Disruptive/Impulse/Conduct Disorders: Part 1 (General, ODD, IED, Conduct) Flashcards
what is different about the disorders in this chapter
trouble with emotional/behavioural regulation that manifests in behaviours that VIOLATE the rights of others (i.e aggression, destruction of property) and/or that bring the individual into SIGNIFICANT CONFLICT with societal norms or authority figures
what disorder is included in this DSM chapter but is actually described elsewhere
antisocial PD
between CD, IED and ODD, which disorder focuses mostly on poorly controlled behaviours? which focuses mostly on poorly controlled emotions? which disorder is the “middle ground” in which criteria are more evenly distributed between emotions and behaviours?
CD–> behaviours
IED–> emotions
ODD–> more even mix of both
the disruptive/impulse control/conduct disorders generally tend to be more common in which gender
males
when do the disruptive/impulse control/conduct disorders tend to have their onset
childhood or adolescence
–> very rare for ODD or CD to first emerge in adulthood
what is the relationship between CD and ODD
developmental relationship–> most kids who meet criteria for CD would have previously med criteria for ODD (at least in those cases in which CD emerges prior to adolescence)
do most children with ODD go on to develop CD?
no, most do not
are at risk for eventually developing other conditions, like anxiety and depression
the disruptive/impulse control/conduct disorders have been linked to a common spectrum of what personality dimensions
an EXTERNALIZING spectrum with the personality dimensions labeled as DISINHIBITION and CONSTRAINT
and to a lesser extent, negative emotionality
*these shared personality dimensions could account for the high level of comorbidity among these disorders and their frequent comorbidity with SUDs and ASPD
what are the 3 categories of symptoms in criterion A for ODD
angry/irritable mood
argumentative/defiant behaviour
vindictiveness
how many symptoms from the 3 symptom clusters are required to fulfill criterion A for ODD
4+
what are the symptoms listed in the “angry/irritable mood” cluster for criterion A for ODD
- often loses temper
- is often touchy or easily annoyed
- is often angry or resentful
what are the symptoms listed in the “argumentative/defiant behaviour” cluster for criterion A for ODD
- often argues with authority figures or, for kids and teens, with adults
- often actively defies or refuses to comply with requests from authority figures or with rules
- often deliberately annoys others
- often blames others for his or her mistakes or misbehaviour
what are the symptoms listed in the “vindictiveness” cluster for criterion A for ODD
has been spiteful or vindictive at least TWICE in the past 6 months
what is criterion A for ODD
a pattern od angry/irritable mood, argumentative/defiant behaviour, 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
there are 8 symptoms spread across the three symptom clusters (see other cards)
how do you distinguish a behaviour that is within normal limits from a behaviour that is symptomatic in the case of ODD
the persistence and frequency of the behaviour
kids younger than 5–> behaviour occurs on MOST DAYS for a period of at least 6 months
people aged 5+–> behaviour should occur at least ONCE PER WEEK for at least 6 months
criterion B for ODD
assoc. with distress in the individual or others in his or her immediate context or impacts functioning
criterion C for ODD
not exclusively during course of psychotic, SUD, depressive, bipolar d/o
criteria NOT met for DMDD
how do you determine severity for ODD
number of settings in which symptoms are present
mild–> sx only in 1 setting
moderate–> sx in at least 2 settings
severe–> symptoms in 3+ settings
can you diagnose ODD if sx only occur at home and with family members
yes–> this is not uncommon
but pervasiveness of symptoms is an indicator of the severity of the disorder
how do people with ODD typically view themselves
typically do not regard themselves as angry, oppositional or defiant
often justify their behaviour as a response to unreasonable demands or circumstances
ODD is more common in which type of settings or families
more prevalent in families in which child care is disrupted by a succession of different caregivers
in families in which harsh, inconsistent or neglectful practices are common
what are 2 of the most common co occurring conditions with ODD
ADHD
conduct disorder
how does ODD affect risk of suicide
increases risk of suicide attempts
what is the prevalence of ODD
ranges from 1-11%–> average around 3.3%
(slight male preponderance but overall fairly equal male:female)