Lecture 7- ODD, CD, and Addiction Flashcards
Diagnostic Behaviors of ODD
Often loses temper
Argues with adults
Actively defies or refuses to comply with requests and rules
Deliberately annoys people
Blames others for own mistakes or misbehavior
Touchy or easily annoyed by others
Angry and resentful
Spiteful or vindictive
Classes of ODD Behaviors
Angry or irritable mood
Argumentative or defiant behavior
Vindictiveness
ODD
Childhood disorder with a pattern of negative, hostile, and defiant behaviors that impairs function
Behaviors must last over 6 months
ODD Prevalence
3% of population
Males > females before puberty
Males = females after
Conduct Disorder
Persistent pattern of behavior in which the basic rights of others and age-appropriate social norms or rules are violated
CD Prevalence
4% of population
Boys > Girls 3:1
CD Gender Differences
Boys- Direct physical aggression and confrontation
Girls- Indirect mental aggression and group affiliation
CD symptoms
Must have 3 of 15 symptoms for 6+ months
Symptom classes:
Aggression to people or animals
Destruction of property
Deceit or theft
Serious violation of rules
CD subtypes
Group
Solitary aggressive
Undifferentiated
CD Childhood Onset
Symptoms before the age of 10
Interpersonal aggression
Decreased IQ
Low prevalence with boys > girls 4:1
Comorbid with ADHD
Poor prognosis
CD Adolescent onset
Symptoms after the age of 10, typically 16-18
Covert aggression
Social mimicry
Higher prevalence and M = F
Good prognosis
Physiological Causes of CD and ODD
Impaired prefrontal cortex
Serotonin, dopamine, and norepinephrine
Low resting heart rate and irregular cortisol levels
Environmental Causes of CD and ODD
Poor parent-child interactions
Insular mothers
Low parent monitoring and warmth
Deviance-Amplifying Environmental Factors
Irritable, difficult temperament
Neuropsychological deficits
Peer rejection
Substance Abuse Epidemiology
21.5 Million People in US (pop. of Florida)
80% men
Substance abuse
Harmful use of drugs
Substance dependence
Out of control use
addiction
severe
Substance Use Disorder
Chronic, relapsing illness with impaired control, social impairment, risky use, and dependence
Substance-Induced Disorders
Temporary reaction to drugs
Withdrawal, psychotic, mood, anxiety, or other disorders
Classes of substances
Alcohol
Caffeine
Cannabis
Hallucinogens
Inhalants
Opioids
Sedatives, hypnotics, and anxiolytics
Stimulants
Tobacco
Other
Gambling
Substance Use Disorder Symptoms
Using larger amounts or for longer than intended
Persistent desire or unsuccessful attempts to cut down or control use
Great deal of time obtaining, using, or recovering from use
Cravings
Social or work impairment
Persistent social or interpersonal problems
Reduction of important activities
Use in dangerous situations
Use despite physical or psychological problems
Tolerance
Withdrawal
Substance Use Disorder Severity Levels
Mild: 2-3 Symptoms
Moderate: 4-5 symptoms
Severe: 6+ symptoms
Korsakoff’s Syndrome
Severe thiamine deficiency due to long-term alcohol abuse that causes severe amnesia
