Conduct Disorder

Conduct Disorder

It is characterized by a persistent, repetitive violation of rules and a disregard for the rights of others

Juvenile Offenders

Many children with conduct disorder become _______ and tend to become involved in drugs

Boys

Most children diagnosed with conduct disorder tend to be _______

Disruptive, Impulse-Control, and Conduct Disorder

Conduct Disorder is classified under _________ in the DSM-5-TR

Conduct

_______ refers to the way a person behaves in a particular situation

Conduct Disorder

_________ describes individuals who regularly violate the rights of others by threatening, bullying, fighting, destroying property, stealing, or defying school or parental rules. People with this disorder often lack remorse and are unconcerned with the effects of their behavior on others.

Socially Maladjusted

Youth gang activities, drug abuse, truancy, violence toward others, and other delinquent acts characterize children and adolescents who are often identified as being “________” or having a conduct disorder.

False

Adolescents with conduct problems rarely exhibit impulsivity, hyperactivity, irritability, and excessive stubbornness

True or False

Difficulties with emotional self-regulation

The Four Main Groupings of Behavior for Conduct Disorder are the following, except?

• Aggressive conduct that causes or threatens physical harm to other people or animals

• Non-aggressive conduct that causes property loss or damage

• Difficulties with emotional self-regulation

• Deceitfulness or theft

• Serious violations of rule

2 years later

The onset for CD is most accurately estimated with information from both the youth and the care giver; estimates are often ________ than the actual onset

Preschool Years

The onset of conduct disorder may occur as early as the ________

Middle Adolescence

The onset of conduct disorder may occur as early as childhood, but the first significant symptoms usually emerge during the period from middle childhood through ________

Childhood-Onset Type

It refers to the onset of at least one criterion characteristic of CD prior to the age of 10 years, where individuals are usually male, frequently displaying physical aggression toward others, have disturbed peer relationships, may have had oppositional defiant disorder during early childhood, and usually have symptoms that meet full criteria for conduct disorder prior to puberty.

Attention-Deficit/Hyperactivity Disorder

Many children under the Childhood-Onset Type also have concurrent ________ or other neurodevelopmental difficulties, where they are more likely to have persistent conduct disorder into adulthood than are those with adolescent-onset type

Adolescent-Onset Type

It refers to the absence of any criteria characteristic of CD prior to age 10 years, and are less likely to display aggressive behaviors and tend to have more normative peer relationships (although they often display conduct problems in the company of others)

Adolescent-Onset Type

When the onset is classified as ________, they are less likely to have conduct disorder that persists into adulthood

With a Callous-Unemotional Presentation

This designation is an indication that the young person presents in a way that suggests personality characteristics similar to an adult with psychopathy

Variable

The course of conduct disorder after onset is ________

True

In a majority of individuals, the conduct disorder remits by adulthood

True or False

Adolescent-Onset Type

Many individuals with conduct disorder—particularly those with ________ and those with few and milder symptoms—achieve adequate social and occupational adjustment as adults

Criterion A

In the DSM-5, _________ refers to a repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of at least three of the following 15 criteria in the past 12 months from any of the categories below, with at least one criterion present in the past 6 months.

Aggression to People and Animals

The first eight criterion under Criterion A falls under _________, which can be seen as follows:

• Often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities

• Often bullies, threatens, or intimidates others.

• Often initiates physical fights.

• Has used a weapon that can cause serious physical harm to others (e.g., a bat, brick, broken bottle, knife, gun).

• Has been physically cruel to people.

• Has been physically cruel to animals.

• Has stolen while confronting a victim (e.g., mugging, purse snatching, extortion, armed robbery).

• Has forced someone into sexual activity.

Destruction of Property

The following criterion under Criterion A falls under _________, which can be seen as follows:

• Has deliberately engaged in fire setting with the intention of causing serious damage.

• Has deliberately destroyed others’ property (other than by fire setting).

Deceitfulness or Theft

The following criterion under Criterion A falls under _________, which can be seen as follows:

• Has broken into someone else’s house, building, or car.

• Often lies to obtain goods or favors or to avoid obligations (i.e., “cons” others).

• Has stolen items of nontrivial value without confronting a victim (e.g., shoplifting, but without breaking and entering; forgery).

Serious Violations of Rules

The following criterion under Criterion A falls under _________, which can be seen as follows:

• Often stays out at night despite parental prohibitions, beginning before age 13 years.

• Has run away from home overnight at least twice while living in the parental or parental surrogate home, or once without returning for a lengthy period.

• Is often truant from school, beginning before age 13 years.

Criterion B

In the DSM-5, _________ states that the disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning

Criterion C

In the DSM-5, _________ states that if the individual is age 18 years or older, criteria are already met for antisocial personality disorder

Unspecified Onset

It is a criteria for diagnosis of when conduct disorder are met, but there is not enough information available for to determine whether the onset of the first symptom was before or after age 10 years

With Limited Prosocial Emotions

To qualify for this specifier, an individual must have displayed at least two of the following characteristics persistently over at least 12 months and in multiple relationships and settings. These characteristics reflect the individual’s typical pattern of interpersonal and emotional functioning over this period and not just occasional occurrences in some situations. Thus, to assess the criteria for the specifier, multiple information sources are necessary. In addition to the individual’s self-report, it is necessary to consider reports by others who have known the individual for extended periods of time (e.g., parents, teachers, co-workers, extended family members, peers).

Lack of Remorse or Guilt

It is a specifier that disregards and is unconcerned about the feelings of others. The individual is described as cold and uncaring. The individual appears more concerned about the effects of his or her actions on himself or herself, rather than their effects on others, even when they result in substantial harm to others

Unconcerned About Performances

It is a specifier that does not show concern about poor/problematic performance at school, at work, or in other important activities. The individual does not put forth the effort necessary to perform well, even when expectations are clear, and typically blames others for his or her poor performance.

Shallow or Deficient Affect

It is a specifier that does not express feelings or show emotions to others, except in ways that seem shallow, insincere, or superficial (e.g., actions contradict the emotion displayed; can turn emotions “on” or “off” quickly) or when emotional expressions are used for gain (e.g., emotions displayed to manipulate or intimidate others)

Mild

It is a severity specification where few if any conduct problems in excess of those required to make the diagnosis are present, and conduct problems cause relatively minor harm to others (e.g., lying, truancy, staying out after dark without permission, other rule breaking).

Moderate

It is a severity specification where the number of conduct problems and the effect on others are intermediate between those specified in “mild” and those in “severe” (e.g., stealing without confronting a victim, vandalism).

Severe

It is a severity specification where many conduct problems in excess of those required to make the diagnosis are present, or conduct problems cause considerable harm to others (e.g., forced sex, physical cruelty, use of a weapon, stealing while confronting a victim, breaking and entering)

Negative Parenting Styles

Extremely permissive parents, overly restrictive, using highly aggressive discipline approaches, inconsistent parenting styles, etc. are only some of the few roots of CD that falls under _________

High Verbal Intelligence

The following are Social & Environmental Factors for Conduct Disorder, except?

• Low socioeconomic status

• Not being accepted by peers

• High Verbal Intelligence

• Overcrowding

• Unemployment

• Availability of drugs

• Increased crime in neighborhood

Neurodevelopmental Disorders

Many children and teens with conduct disorder have close family members with mental illnesses, especially the following, except?

• Mood disorders

• Anxiety disorders

• Substance use disorders

• Neurodevelopmental Disorders

• Personality disorders

Brain Regions

Conduct Disorder is linked to various _______ that involves behavior regulation, impulse control, and emotion

Nerve Cell Circuits

Symptoms of CD may persist due to improper functioning of ________ along brain regions

Non-Diagnostic Screening

Initial ________ identifies early conduct problems using teacher nominations and behavior rankings where systematic observations assess the severity and consistency of aggressive or rule-breaking behavior with the effort of early intervention aiming to reduce long-term impacts

Genetic Testing for Predisposition

Multidisciplinary teams implement evidence-based supports targeting the following, except?

• Aggression Management

• Social Skills

• Rule Compliance

• Genetic Testing for Predisposition

Functional Behavior Assessments (FBA)

________ clarify the purpose of problematic behaviors, like gaining control or status

Positive Behavior Support (PBS)

Multiple ________ and Response to Interventions (RtI) cycles precede formal referral

Referral for Assessment

_________ occurs after parent-teacher collaboration and an insufficient response to pre-referral strategies, requiring administrative review and parental consent for evaluation

Peer popularity or social status

The following are factors for assessment in determining a diagnosis of CD, where specific behavioral and emotional features must be identified and evaluated as seen from the following, except?

• Aggression toward others

• Property destruction, theft, deceit Repetitive rule-breaking

• Repetitive rule-breaking

• Callous-unemotional traits (e.g., lack of empathy, guilt, or remorse)

• School and legal history indicating behavior patterns over time

• Social and environmental influences contributing to behavior

• Peer popularity or social status

• Motivations or functions of behaviors (e.g., dominance, control, material gain)