Paeds Vivas · mental-behavioural-and-psychosomatic
Conduct disorder and antisocial behaviour — branching viva
Branching viva on the rights-violation definition, the Moffitt taxonomy, the callous-unemotional specifier, risk and safeguarding, the role of comorbid ADHD, and the NICE CG158 stepped-care ladder led by evidence-based parenting programmes.
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Study tools
Target exams
RACP DCEMRCPCH Clinical
Prompt
Clinic: a ten-year-old boy with two school suspensions for fighting, cruelty to animals, stealing, and staying out until midnight; a frightened mother; a background of harsh inconsistent discipline, paternal alcohol misuse, and untreated ADHD.
Opening question
Define conduct disorder for me. What distinguishes it from oppositional defiant disorder, and which of the four DSM-5-TR clusters does this boy show? [4]
References5ShowHide
- [1]Moffitt TE Adolescence-limited and life-course-persistent antisocial behavior: a developmental taxonomy. Psychol Rev, 1993.PMID 8255953
- [2]Scott S, Knapp M, Henderson J, Maughan B Financial cost of social exclusion: follow up study of antisocial children into adulthood. BMJ, 2001.PMID 11473907
- [4]Burke JD, Loeber R, Birmaher B Oppositional defiant disorder and conduct disorder: a review of the past 10 years, part II. J Am Acad Child Adolesc Psychiatry, 2002.PMID 12410070
- [5]Furlong M, McGilloway S, Bywater T, et al. Behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3 to 12 years. Cochrane Database Syst Rev, 2012.PMID 22336837
- [6]Eyberg SM, Nelson MM, Boggs SR Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. J Clin Child Adolesc Psychol, 2008.PMID 18444059