Externalizing Disorders

Question 1

Oppositional Defiant Disorder

Answer 1

Pattern of negativistic, angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months as evidenced by at least four symptoms of any of the following categories, and exhibited during interaction with at least one individual who is not a sibling

Question 2

DSM 5 Criteria for ODD

Answer 2

• Angry/irritable mood
• Argumentative/Defiant Behavior
• Vindictiveness

Question 3

Specifiers

Answer 3

Mild-Symptoms are confined to one setting
Moderate-Some symptoms are present in at least two settings
Severe-Some symptoms are present in three or more settings

Question 4

DSM-5 Diagnostic Criteria for Conduct Disorder

Answer 4

A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of three or more of the following criteria in the past 12 months, with at least one criterion present in the past six months:

• aggressiveness to peers or animals
• destruction of property
• deceitfulness or theft
• serious rule violations

Question 5

A Model of Delinquency

Answer 5

• Early Childhood (poor parental monitoring leads to conduct problems)
• Middle Childhood (rejection by peers and academic difficulty leads to joining bad peer groups)
• Late Childhood and adolescence (delinquency)

Question 6

Summary of Major Risk Factors

Answer 6

• Parental neglect
• History of physical or sexual abuse
• Difficult early temperament
• Harsh parental discipline practices
• Inconsistence in primary caregivers
• Large family
• Association with deviant peer group
• Low verbal intelligence
• Parent history of CD and/or Antisocial PD
• Low SES
• Neighborhood disorganization & violence

Question 7

Protective Factors

Answer 7

• good relations with at least one parent
• Good peer relations
• Good parental monitoring