Disruptive, Impulse-Control, and Conduct Disorders Flashcards
The DSM-5 diagnosis of conduct disorder requires the presence of at least three characteristic symptoms during the last _____ months and at least one symptom in the last _____ months.
A. 6; 3
B. 12; 3
C. 12; 6
D. 18; 6
Answer C is correct. This is a straightforward question but, like a few questions you’re likely to encounter on the EPPP, is difficult because it requires you to recall specific details about a disorder. To identify the correct answer, you have to recall that the diagnosis of conduct disorder requires the presence of at least three characteristic behaviors in the past 12 months with at least one characteristic behavior in the past 6 months.
The symptoms of oppositional defiant disorder are grouped in DSM-5 into three categories that include all of the following except:
A. argumentative/defiant behavior.
B. vindictiveness.
C. deceitfulness/dishonesty.
D. angry/irritable mood.
Answer C is correct. To identify answer C as the correct answer, you have to know that argumentative/defiant behavior, vindictiveness, and angry/irritable mood are the three categories of symptoms for oppositional defiant disorder. Alternatively, you may have been able to identify the correct answer if you recalled that the violation of the basic rights of others or age-appropriate norms (e.g., by being deceitful or dishonest) is more characteristic of conduct disorder.
According to Moffitt (1993), which of the following explains the adolescence-limited type of antisocial behavior?
A. a maturity gap
B. developmental delays
C. an adverse child-rearing environment
D. adolescent egocentrism
Answer A is correct. Moffitt distinguishes between life-course persistent and adolescence-limited antisocial behavior. She attributes the former to a combination of neuropsychological deficits and an adverse child-rearing environment and the latter to a maturity gap between the individual’s biological/sexual maturity and social maturity.
When assigning a DSM-5 diagnosis of conduct disorder, severity is determined by considering which of the following?
A. number of conduct problems
B. number of conduct problems and severity of harm to others
C. degree of guilt and empathy
D. number of conduct problems and degree of guilt and empathy
Answer B is correct. The DSM-5 provides three levels of severity for conduct disorder – mild, moderate, and severe – and level of severity is determined by the number of conduct problems and their effects in terms of harm to others. Specifiers are also provided for lack of remorse or guilt and lack of empathy, but these characteristics are not used to determine level of severity.
Your new client’s aggressive behaviors seem to meet the diagnostic criteria for intermittent explosive disorder. To assign this diagnosis to the client, he must be at least _____ years old.
A. four
B. six
C. nine
D. twelve
Answer B is correct. This diagnosis requires the individual to be at least six years of age or the equivalent developmental level.
Which of the following therapies is based on Bronfenbrenner’s ecological model and is for adolescents 12 to 18 years of age who are at imminent risk for out-of-home placement due to antisocial behaviors, substance use problems, and/or serious psychiatric problems?
A. multidimensional family therapy
B. multisystemic therapy
C. parent-child interaction therapy
D. functional family therapy
Answer B is correct. The information provided in this question best describes multisystemic therapy, which is based on the assumption that problematic behaviors are the result of multiple risk factors at individual, family, peer, school, and community levels and, consequently, that interventions must be provided at all levels. Multidimensional family therapy (answer A) is for families that include a member 11 to 21 years old who has a substance use disorder and comorbid internalizing or externalizing symptoms and/or delinquency. Parent-child interaction therapy (answer C) is for parents of children 2 to 7 years old who have severe behavioral problems and is also an evidence-based intervention for children who have experienced or are at risk for experiencing maltreatment. Functional family therapy is an intervention for families that include a child 11 to 18 years old who has an externalizing behavior disorder and/or substance use problem or is at high risk for delinquency.
A pattern of emotional dysregulation is characteristic of:
A. oppositional defiant disorder and conduct disorder.
B. oppositional defiant disorder.
C. conduct disorder.
D. neither oppositional defiant disorder nor conduct disorder.
Answer B is correct. In its description of differential diagnosis for conduct disorder, the DSM-5 notes that conduct disorder and oppositional defiant disorder both involve conflicts with parents and other authority figures but differ in terms of symptom severity and several other characteristics. For example, only oppositional defiant disorder involves “problems of emotional dysregulation (i.e., angry and irritable mood) that are not included in the definition of conduct disorder” (American Psychiatric Association, 2013, p. 475). You may have been able to identify answer B as the correct answer if you recalled the categories of symptoms for both disorders: argumentative/defiant behavior, vindictiveness, and angry/irritable mood for oppositional defiant disorder and aggression to people and animals, destruction of property, deceitfulness or theft, and serious violation of rules for conduct disorder.
