Conduct Problems (T3)

Question 1

What are conduct problems?

Answer 1

age‐inappropriate actions & attitudes that violate

family expectations, societal norms, & personal or property rights of others.

Question 2

What are pro-social behaviors?

Answer 2

Behaviors that benefit self, others, and society.

Question 3

Under the DSM-5 what are the 3 sections of conduct problems?

Answer 3

disruptive, impulse-control, & conduct disorders. All problems with self-control of emotions and behaviors.

Question 4

Oppositional Defiant Disorder (ODD).

Answer 4

more common in boys than girls, usually diagnosed before age 8. Considers symptom number and frequency in correlation to developmental stage. A pattern of 3 dimensions occurring for at least 6 months.

Question 5

What are the three dimensions of Oppositional Defiant Disorder (ODD) according to the DSM-5?

Answer 5

Angry/Irritable mood, Argumentative/Defiant Behavior, and Vindictiveness.

Question 6

Explain angry/irritable mood (as a dimension of ODD).

Answer 6

often loses temper, often touchy/easily annoyed, often angry/disrespectful.

Question 7

Explain argumentative/defiant behavior (as a dimension of ODD).

Answer 7

often argues with authority figures or adults, often actively defies/refuses to comply with rules or requests from authority figures, often deliberately annoys others, blames others

Question 8

Explain vindictiveness (as a dimension of ODD).

Answer 8

spiteful or vindictive.

Question 9

What are the forms of disruptive behavior?

Answer 9

covert v overt and destructive v non-destructive:
Covertxdestructive - property violations such as stealing/harm to animals
covertxnondestructive - status violations such as running away, substance use, swearing
overtxdestuctive - agression such as fighting, blaming others, assult
overtxnondestructive - oppositional behavior such as arguing, being stubborn

Question 10

Define aggression (as it relates to forms of disruptive behavior).

Answer 10

behavior intended to harm or hurt others.

Question 11

What are the functions of aggression (within disruptive behavior and conduct problems)?

Answer 11

Reactive aggression - “hot-blooded” - driven by frustration or anger, defensive response to a perceived provocation.
Proactive aggression - “cold-blooded” - instrumental (for secondary gain) - includes bullying.

Question 12

How does DSM-5 define conduct disorder (CD)?

Answer 12

A repeated and persistent (at least 12 months) pattern of violating age-appropriate social norms and rules. 3 or more behaviors within aggression to people and animals, deceitfulness or theft, and/or serious violations of rules present.

Question 13

What are examples of aggression to people or animals (considering CD)?

Answer 13

bullying, fighting, weapons, physical violence to animals/people, confrontational stealing, SA, arson, deliberate object destruction.

Question 14

What are examples of deceitfulness or theft (considering CD)?

Answer 14

breaking & entering, lying/conning, theft, forgery.

Question 15

What are examples of serious violations of rules present (considering CD)?

Answer 15

breaking curfew, running away, truant from school.

Question 16

What is the new specifier for conduct disorder?

Answer 16

with limited prosocial behavior. At least 2 callous unsocial (C-U) traits, such as lack of empathy, guilt, concern for school performance, shallow affect, etc.

Question 17

What are the types of onset within CD?

Answer 17

child-onset type: at least 1 symptom prior to age 10
adolescent-onset type: no symptoms prior to age 10
unspecified onset type: unknown age

Question 18

Explain child-onset CD.

Answer 18

More likely to be boys, show more aggressive symptoms, account for disproportionate amount of illegal activity, persist in antisocial behavior over time

Question 19

Explain adolescent-onset CD.

Answer 19

As likely to be girls as boys, do not show the severity or psychopathology that characterizes early‐onset group, less likely to commit violent offenses, or persist in their antisocial, behavior over time… although some do show chronic pattern

Question 20

What is Fit’s Terrie Moffitt’s theory?

Answer 20

A life‐course trajectory (starts early; similar to childhood‐onset CD).
An adolescent‐limited trajectory (less problematic than life‐course).

Question 21

What is the common course for od development for children with CD into adulthood?

Answer 21

40-70% of boys will develop an antisocial personality disorder.
75% of girls develop mood and anxiety disorders in adulthood.