Disruptive Behaviors Flashcards
What is a Disruptive Behavior Disorder?
These disorders are all characterized by problems in self-control of emotions and behaviors.
Minimum age required for dx
6 years dev. Level
Comorbiity of behavior d/o
ADHD
Additional problems involving disruptive behavior d/o
self-control of emotions and behaviors
How are disruptive behavior d/o unique
behaviors violate the rights of others
aggression, destruction of property and/or that bring the individual into significant conflict with societal norms or authority figures
Underlying cause of disruptive behavior d/o
can vary greatly across the disorders and among individuals within a given diagnostic category
Impact: all tend to be more common in males than in females, although degree of male predominance may differ across disorders and within a disorder at different ages
Symptoms defining d/o
developing individuals; critical that frequency, persistence, pervasiveness across situations, and impairment associated with behaviors be considered relative to norms for person’s age, gender, & culture when determining symptoms of a disorder
3 types of ODD
Angry/irritability
Argumentative/defiant behavior
Vindictiveness
Angry/irritable mood
often loses temper, is touchy or easily annoyed, is often angry and resentful
Argumentative/defiant behavior
argues with authority figures (in children/adolescents—with adults), actively defies or refuses to comply with requests from authority figures/rules, deliberately annoys others, blames others for their mistakes or misbehavior
Vindictiveness type
spiteful or vindictive at least twice within past 6 months
How is ODD diagnosed
6 months w/ 4 symptoms from any of the categories and during interaction with at least 1 individual who is not a sibling
distress in the individual or others in immediate social context (family, peer group, work colleagues)
impacts negatively on social, educational, occupational, or other important areas of functioning
Behaviors do not occur exclusively during the course of a psychotic, substance use, depressive, or bipolar disorder
Severity levels of ODD
Mild – symptoms confined to 1 setting
Moderate – symptoms are present in at least two settings
Severe – symptoms are present in 3 or more settings
Features of ODD
threshold of 4 or more symptoms within the preceding 6 months
Individuals with disorder often justify their behavior as a response to unreasonable demands or circumstances
Conduct d/o dx criteria
Repetitive and persistent pattern of behavior where basic rights of others or major age-appropriate societal norms or rules are violated
as manifested by at least 3 of the following 15 criteria in the past 12 months from any of the categories listed, with at least 1 present in the past 6 months:
1. Aggression to people or animals
2. Destruction of property
3. Deceitfulness or theft
4. Serious violations of rules
Specifiers of conduct d/o
childhood onset type – 1 symptom prior to age 10
adolescent onset type – no symptom characteristic prior to age 10
unspecified onset – not enough info available to determine
Specify conduct d/o if
With limited prosocial emotions
— lack of remorse or guilt
— callous – lack of empathy
— unconcerned about performance
— shallow or deficient affect
Conduct d/o severity
mild – lying, truancy, staying out after dark without permission, other rule breaking
moderate – stealing without confronting a victim, vandalism
severe – forced sex, physical cruelty, use of a weapon, breaking and entering,
PREVALENCE of conduct d/o
2% to 10%; 4% median per one-year population prevalence estimates
Fairly consistent across countries that differ in race and ethnicity
Rates rise from childhood to adolescence
Higher among males than females
Few children with impairing conduct disorder receive treatment
Onset of conduct d/o
Rare after 16y/o
Temperamental risk of conduct d/o
difficult undercontrolled infant temperament, lower than average intelligence (verbal IQ)
Environmental conduct d/o
family level & community level risk factors; both common in childhood onset subtype
Genetic and physiological risk of conduct d/o
influenced by genetic and environmental factors; increased risk in kids with biological or adoptive parent or a sibling with conduct disorder; biological parent having a severe alcohol use disorder, depressive and disorders, or schizophrenia or biological parents who have a history of ADHD or conduct disorder; slower resting heart rate is noted; reduced autonomic fear conditioning is also well documented
Males w/ conduct d/o dx
frequent exhibit fighting, stealing, vandalism, and school discipline problems (both physical and relational aggression)
