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Disruptive Behavior Disorders in Children 0 to 6 Years Old

Mini Tandon1, Andrea Giedinghagen1

  • 1Division of Child and Adolescent Psychiatry, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, Box 8134, St Louis, MO, USA.

Child and Adolescent Psychiatric Clinics of North America
|June 5, 2017
PubMed

Insights

Disruptive behavior disorders (DBDs) in preschoolers, including oppositional defiant disorder and conduct disorder, are common and treatable. Parent management training is the leading treatment for these serious conditions.

Area of Science:

  • Child psychology
  • Developmental psychopathology
  • Pediatric mental health

Background:

  • Disruptive behavior disorders (DBDs), encompassing oppositional defiant disorder and conduct disorder, are prevalent and serious conditions in preschoolers.
  • These disorders are characterized by aggression, deceitfulness, and defiance, often leading to lifelong challenges.
  • Risk factors include harsh or inconsistent parenting, parental depression/stress, and genetic predispositions interacting with childhood adversity.

Purpose of the Study:

  • To summarize the understanding of disruptive behavior disorders in preschoolers.
  • To highlight the etiology, risk factors, and neurobiological correlates of DBDs.
  • To emphasize the established treatment approaches for preschool DBDs.

Main Methods:

  • Review of existing literature on preschool disruptive behavior disorders.
  • Synthesis of information regarding genetic, environmental, and neurobiological factors.
  • Evaluation of current treatment paradigms, focusing on parent-centered interventions.

Main Results:

  • DBDs are common, serious, and treatable conditions in preschoolers.
  • Parenting practices and genetic factors significantly influence DBD risk.
  • Neurophysiologic and structural brain correlates are associated with DBDs.

Conclusions:

  • Parent management training (PMT) is the gold standard treatment for preschool DBDs.
  • PMT enhances parenting competence and confidence, leading to improved child behavior.
  • Further research is needed to fully elucidate genetic contributions and neurobiological underpinnings.

Keywords:
Conduct disorderDisruptive behaviorOppositional defiant disorderPreschool children

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