Externalizing Behavior Disorders Flashcards
Define Oppositional Defiant Disorder.
A pattern of negativism, irritable mood, defiant, vindictive behavior lasting over 6 months and occurs around other individuals beyond his/her siblings.
DSM-V criteria for ODD.
1) Angry, Irritable Mood
2) Argumentative, Defiant Behavior
3) Vindictiveness
Most last at least 6 months and be present in at least one setting. The more settings it appears, the more severe ODD.
Epidemiology of ODD
1) rates decrease with age
2) more common in lower SES
3) more prevalent in males until puberty hits
4) usually evident by age 8
5) 3.3% prevalence
Common Comorbidities with ODD
ADHD, Conduct Disorders, and Learning Disorders
Define Conduct Disorders.
Repetitive or persistent pattern of behavior in which the basic rights of others or age-appropriate norms and rules are violated.
DSM-V Criteria for CD.
1) Aggression to people or animals
2) Destruction of property
3) Deceitful or Theft
4) Serious Rule Violations (running away, etc)
Subtypes of CD
1) Childhood Onset “unsocialized”
2) Adolescent Onset “socialized”
3) Unspecified
Epidemiology of CD
1) 6% prevalence
2) more male to female ratio
3) rates increase with age
4) ODD is a common precursor
5) onset is rare after age 16
Model of Delinquency
may cause a child to acquire CD
- In early childhood: poor parental discipline and monitoring
- Child conduct problems
- Middle childhood: rejection by normal peers and academic behavior
- Commitment to defiant peer group
- Adolescence: delinquency
*Inadequate parenting in early childhood will eventually lead to delinquency
Risk Factors for ODD and CD
1) Parental neglect
2) Physical or Sexual Abuse
3) Difficult early temperament
4) Harsh parental discipline
5) Inconsistent caregiving
6) Association with deviant peers
7) Low Verbal Intelligence
8) Low SES
9) Neighborhood violence
Protective Factors for ODD and CD
1) Good relations with parents
2) Good peer relations
3) Positive parental monitoring
