Conduct Disorder - Kelley Kline Phd - Florida State U品行障碍-凯利克莱恩博士——佛罗里达州立大学.pptVIP

Conduct Disorder The Origin of Criminal Behavior I. What is conduct disorder? A repetitive persistent pattern of seriously antisocial behavior, usually criminal (illegal) in nature marked by extreme callousness. Diagnosis is made in individuals under 18 Behaviors may include (but not limited to): Cruelty toward animals and/or people Vandalism Lying Theft Physical aggressiveness Behavior is often—vicious, callous, remorseless DSM-IV TR Criteria for Conduct Disorder Repetitive persistent behavior pattern that violates the basic rights of others or conventional social norms as manifested by the presence of 3 or more of the following in the previous 12 mos. at least one of them in the previous 6 mos.: A. Aggression to people animals (e.g., bullying, initiating physical fights, being physically cruel to people or animals, forcing someone into sexual activity). B. Destruction of property (e.g.,fire-setting, vandalism). C. Deceitfulness or theft (e.g., breaking into another’s house or car, conning, shoplifting). D. Serious violation of rules (e.g., staying out at night before age 13 in defiance of parental rules, truancy before age 13). **Significant impairment in social, academic, or occupational functioning. **Person must be under 18 years of age. II. Conduct Disorder comorbidity: ADHD Substance use disorders (alcohol, marijuana) Note—CD drug use occur concomitantly exacerbate each other. Anxiety Depression (15-45%) Girls with CD are significantly more likely than boys to develop these other disorders, suggesting greater psychopathology in the girls than in the boys. III. What is prevalence of conduct disorder? A review of several epidemiological studies indicates that prevalence rates range from 4 to 16% for boys 1.2 to 9% in girls (Loeber et al., 2000). Violent crimes (rape, assault) are largely crimes of male adolescents. Incidence prevalence of illegal activity peaks by age 17 then drops precipitously in young adulthood.