. These characteristics reflect the individual’s typical pattern of interpersonal and emotional functioning over this period and not just occasional occurrences in some situations.
What are the descriptors for limited prosocial emotion specifier
- Lack of remorse or guilt: does not feel bad or guilty when he or she does something wrong
- Callous-lack of empathy: disregards and is unconcerned about the feelings of others
- Unconcerned about performance: does not show concern about poor/problematic performance at school, at work, or in other important activities
- Shallow or deficient affect: does not express feelings or show emotions to others, except in ways that seem shallow, insincere, or superficial or when emotional expressions are used for gain
What is lack of remorse or guilt
does not feel bad or guilty when he or she does something wrong
what is callous - lack of empathy
disregards and is unconcerned about the feelings of others
what is unconcerned about performance (CD)
does not show concern about poor/problematic performance at school, work or other activities
what is shallow or deficient affect
does not express feelings or show emotions to others, except in ways that seem shallow, insincere, or superficial or when emotional expressions are used for gain
What are the 4 types of symptoms of CD
- Aggression or serious threats of harm to people or animals
- Deliberate property damage or destruction
- Repeated violation of household or school rules, laws, or both
- Persistent lying to avoid consequences or to obtain tangible goods or privileges
Among children 10 to 14 several health-related behaviors are red flags for CD, what are they?
cigarette smoking, sexual activity, and alcohol or drug use
Childhood onset CD has what kind of prognosis
has a poorer prognosis
what percent of childhood onest CD develop into Antisocial personality
40%
adolescent CD should be considered in what context
social context - part of gang culture or to meet basic survival needs (e.g., stealing food) are often less psychologically disturbed than those with early childhood histories of behavior disorders
Parental substance abuse, psychiatric illness, marital conflict, and child abuse and neglect all….
increase the risk of conduct disorder
what socioeconomic groups has the most
overrepresented in lower socioeconomic
What is Criteria A for ODD
A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months as evidenced by at least four symptoms from any of the following categories and exhibited during interaction with at least one individual who is not a sibling
what 3 symptoms are associated with angry/irritable mood in ODD
(1) often loses temper
(2) is often touchy or easily annoyed
(3) is often angry and resentful
what 4 symptoms are associated with argumentative/defiant behavior in ODD
(4) often argues with authority figures or, for children and adolescents, with adults.
(5) often actively defies or refuses to comply with requests from authority figures or with rules.
(6) often deliberately annoys others
(7) Often blames others for his or her mistakes or misbehavior
what symptom is associated with vindictiveness in ODD
(8) Has been spiteful or vindictive at least twice within the past 6 months
what is wrong with ODD as it pertains to controversy
Lots of data points toward poor parenting practices in children with this disorder. Contributes to the controversy regarding the diagnosis.
