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Related Experiment Videos

Looking for the disorder in conduct disorder.

E W Lambert1, R G Wahler, A R Andrade

  • 1Center for Mental Health Policy, Vanderbilt University, 1207 18th Avenue South, Nashville, Tennessee 37212, USA. Warren.Lambert@Vanderbilt.edu

Journal of Abnormal Psychology
|March 27, 2001
PubMed
Summary

Children with conduct disorder (CD) experience multiple co-occurring conditions and significant impairments. These challenges are pervasive and chronic, indicating a global disability rather than a localized issue.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Behavioral Science

Background:

  • Conduct disorder (CD) in children is often associated with externalizing behaviors.
  • Existing research suggests CD may present with additional, unclassified impairments.

Purpose of the Study:

  • To investigate the extent of co-occurring diagnoses and impairments in children diagnosed with conduct disorder.
  • To compare the severity of problems and impairments in children with CD against other common childhood diagnoses.

Main Methods:

  • A 5-year longitudinal study involving 984 treated children aged 5–17 years.
  • Analysis of co-occurring diagnoses, problem severity scores, impairment levels, and relapse rates.

Main Results:

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  • Children with CD averaged 2.2 primary co-occurring diagnoses.
  • CD group exhibited the highest problem and impairment scores compared to 11 other diagnoses.
  • Children with CD showed worse outcomes across 14 of 15 syndromes, including internalizing issues like depression.
  • Higher relapse scores were observed in the CD group 1.5–3 years post-treatment.

Conclusions:

  • Conduct disorder in children is characterized by pervasive and chronic global disability, not a circumscribed problem.
  • The findings suggest a need for broader treatment approaches beyond those specific to CD.
  • Co-occurring conditions and global impairments are central to the CD experience in children.