Conduct Disorder: Diagnosis and Treatment In Primary Care | Conduct Disorder DSM-5

Advertisement<< PreviousarticleNextarticle >>Apr15,2001Issue ConductDisorder:DiagnosisandTreatmentinPrimaryCare Amorerecentarticleonconductdisorderisavailable.H.RUSSELLSEARIGHT,PH.D.,FamilyMedicineofSt.LouisResidencyProgram,St.Louis,MissouriFREDROTTNEK,M.D.,InstituteforResearchandEducationinFamilyMedicine,St.Louis,MissouriSTACEYL.ABBY,PHARM.D.,St.LouisCollegeofPharmacy,St.Louis,MissouriAmFamPhysician. 2001 Apr 15;63(8):1579-1589.AbstractIllustrativeCasesClinicalFeaturesofConductDisorderSubtypesofConductDisorderEtiologyDifferentialDiagnosisandComorbidityInterventionPharmacotherapyReferralforSpecializedTreatmentReferencesArticleSectionsAbstractIllustrativeCasesClinicalFeaturesofConductDisorderSubtypesofConductDisorderEtiologyDifferentialDiagnosisandComorbidityInterventionPharmacotherapyReferralforSpecializedTreatmentReferencesConductdisorderisacommonchildhoodpsychiatricproblemthathasanincreasedincidenceinadolescence.Theprimarydiagnosticfeaturesofconductdisorderincludeaggression,theft,vandalism,violationsofrulesand/orlying.Foradiagnosis,thesebehaviorsmustoccurforatleastasix-monthperiod.Conductdisorderhasamultifactorialetiologythatincludesbiologic,psychosocialandfamilialfactors.Thedifferentialdiagnosisofconductdisorderincludesoppositionaldefiantdisorder,attention-deficit/hyperactivitydisorder(ADHD),mooddisorderandintermittentexplosivedisorder.Familyphysiciansmayprovidebrief,behaviorallyfocusedparentcounseling,pharmacotherapyandreferralformoreintensivefamilyandindividualpsychotherapy.Conductdisorderisapsychiatricsyndromeoccurringinchildhoodandadolescence,andischaracterizedbyalongstandingpatternofviolationsofrulesandantisocialbehavior.AslistedintheDiagnosticandStatisticalManualofMentalDisorders,4thed.(DSM-IV),1 symptomstypicallyincludeaggression,frequentlying,runningawayfromhomeovernightanddestructionofproperty(Table1).Approximately6to16percentofboysand2to9percentofgirlsmeetthediagnosticcriteriaforconductdisorder.Theincidenceofconductdisorderincreasesfromchildhoodtoadole

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