-Pattern of engaing in behaviors that violate social norms & the rights of others, and are often illegal
🔴 Conduct Disorder (CD)
📍Agression
📍Cruelty towards other people or animals
📍Damaging property
📍Lying
📍Stealing
📍Vandalism
📍Often a\w viciousness, callousness & lack of remorse
*Predisposing to anti-social personality
✅ DSM-5 Criteria for CD
(See the picture 👇)
💡most often diagnosed in boys (4 – 16%) but may be as prevalent in girls (1.2 – 9%)
✅ Etiology of CD
📍Genetic factors
*Genetics a stronger influence when behaviors begin in childhood rather than adolescent
📍Environmental factors
📍Neurobiological factors
📍Psychological factors
📍Peer influences a\w CD
*Rejection by peers
*Affiliation with deviant peers
📍Sociocultural factors
*Poverty
*Urban environment
✅ Two distinct types of CD :
📍Life-course-persistent pattern of antisocial behavior (10-15x more common in boys than girls) & may a\w :
*Academic underdevelopment
*Neuropsychological deficits
*ADHD
*Family psychotherapy
*Poorer physical health
*Lower SES
*Violent behaviors
📍Adolescence-limited
✅ Disorders related to CD :
📍Intermittent explosive disorder :
-recurrent verbal or physical aggressive outbrusts that are out of proprtion to the circumstances
-aggression is impulsive & not preplanned
📍Oppositional defiant disorder (ODD)
-behaviours do not meet criteria for CD (especially extreme physical aggressiveness)
-but child displays pattern of defiant behavior :
*Argumentative
*Loses temper
*Lack of compliance
*Deliberately aggravates others
*Hostile
*Touchy
*Blames other for own problems
📍Comorbid with ADHD, learning & communication disorders
💡Disruptive behaviors of ODD more deliberate than ADHD
📍Substance abuse (common)
📍Comorbid with anxiety & depression
*Comorbidity rates (15-45%)
*CD precedes anxiety & depressive
✅ Rx of CD
📍Family intervention
-family check-ups (FCU)
-parental management train (PMT) -> teach parents to reward prosocial behavior
📍Multisystemic therapy
