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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.
Abstract:
Disruptive behavior disorders (DBDs), specifically oppositional defiant disorder and conduct disorder, are common, serious, and treatable conditions among preschoolers. DBDs are marked by frequent aggression, deceitfulness, and defiance, and often persist through the lifespan. Exposure to harsh or inconsistent parenting, as frequently seen with parental depression and stress, increases DBD risk. Candidate genes that may increase DBD risk in the presence of childhood adversity have also been identified, but more research is needed. Neurophysiologic and structural correlates with DBD also exist. Parent management training programs, focusing on increasing parenting competence and confidence, are the gold standard treatment of preschool DBDs.
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