Oppositional defiant disorder (ODD)

35 Pages·2010·0.56 MB·English

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