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Disruptive Behavioral Disorders

Explore Oppositional Defiant Disorder (ODD) and Conduct Disorder (CD) in children, including definitions, epidemiology, etiology, clinical features, assessment, management strategies, and outcomes. Learn about the importance of early intervention and effective treatment approaches.

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Disruptive Behavioral Disorders

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  1. Disruptive Behavioral Disorders Fatima AlHaidar Professor, Child & Adolescent Psychiatrist KSU

  2. Oppositional Defiant Disorder

  3. Definition: Enduring pattern of negativistic, hostile, and defiant behaviors in the absence of serious violations of social norms or of the rights of others.

  4. Epidemiology: Developmentally normal in early childhood and adolescence ( establish autonomy, identity, & inner standards and control ) Prevalence of 2-16 % Boys ≥ Girls

  5. Etiology: Temperamental predisposition Psychological theories … …unresolved conflicts …learned behavior Parental factors Social factors Environmental factors

  6. Clinical features: Temper outbursts Active refusal to comply with rules Deliberately annoy others Blame others for their mistakes Present at home Cause distress to others Interpersonal difficulties Poor school performance

  7. Assessment: Nature & severity Situation & circumstances Who are around ? Parental personality and skills Parent- child relationship. Charts

  8. Management: Parental counseling Behavioral modification programs Cognitive behavioral approach Family therapy

  9. Outcome: Better prognosis if associated with clear stress 2/3 continues to have the diagnosis during school years Many children with ODD develop CD in adolescence

  10. Conduct Disorder

  11. Definition: Enduring set of behaviors, characterized by aggression and violation of the rights of others.

  12. Epidemiology: Prevalence of 10% Boys : girls 4-12 : 1 Parents with antisocial personality and alcoholism Socioeconomic factors

  13. Etiology: Parental factors Sociocultural factors Child abuse & maltreatment CNS dysfunction & damage Temperament

  14. Clinical features: Aggression to people & animals Destruction of property & stealing Deceitfulness or theft Serious violations of rules Persistent lying Fire setting Sexual behavior Frequent truancy Tobacco smoking & other substance abuse History of deprivation Family disharmony

  15. Comorbidity: ADHD Depression Learning disorders

  16. Assessment: Nature & severity Circumstances Family

  17. Management: Cognitive behavioral therapy Problem-solving skills training Parent management training Family therapy Medication Community-based centers Residential placement Court reports

  18. Outcome: Varies with the nature and extent of antisocial behavior Poor with parental criminality Associate with antisocial personality, substance abuse, & mood disorders Better prognosis with mild form, absence of comrbidity and normal intelligence

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