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DSM5 > Impulse control and conduct disorders > Flashcards

Impulse control and conduct disorders Flashcards

1
Q

basic definition of ODD

A

pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness

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2
Q

how long do symptoms have to persist for dx of ODD

A

at least 6 months

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3
Q

how many manifestations does there have to be for dx ODD

A

at least 4 from any combination of the 3 domains

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4
Q

3 angry/irritable mood symptoms in ODD

A

-often loses temper
-easily annoyed
-often angry/resentful

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5
Q

4 argumentative/defiant behavior symptoms

A

-often argues with authority figures
-Defies/refuses to comply with rules/requests from authority figures
-deliberately annoys others
-blames others for mistakes/behaviors

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6
Q

vindictiveness symptoms of ODD

A

spiteful/vindictive at least twice in past 6 months

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7
Q

what disorder cannot be comorbid with ODD

A

disruptive mood dysregulation disorder

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8
Q

severity specifiers for ODD

A

mild - sx in one setting
mod - sx in at least 2 setting
severe - sx in 3+ settings

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9
Q

most common comorbidities of ODD

A

ADHD
conduct disorder

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10
Q

when do first symptoms of ODD usually appear

A

preschool
rarely later than early adolescence

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11
Q

ODD dx may precede what other dx

A

conduct disorder

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12
Q

temperamental risk factors for ODD

A

high emotional reactivity
low frustration tolerance

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13
Q

difference between ODD and conduct disorder

A

-ODD behaviors are less severe and do not involve aggression, theft, or destruction of property
-ODD emotion dysregulation symptoms not present in conduct disorder

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14
Q

what diagnosis automatically excludes ODD

A

disruptive mood dysregulation disorder

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15
Q

2 possible manifestations of intermittent explosive disorder

A

-verbal/physical aggression at least 2x/wk for 3 months
or
3 outbursts involving destruction of property or assault w/ injury in 12 months

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16
Q

required diagnostic characteristics of outbursts in intermittent explosive disorder

A

-out of proportion to provocation
-impulsive
-cause distress or functional impairment

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17
Q

age requirement for intermittent ex[plosive disorder

A

developmental age of at least 6

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18
Q

common characteristics of outbursts in intermittent explosive disorder

A

-rapid onset with little/no prodromal period
-last less than 30 minutes

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19
Q

which diagnosis excludes intermittent explosive disorder

A

disruptive mood dysregulation disorder

20
Q

what are 2 environmental risk factors for intermittent explosive disorder

A

-trauma before the age of 20
-long-term displacement from home or separation from family

21
Q

2 factors that differentiate disruptive mood dysregulation disorder from intermittent explosive disorder

A

-disruptive mood dysregulation disorder has persistent irritable mood between outbursts and symptoms have to have manifested before age 10

22
Q

difference between aggressive outbursts in intermittent explosive disorder and antisocial or borderline personality disorders

A

personality disorder outbursts are less impulsive

23
Q

difference between aggression in intermittent explosive disorder and conduct disorder

A

conduct disorder is typically premeditated and intermittent explosive disorder is impulsive

24
Q

basic definition of conduct disorder

A

repetitive persistent behavior that violates the rights of others or major social norms/rules

25
Q

number and timeframe of manifestations required for dx of conduct disorder

A

at least 3 in 12 months with at least one present for at least 6 months

26
Q

7 possible aggressive manifestations of conduct disorder

A

-bullies, threatens, intimidates others
-often initiates fights
-used a weapon that can cause serious harm
-physically cruel to people
-physically cruel to animals
-stolen while confronting a victim
-forced sexual activity

27
Q

2 possible manifestations of conduct disorder involving destruction of property

A

-deliberately sets fires w/ intent to cause harm
-deliberately destroys others property

28
Q

4 categories of manifestations for conduct disorder

A

-aggression
-destruction of property
-deceitfulness/theft
-serious violation of rules

29
Q

3 possible manifestations of conduct disorder involving deceitfulness/theft

A

-broken into house/building/care
-often lies to obtain things or avoid obligations
-stolen nontrivial things w/o confronting victim

30
Q

3 possible manifestations of conduct disorder involving serious violation of rules

A

-stays out at night against rules beginning before age 13
-run away overnight at least twice or for a substantial period of time at least once
-frequent school truancy starting before 13
-

31
Q

can diagnosis of antisocial personality disorder be made before age 18

A

no

32
Q

specifiers for conduct disorder

A

-onset
-severity
-if with limited prosocial emotions

33
Q

conduct disorder onset specifiers

A

childhood type - sx prior to age 10
adolescent type - no sx prior to 10
unspecified onset - not enough info to discern when sx started

34
Q

how many manifestations are required for “with limited prosocial emotions” in conduct disorder

A

-at least 2 manifestations consistently over 12 months in multiple relationships/settings
-must be typical pattern of functioning

35
Q

4 possible manifestations for “with limited prosocial emotions” specifier in conduct disorder

A

-lack of remorse/guilt
-callous - lack of empathy
-unconcerned about performance
-shallow or deficient affect (only shows shallow emotions or only for personal gain)

36
Q

typical behavior traits of those with conduct disorder
(not required for diagnosis)

A

-negative emotionality
-poor self-control
-irritability/temper outbursts
-suspiciousness
-insensitivity to punishment
-thrill-seeking or reckless behavior

37
Q

what is a common precursor to conduct disorder

A

ODD

38
Q

family level environmental risk factors for conduct disorder

A

-parental rejection/neglect
-inconsistent parenting/frequent change in caregivers
-harsh discipline
-physical/sexual abuse
-early institutional living
-parental criminology or psychopathology

39
Q

community level environmental risk factors for conduct disorder

A

-peer rejection
-association with delinquent peers
-neighborhood disadvantage
-exposure to violence

40
Q

what are frequent comorbidities with conduct disorder that predict poorer prognosis

A

ADHD and ODD

41
Q

6 requirements for dx of pyromania

A

-deliberate fire setting more than once
-fire setting not for another purpose
-arousal prior to act
-pleasure/gratification from fire setting or dealing with aftermath
-attraction to all things fire
-not better explained by another mental disorder

42
Q

which dx are often associated with pyromania in juveniles

A

-conduct disorder
-ADHD
-adjustment disorder

43
Q

5 diagnostic criteria for kleptomania

A

-failure to resist urge to steal
-increasing tension before stealing
-relief when stealing
-not for a particular purpose
-not better explained by another mental disorder

44
Q

typical characteristics of items stolen in kleptomania

A

typically of little significance and could have been easily afforded

45
Q

typical features of kleptomania

A

-not in concert with others
-impulsive

DSM5 (18 decks)

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