Disruptive, Impulse-Control, and Conduct Disorders

Question 1

ODD criteria

Answer 1

1. Irritability, defiance, vindictiveness
2. 4+ symptoms
3. Duration > 6 months

Question 2

ODD prevalence

Answer 2

More common in males during early childhood

Question 3

ODD to CD

Answer 3

1. 30% with ODD eventually have CD
2. Age of onset for ODD is a risk factor

Question 4

ODD treatment

Answer 4

First line = psychosocial intervention

Question 5

CD criteria

Answer 5

1. Violates others, rules, norms
2. 3+ symptoms
3. Duration > 12 months
4. 1+ symptom in past 6 months

Question 6

CD prevalence

Answer 6

1. More common in males
2. More common in adolescence

Question 7

CD specifiers

Answer 7

1. Onset (< or > 10 yo)
2. Severity (based on number of symptoms AND consequences)

Question 8

CD etiology

Answer 8

1. Heredity
2. Brain or NT abnormalities
3. Prenatal alcohol or opiate exposure
4. Poor parenting

Question 9

CD and NTs

Answer 9

Low:
1. Serotonin
2. Dopamine
3. Cortisol in response to stress

High:
1. Cortisol in evening

Question 10

Moffit’s theory on antisocial behavior

Answer 10

1. Life-course-persistent (temperament, cognitive ability, adverse childhood)
2. Adolescence-limited (gap between biological and social maturity)
3. Child-onset CD more likely to be life-course-persistent

Question 11

Child-focused CD treatment

Answer 11

Problem-Solving Skills Training (PSST)

Question 12

CD treatment

Answer 12

1. PSST and PMT combined > standalone
2. Focused on child, parent, family, or multimodal
3. Prevention = iatrogenic

Question 13

PSST

Answer 13

Problem-Solving Skills Training

1. Addresses cognitive processes underlying CD

Question 14

Parent-focused CD treatment

Answer 14

1. Parent Management Training (PMT)
2. Parent Management Training-Oregon model (PMTO)
3. Parent-Child Interaction Therapy (PCIT)

Question 15

PMT

Answer 15

Parent Management Training
1. 2-17 yo
2. Operant conditioning

Question 16

PMTO

Answer 16

1. 2-18 yo
2. Addresses coercive cycle between parent and child
3. Positive parenting

Question 17

PCIT

Answer 17

1. 2-7 yo
2. Negative interactions
3. Enhancing relationship

Question 18

Family-focused CD treatments

Answer 18

1. Functional Family Therapy (FFT)
2. Multidimensional Family Therapy (MDFT)

Question 19

FFT

Answer 19

Functional Family Therapy
1. 11-18 yo
2. Corrects assumption that bad behavior is good for family due to independence and power

Question 20

MDFT

Answer 20

1. 11-21 yo
2. Change behavior by changing domains

Question 21

MDFT domains

Answer 21

1. Adolescent
2. Parents
3. Family interactions
4. Extrafamilial sources of influence

Question 22

Multimodal CD treatment

Answer 22

1. Multisystemic Therapy (MST)
2. MST-Child Abuse and Neglect (MST-CAN)
3. Multidimensional Treatment Foster Care (MTFC)

Question 23

MST

Answer 23

1. 12-18 yo
2. Behavior result of risk factors at multiple levels
3. Evidence-based regardless of race and SES

Question 24

MST-CAN

Answer 24

1. 6-17 yo
2. History of abuse and neglect

Question 25

MTFC

Answer 25

1. Alternative to residential care
2. Behavior management plans in multiple settings

Question 26

IED criteria

Answer 26

1. Outbursts 2x/week, >3 months, no damage
   OR Outbursts 3x in 12 months, damage
2. Aggression out of proportion, not planned
3. Onset > 6 yo