ODD/CD

Question 1

What is the diagnostic criteria symptoms of ODD?

Answer 1

4 of:

Angry/irritable mood

1. Loses temper
2. Touchy/easily annoyed
3. Angry/resentful

Defiant behaviour

4. Argues with authority figures
5. Defies rules

Spiteful behaviours

6. Deliberately annoys
7. Blames others for own mistakes
8. Vindictiveness/spiteful

Question 2

What are the severity criteria for ODD?

Answer 2

Mild: 1 setting
Moderate: 2 settings
Severe: 3 or more settings

Question 3

What are the most common comorbidities of ODD?

Answer 3

ADHD
CD
Anxiety disorders
MDD
Substance use disorders

Question 4

What is the prevalence of ODD?

Answer 4

About 3.3%

Question 5

When is the typical onset of ODD?

Answer 5

Preschool years

Question 6

What are precursors for CD for children with ODD?

Answer 6

Childhood onset
Defiant, argumentative, vindictive
Male
Severe
Comorbid with ADHD

Question 7

What are the diagnostic symptom criteria for CD?

Answer 7

3/12 in last year, 1/12 in last 6 months

Aggression towards people/animals

1. Bullies, threatens, intimidates
2. Initiates physical fights
3. Used weapons
4. Physically cruel to animals
5. Physically cruel to people
6. Stealing while confronting victim
7. Forced sexual activity

Destruction of Property

8. Deliberate fire-setting with intention to cause damage
9. Deliberate destruction of others’ property

Deceitfulness/Theft

10. Break-ins
11. “conning”
12. Steals nontrivial items without confronting victim/break-ins

Serious Violation of Rules

13. Stays out late despite caregiver prohibitions, age ≤ 13 years
14. Ran away at least twice from home; or once without returning for lengthy period
15. Truancy, age ≤ 13 years

Question 8

What are the comorbidities for CD?

Answer 8

ADHD and ODD
Specific learning disorder
Anxiety Disorders
Depressive/Bipolar Disorders
Substance Use Disorder