Impulse control and conduct disorders

Question 1

basic definition of ODD

Answer 1

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

Question 2

how long do symptoms have to persist for dx of ODD

Answer 2

at least 6 months

Question 3

how many manifestations does there have to be for dx ODD

Answer 3

at least 4 from any combination of the 3 domains

Question 4

3 angry/irritable mood symptoms in ODD

Answer 4

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

Question 5

4 argumentative/defiant behavior symptoms

Answer 5

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

Question 6

vindictiveness symptoms of ODD

Answer 6

spiteful/vindictive at least twice in past 6 months

Question 7

what disorder cannot be comorbid with ODD

Answer 7

disruptive mood dysregulation disorder

Question 8

severity specifiers for ODD

Answer 8

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

Question 9

most common comorbidities of ODD

Answer 9

ADHD
conduct disorder

Question 10

when do first symptoms of ODD usually appear

Answer 10

preschool
rarely later than early adolescence

Question 11

ODD dx may precede what other dx

Answer 11

conduct disorder

Question 12

temperamental risk factors for ODD

Answer 12

high emotional reactivity
low frustration tolerance

Question 13

difference between ODD and conduct disorder

Answer 13

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

Question 14

what diagnosis automatically excludes ODD

Answer 14

disruptive mood dysregulation disorder

Question 15

2 possible manifestations of intermittent explosive disorder

Answer 15

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

Question 16

required diagnostic characteristics of outbursts in intermittent explosive disorder

Answer 16

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

Question 17

age requirement for intermittent ex[plosive disorder

Answer 17

developmental age of at least 6

Question 18

common characteristics of outbursts in intermittent explosive disorder

Answer 18

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

Question 19

which diagnosis excludes intermittent explosive disorder

Answer 19

disruptive mood dysregulation disorder

Question 20

what are 2 environmental risk factors for intermittent explosive disorder

Answer 20

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

Question 21

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

Answer 21

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

Question 22

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

Answer 22

personality disorder outbursts are less impulsive

Question 23

difference between aggression in intermittent explosive disorder and conduct disorder

Answer 23

conduct disorder is typically premeditated and intermittent explosive disorder is impulsive

Question 24

basic definition of conduct disorder

Answer 24

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

Question 25

number and timeframe of manifestations required for dx of conduct disorder

Answer 25

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

Question 26

7 possible aggressive manifestations of conduct disorder

Answer 26

-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

Question 27

2 possible manifestations of conduct disorder involving destruction of property

Answer 27

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

Question 28

4 categories of manifestations for conduct disorder

Answer 28

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

Question 29

3 possible manifestations of conduct disorder involving deceitfulness/theft

Answer 29

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

Question 30

3 possible manifestations of conduct disorder involving serious violation of rules

Answer 30

-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 -

Question 31

can diagnosis of antisocial personality disorder be made before age 18

Answer 31

no

Question 32

specifiers for conduct disorder

Answer 32

-onset -severity -if with limited prosocial emotions

Question 33

conduct disorder onset specifiers

Answer 33

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

Question 34

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

Answer 34

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

Question 35

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

Answer 35

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

Question 36

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

Answer 36

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

Question 37

what is a common precursor to conduct disorder

Answer 37

ODD

Question 38

family level environmental risk factors for conduct disorder

Answer 38

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

Question 39

community level environmental risk factors for conduct disorder

Answer 39

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

Question 40

what are frequent comorbidities with conduct disorder that predict poorer prognosis

Answer 40

ADHD and ODD

Question 41

6 requirements for dx of pyromania

Answer 41

-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

Question 42

which dx are often associated with pyromania in juveniles

Answer 42

-conduct disorder -ADHD -adjustment disorder

Question 43

5 diagnostic criteria for kleptomania

Answer 43

-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

Question 44

typical characteristics of items stolen in kleptomania

Answer 44

typically of little significance and could have been easily afforded

Question 45

typical features of kleptomania

Answer 45

-not in concert with others -impulsive