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Conduct disorder patients 20 years later: a personal follow-up study
1Department of Behavioural Sciences in Medicine, University of Oslo, Norway.
Acta Psychiatrica Scandinavica
|June 1, 1994
Summary
Conduct disorder in youth often leads to long-term issues like anxiety and substance abuse. However, nearly half of individuals achieve positive outcomes, highlighting the need for improved treatments.
Area of Science:
- Psychiatry
- Developmental Psychology
- Longitudinal Studies
Background:
- Conduct disorder (CD) is a significant behavioral issue in youth.
- Understanding the long-term prognosis of CD is crucial for intervention.
Purpose of the Study:
- To investigate the long-term outcomes of individuals diagnosed with conduct disorder in childhood/adolescence.
- To identify predictors of poor outcomes in this population.
Main Methods:
- A cohort of 75 patients with conduct disorder (CD) was followed up for 18-21 years.
- Clinical interviews using Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) criteria were conducted at follow-up.
- Data on Axis I disorders and antisocial personality disorder were collected.
Main Results:
- At follow-up, 47% had no Axis I disorder, while significant percentages had anxiety (24%) or substance abuse disorders (25%).
- 33% met criteria for antisocial personality disorder.
- Comorbid anxiety at initial assessment and criminal offenses predicted poorer outcomes.
Conclusions:
- Conduct disorder has a severe long-term prognosis, often preceding substance abuse.
- Despite challenges, a substantial proportion of individuals achieve remission, underscoring the importance of continued research into effective treatments.
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