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Oppositional defiant disorder (ODD) PDF

35 Pages·2010·0.56 MB·English
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Disruptive behaviour disorders – Oppositional defiant disorder (ODD) / Conduct disorder (CD) PPrrooffeessssoorr AAllaassddaaiirr VVaannccee Head, Academic Child Psychiatry Department of Paediatrics Uniiversiity off Mellbbourne Royal Children’s Hospital Outline of presentation 1. ODD/CD: definition 2. Key psychosocial/biological risk factors 33. KKey comorbbiidd conddiittiions: ddeffiiniittiion 4. A model for intervention Prof. A. Vance 1. ODD/CD: definition Diaggnostic nosologgyy-some comments: DSM-IV definition of a mental disorder- AA mmeennttaall ddiissoorrddeerr iiss ccoonncceeppttuuaalliizzeedd aass a clinically significant behavioural pattern that occurs in an individual and is associated with impairment in one or more areas of functioning Prof. A. Vance 11. OODDDD//CCDD:: ddeeffiinniittiioonn Diagnostic nosology-some comments in children and adolescents- impairment is developmentally inappropriate, judged relative to children of the same age, gender and IQ iinn ssoocciiaall, aaccaaddeemmiicc, ooccccuuppaattiioonnaall oorr ootthheerr iimmppoorrttaanntt aarreeaass of functioning mulltii-iinfformant reports requiiredd Prof. A. Vance 11. OODDDD//CCDD:: ddeeffiinniittiioonn The Spectrum of Antisocial Behaviour ((SSteiiner, 11999977)) -antisocial behaviour -criminality and delinquency -antisocial behaviour and psychopathology --ppeerrssiisstteenntt ccoonndduucctt pprroobblleemmss -conduct disorder -psychhopathhy Prof. A. Vance 11. OODDDD//CCDD: ddeffiiniittiion Oppositional defiant disorder (ODD) -a recurrent pattern of negativistic, defiant, and hhoossttiillee bbeehhaavviioouurr -onset usually before 7 years of age -usually first emerges in the home setting -allways a precursor ffor CCondductt ddiisordder ((approxiimattelly 33%% off children with ODD develop CD) -point prevalence children and adolescents (CD/ODD: 0.8%/1.4% females, 2.1%/3.2% males) (Maughan et al., 2004) Prof. A. Vance 11.. OODDDD//CCDD:: ddeeffiinniittiioonn Conduct disorder (CD) -repetitive and persistent pattern of behaviour in which the basic rights of others and/or major age-appropriate norms or rules are violated, evidenced by three or more of the following criteria within the previous 12 months, with at least oonee ccritteerioon ppreesseentt in tthee ppaasstt 66 moontthss:: -Serious violations of social rules/norms Theft DDeessttrruuccttiioonn ooff pprrooppeerrttyy Aggression/Cruelty towards people and/or animals Prof. A. Vance 1. ODD/CD: definition Comorbidity of ODD/CD - AADDHHDD, ccoommbbiinneedd ttyyppee - language-based learning difficulties/disorders - depressive disorders Prof. A. Vance

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Oppositional defiant disorder (ODD) / Conduct disorder (CD). Professor Alasdair Vance. Head, Academic Child Psychiatry. Department of Paediatrics.
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