Conduct Disorders

Question 1

What are the four characterizations of conduct disorder?

Answer 1

1. aggression to people and animals
2. destruction of property
3. deceitfulness or theft
4. serious violations of the rules

Question 2

After age 18, people with conduct disorder often progress to what diagnosis

Answer 2

antisocial personality disorder, which is slightly worse

Question 3

What are the two “types” of conuct disorder?

Answer 3

it’s based on onset, so childhood onset type and adolescent onset type

Question 4

In which gender is CD more common?

Answer 4

boys

Question 5

What specifier is available for CD in the DSM 5 that is a predictor of a particularly difficult group?

Answer 5

with significant callous/unemotional traits

Question 6

What are the characteristics of oppositional defiant disorder?

Answer 6

a pattern of negative, hostile and deviant behavior lasting at least 6 months, during which four criteria are present

Question 7

Describe the typical family setting of someone with ODD or CD?

Answer 7

highly stressed with marital discord, parental psychopathology or SES disadvantage
also with inconcsistent limit setting

Question 8

What percentage of kids with ODD progress to CD? What percentage progress from CD to ASP?

Answer 8

ODD to CD: 25%

CD to ASP: 24-40%

Question 9

Are conduct disorders externalizing or internalizing disorders?

Answer 9

externalizing

Question 10

Treatment of ODD is largely thorugh who?

Answer 10

through the parents - they’re trained to replace coercive discipline with more effective techniques

Question 11

What are some tricks for effective parenting with ODD kids?

Answer 11

1. provide positive reinforcement
2. ignore inappropriate behavior unless serious
3. give clear commands (eliminate complexity and competing influences)
4. establish token economy
5. use time outs - gradually extend then to noncompliance in public

Question 12

What is the time-intensive, but effective treatment for CD?

Answer 12

multisystemic family hterapy - a home based model available 24 hr/day with daily contact

Question 13

2 or 3 of what 4 criteria (present for 12 months) are required for SUD in adolescents?

Answer 13

1. recurrent substance use resulting in failutre to fulfill role obligations
2. recurrent substance use in situations in which it is physically hazardous
3. recurrent substance related legal problems
4. continued use despite persistent prolems caused by the effects of the substance

Question 14

what neuroanatomical correlate can explain adolescents’ impulsivity and novelty seeking (aka drug experimentation)?

Answer 14

delayed maturation of the prefrontal cortex

Question 15

Describe the diathesis-stress model?

Answer 15

diathesis is the predisposing biology (like genetic factors) and stress is the environmental factors - it’s the combination of the predisoposition and the stress exceeding a threhold that causes the development of a disorder

Question 16

What questionnaire is used to determine ESU in adolescents?

Answer 16

the CRAFFT questionnaire - ridden in a Car, used to Relax, used when Alone, Family tell you to stop, Forget things when under, gotten into Trouble when…