Disruptive Behaviour Disorders Flashcards

1
Q

What are disruptive behaviours?

A

Disruptive behaviour is associated with difficulties in self-regulation of emotions and behaviour which can lead to the violation of others rights. Such as defiance, aggression, anti-social behaviour, and social maladjustment.

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2
Q

What are explanations for behaviour?

A
  • Genetics
  • Temperament
  • Deficits in executive functions
  • Cognitive distortions
  • Learned behaviour; societal models of aggression
  • Immediate family environment
  • Underactive Behavioural Inhibition System (BIS) - The BIS is a system produces anxiety in new situations that motivates human behaviour to avoid punishment
  • Overactive Behavioural Activation System (BAS) The BAS is system that motivates human behaviour to respond to signals of reward
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3
Q

what is Covert behaviour?

A

less social, more anxious, and more suspicious of others

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4
Q

What is Overt behaviour?

A

negative, irritable, and resentful in their reactions to hostile situations

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5
Q

What is Oppositional Defiant Disorder (ODD)?

A

Children who display an age-inappropriate recurrent pattern of stubborn, hostile, and defiant behaviors

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6
Q

What is the DSM-V criteria of ODD?

A
  • Symptoms must occur 1/wk for at least 6 months
  • Symptoms grouped into 3 categories:
    1. Angry/Irritable Mood
    2. Argumentative/Defiant Behaviour
    3. Vindictiveness
  • Present at least 4 symptoms from any of the categories
  • Ratings of: mild, moderate, severe
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7
Q

What are developmental factors of ODD?

A
  • Temperament
  • Difficulty with parental separation when younger
  • Developmental issues/delays in early years
  • Lack of positive attachment
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8
Q

What are learned factors of ODD?

A
  • Excessive negative reinforcement from parent/caregiver…leads to a pattern of seeking this out to gain attention, care and concern.
  • Permissive parenting resulting in constant fulfilling of demands
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9
Q

What are environmental factors of ODD?

A
  • Permissive parenting, when a parent too often and too easily gives in to the child’s demands
  • Significant stress or a lack of predictable structure in the home or community environment
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10
Q

What are specific risk factors of ODD?

A
  • Abnormalities in prefrontal cortex
  • Negative and inflexible temperament
  • Child abuse and neglect; caregivers with similar temperament; lack of empathy
  • Ineffective, inconsistent, punitive parenting
  • Negative influence of peer group
  • Community: high crime, low pro-social activities
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11
Q

Youth with ODD

A
  • May have difficulties with peers but more often behaviour is directed toward authority figures
  • Have a very low frustration tolerance
  • Have a compulsion to obstruct the rules
  • Deliberately test the limits
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12
Q

What is conduct disorder (CD)?

A

Children who display severe aggressive and antisocial acts involving inflicting pain on others or interfering with others’ rights.

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13
Q

What are the DSM-V criteria for CD?

A

-Persistent pattern of behaviour
-Aggression to people and animals
-Destruction of property
-Serious violation of rules
-Deceitfulness or theft/Lack of conscience
-The disturbance in behaviour causes clinically significant impairment in social, academic, or occupational functioning.

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14
Q

What are the limited prosocial emotions?

A

-Lack of remorse or guilt
-Callous—lack of empathy
-Unconcerned about performance
-Shallow or deficient affect

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15
Q

What are causes and contributing factors CD?

A

-Neurological disorder/damage
-A traumatic event/persistent trauma
-Genes
-Child abuse
-Past school failure
-Social problems
-Disadvantaged and maladaptive family and home factors can contribute

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16
Q

ODD vs. CD

A
  • ODD tend to react aggressively in response to a perceived threat
    -CD tend to be proactively aggressive
  • CD is almost always preceded by ODD
17
Q

What is Co-Morbidity?

A
  • Mood or anxiety disorders
  • Post traumatic stress disorder (PTSD)
  • Substance abuse
  • Attention-deficit/hyperactivity disorder (ADHD)
  • Learning problems
  • Children or teens who are considered to have a difficult temperament are more likely to develop behaviour problem
18
Q

What are interventions?

A
  • Change variables in the social environment
  • Parent training
  • Include multiple sources of observation and discussion with relevant informants
  • Effective strategies include problem-solving skills training, social skills training, and empathy-building programs”
19
Q

What is the comprehensive 2-pronged approach?

A
  1. Early intervention/prevention
  2. Parent support training and CBT therapy
19
Q
A