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Impact of behavioral/developmental disorders comorbid with conduct disorder
Yuzuru Harada1, Ayako Hayashida, Shouko Hikita
1Shinshu University Hospital, Mental Health Clinic for Children, Shinshu University Hospital, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan. y_harada@shinshu-u.ac.jp
Psychiatry and Clinical Neurosciences
|December 22, 2009
Summary
Conduct disorder (CD) often co-occurs with attention-deficit-hyperactivity disorder (ADHD) and pervasive developmental disorder (PDD) in children. Early PDD onset in comorbid cases suggests a need for timely diagnosis and intervention for better outcomes.
Area of Science:
- Child and Adolescent Psychiatry
- Developmental Psychology
- Neurodevelopmental Disorders
Background:
- Conduct disorder (CD) is a significant behavioral issue in children and adolescents.
- Understanding comorbidities is crucial for effective treatment strategies.
Purpose of the Study:
- To investigate the comorbidity of conduct disorder with behavioral/developmental disorders in youth.
- To characterize the traits of conduct disorder when comorbid with other conditions.
Main Methods:
- A diagnostic interview was conducted by child psychiatrists.
- Intelligence and Adverse Childhood Experiences scores were assessed.
- The study included 64 children diagnosed with CD or at risk.
Main Results:
- 45.6% of children with CD had comorbid attention-deficit-hyperactivity disorder (ADHD).
- 21.1% had comorbid pervasive developmental disorder (PDD).
- Children with comorbid PDD were younger at onset and more frequently unsocialized.
Conclusions:
- Clinicians must consider PDD as a potential comorbidity with CD, alongside ADHD.
- Accurate diagnosis of PDD in children with CD is vital for tailored treatment and improved prognosis.
Related Concept Videos
01:28Conduct Disorder
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
01:30Oppositional Defiant Disorder
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
01:30Attention-Deficit/Hyperactivity Disorder
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
01:19Autism Spectrum Disorder
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
01:24Operant Conditioning Intervention
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
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01:29Theoretical Approaches to Psychological Disorder
The development of psychological disorders, which are characterized by deviant, maladaptive, and personally distressing behaviors, has been explored through several theoretical approaches.
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...