Disruptive Behavior Disorders Overview
44 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What are the four main behavioral clusters associated with disruptive behavior disorders?

  • aggression, delinquency, opposition, impulsivity
  • aggression, delinquency, opposition, anxiety
  • anxiety, depression, opposition, hyperactivity
  • aggression, delinquency, opposition, hyperactivity (correct)

    • Which of the following is NOT a characteristic of Oppositional Defiant Disorder (ODD)?

  • Frequent angry outbursts
  • Defiance towards authority figures
  • Vindictiveness
  • Excessive motor activity and restlessness (correct)

    • What is a key factor in determining if disruptive behavior is indicative of a disorder rather than a response to specific challenges?

  • The age of the child exhibiting the disruptive behavior
  • The intensity of the disruptive behavior
  • The consistency of the disruptive behavior across different settings (correct)
  • The frequency of the disruptive behavior

    • What is the minimum duration of disruptive behavior required for a diagnosis of ODD in children over 5 years old?

    <p>Six months (A)</p> Signup and view all the answers

    According to the DSM-5, what are the three main behavioral patterns associated with ODD?

    <p>Angry/irritable mood, argumentative/defiant behavior, vindictiveness (B)</p> Signup and view all the answers

    Which of the following behavioral patterns is NOT considered as a potential indicator of a disruptive behavior disorder?

    <p>A child crying frequently for no apparent reason (D)</p> Signup and view all the answers

    How does the DSM-5 define the onset of a disruptive behavior disorder?

    <p>The disorder can be present at any age (A)</p> Signup and view all the answers

    Which of the following is considered a reason for referring a child or adolescent to clinical and psychosocial services?

    <p>All of the above (D)</p> Signup and view all the answers

    What are the non-stimulant medications mentioned for treating ADHD?

    <p>Strattera and Intuniv (B)</p> Signup and view all the answers

    Which of the following is NOT a symptom of Oppositional Defiant Disorder (ODD)?

    <p>Often runs away from home (A)</p> Signup and view all the answers

    Which treatment strategy is effective for both ADHD and general classroom settings?

    <p>Movement breaks (B)</p> Signup and view all the answers

    What is a key characteristic of Conduct Disorder (CD)?

    <p>Repetitive violation of rights and societal norms (C)</p> Signup and view all the answers

    Which of the following medication classes is used for treatment of ODD/CD?

    <p>Anti-psychotics (A)</p> Signup and view all the answers

    Which symptom is included in the vindictiveness category for diagnosing ODD?

    <p>Has been spiteful at least twice (C)</p> Signup and view all the answers

    What is a recommended strategy to help de-escalate situations with children exhibiting ODD/CD behaviors?

    <p>Calm Down Corner (D)</p> Signup and view all the answers

    What developmental aspect must be considered for diagnosing ODD?

    <p>Symptoms present in interactions with non-siblings (B)</p> Signup and view all the answers

    What is the main pharmacological treatment for ADHD?

    <p>Stimulants (D)</p> Signup and view all the answers

    Strattera is commonly used to treat ADHD and is classified as what type of medication?

    <p>Non-stimulant (D)</p> Signup and view all the answers

    Which of the following is NOT a symptom of inattention according to ADHD criteria?

    <p>Often fidgets or taps hands (B)</p> Signup and view all the answers

    Which of these behaviors is indicative of hyperactivity and impulsivity in individuals with ADHD?

    <p>Often runs or climbs in inappropriate situations (D)</p> Signup and view all the answers

    What percentage of school-aged children in Canada are estimated to have ADHD?

    <p>2.2-4.1% (B)</p> Signup and view all the answers

    Which treatment is specifically mentioned as family and community-based for adolescents with serious behavioral problems?

    <p>Multi-systemic therapy (B)</p> Signup and view all the answers

    Which type of ADHD is characterized by internalizing disorders such as depression and anxiety?

    <p>Inattentive (D)</p> Signup and view all the answers

    What age range does multidimensional treatment foster care primarily target?

    <p>13 to 18 years (A)</p> Signup and view all the answers

    What is a common stereotype related to ADHD?

    <p>Just fooling around (A)</p> Signup and view all the answers

    Which subtype of ADHD is most commonly associated with males?

    <p>Hyperactive (C)</p> Signup and view all the answers

    In order for ADHD symptoms to meet DSM criteria, they must be present in how many settings?

    <p>Two or more settings (A)</p> Signup and view all the answers

    Which symptom is a characteristic of ADHD related to impulsivity?

    <p>Often interrupts or intrudes on others (B)</p> Signup and view all the answers

    What is the overall prevalence of ADHD worldwide in individuals under 18?

    <p>3.4% (B)</p> Signup and view all the answers

    What is a potential risk associated with stimulant medications for treating ADHD?

    <p>Medication diversion (D)</p> Signup and view all the answers

    Which of the following is NOT a core component of Conduct Disorder (CD) as outlined in the DSM-5?

    <p>Engaging in excessive physical activity and restlessness (C)</p> Signup and view all the answers

    What is the defining characteristic of ADHD, according to the DSM-5?

    <p>Presence of at least six symptoms of inattention, hyperactivity, and impulsivity that are persistent across multiple settings (B)</p> Signup and view all the answers

    Which of the following is a TRUE statement regarding the prevalence of ADHD in males and females?

    <p>Males are more likely to be diagnosed with ADHD, and hyperactivity is often the initial symptom that brings a child to medical attention. (A)</p> Signup and view all the answers

    Which of the following is a CORRECT statement about the onset of Conduct Disorder (CD)?

    <p>CD has a rare onset after the age of 16, and it's most frequently seen in children before the age of 10. (B)</p> Signup and view all the answers

    What is the role of genetics in the development of ADHD?

    <p>Genetics are a significant contributing factor, with heritability estimates ranging from 60% to 75%. (D)</p> Signup and view all the answers

    Which of the following is a TRUE statement about the use of medication in treating Conduct Disorder?

    <p>Medication is used only in cases of CD with aggressive symptoms and when other disorders such as ADHD or depression are present. (C)</p> Signup and view all the answers

    What are the three main types of medications used to treat ADHD?

    <p>Stimulants, antidepressants, and other agents (A)</p> Signup and view all the answers

    Which of the following is a risk factor for the development of disruptive behavioral disorders?

    <p>Harsh or overly permissive parenting styles (D)</p> Signup and view all the answers

    What is the role of schools in the prevention of behavioral disorders?

    <p>Schools can implement programs based on research evidence that address social skills, self-control, and bullying. (A)</p> Signup and view all the answers

    Which of the following is a TRUE statement regarding the symptoms of ADHD?

    <p>ADHD symptoms are highly variable, with some individuals exhibiting primarily inattention, while others show more hyperactivity and impulsivity. (A)</p> Signup and view all the answers

    Which of the following is a TRUE statement about the progression of ADHD symptoms?

    <p>Symptoms of hyperactivity become less evident in adulthood, often manifesting as restlessness and fidgeting rather than running and climbing. (C)</p> Signup and view all the answers

    Which of the following is a CORRECT statement about the prevalence of learning disabilities in youth with ADHD?

    <p>Learning disabilities are common in youth with ADHD, with about 30% meeting criteria for a learning disability diagnosis. (D)</p> Signup and view all the answers

    Which of the following is a TRUE statement regarding the effectiveness of pharmacological treatments for ADHD?

    <p>Pharmacological treatments are effective for ADHD, but they are considered necessary in addition to other interventions tailored to the individual's needs. (A)</p> Signup and view all the answers

    Which of the following is a TRUE statement regarding the use of mood stabilizers to manage conduct disorder?

    <p>Mood stabilizers may reduce aggression and impulsivity, but their use requires careful medical monitoring. (C)</p> Signup and view all the answers

    Study Notes

    Disruptive Behavior Disorders

    • Characterized by emotional, cognitive, and behavioral responses significantly differing from developmental and societal norms, consistently exhibited in multiple settings.
    • Associated with increased short- and long-term challenges.
    • Most common childhood and adolescent mental disorders, frequent reason for referral to clinical & psychosocial services.
    • Four clusters of behaviors indicate potential disorder:
      • Aggression: overt, destructive (fighting, cruelty to animals)
      • Delinquency: covert, destructive (stealing, fire-setting) or covert, non-destructive (truancy).
      • Opposition: overt, non-destructive (tantrums, defiance).
      • Hyperactivity (often in ADHD): excessive, unrelated to opposition/stress.
    • Behaviors must be observed in multiple settings (home, daycare, school, community) for early onset diagnosis; a single-setting disturbance likely reflects setting-specific challenges.

    Oppositional Defiant Disorder (ODD)

    • Characterized by persistent defiance and hostility towards authority figures.
    • Frequent, rapid onset of anger and irritability in response to minor stimuli.
    • Vindictiveness common.
    • DSM-5 defines three behavioral patterns: angry/irritable mood, argumentative/defiant behavior, and vindictiveness.
    • At least four related symptoms, present at least 6 months, for diagnosis.
    • Children >5 years old need to exhibit disruptive behaviors at least once a week for 6+ months for diagnosis .

    Conduct Disorder (CD)

    • Persistent violation of social norms and rights of others, across children and adolescents.
    • Violations include aggression (physical), property destruction, and theft.
    • DSM-5 details four core behavioral patterns:
      • Physical confrontation to harm others/property.
      • Fraudulent/misleading conduct.
      • Rule-breaking (curfew violations, truancy, running away).
    • Three symptoms from these patterns in 12+ months, significantly impactful/problematic compared to peers, resulting in functional impairment.
    • Childhood onset: before age 10; adolescent onset: after age 10; onset after 16 rare.
    • Males frequently show physical/relational aggression (fighting, stealing, vandalism); females show relational aggression (lying, truancy, running away, substance use, vulnerability to exploitation).

    Attention-Deficit/Hyperactivity Disorder (ADHD)

    • One of the most common mental disorders affecting children and adolescents.
    • Characterized by inattention, hyperactivity, and impulsivity.
    • Brain development is delayed in some areas (cortical maturation).
    • Intellectual functioning is generally normal but many youth with ADHD have co-occurring learning disabilities (around 30% meet learning disability criteria).
    • DSM-5 criteria: at least six significant, persistent, functionally impairing symptoms in inattention, hyperactivity, and impulsivity, across multiple settings for 6+ months, substantially exceeding peers' behaviors.
    • Inattention: difficulty staying on task, forgetfulness, overlooking details, distractibility, daydreaming.
    • Hyperactivity/Impulsivity: restlessness, excessive talking, interrupting, difficulty waiting turns.
    • More common in boys; with girls often exhibiting primarily inattention and subtle hyperactivity/impulsivity in adulthood.
    • Boys often demonstrate more obvious hyperactivity & aggression, leading to earlier diagnoses.
    • Behaviors related to hyperactivity (e.g., running, climbing) often noticeable before age 4.
    • Strong genetic influence (60-75% heritability).

    Risk Factors

    • Individual factors (temperament, genetics) increase risk of disruptive behavior disorders.
    • Low emotional regulation and behavioral inhibition related to disorder development.
    • Genetic factors play a significant role in ADHD development.
    • Environmental factors (poverty, family aggression) increase risk of problems.
    • Harsh or overly permissive parenting linked to problematic behaviors.
    • School programs (social skills, self-control/anger management, anti-bullying) can prevent disorders, and effectiveness, safety, and cost-effectiveness MUST be considered.

    Treatments

    • CD: Pharmacological treatment (antipsychotics, mood stabilizers, antidepressants, stimulants, adrenergic agents) primarily for intense/frequent aggressive symptoms or co-occurring disorders.
    • ADHD: Effective pharmacological treatments, primarily stimulants, but in combo with other interventions tailored to the youth's needs. Non-stimulant medications (Strattera) can be alternative options.
    • Psychosocial Treatments:
      • Multisystemic therapy (MST): family and community-based for youth (12-18) with serious behavior problems (drug use, crime), lasting intervention at home (3-6 months).
      • Multidimensional Treatment Foster Care (MTFC): community-based for (13-18) delinquent youth, referred by courts/probation; alternative to correctional facilities (6-9 months), focuses on family dynamics, and school support. Tailor psychosocial treatment based on individual youth's needs and strengths

    Epidemiology

    • ADHD: 3.4% prevalence worldwide (under 18); 2.2-4.1% in Canadian school-aged children; 3.1-3.9%(F)/8.0-9.5% (M) in Alberta children (0-18).
    • ODD: ~3% prevalence, higher in boys.
    • CD: ~4% prevalence (potentially more serious than ODD).

    ADHD Stereotypes/Misconceptions

    • Lack of focus/laziness
    • Aggression
    • Hyperactivity/distractibility
    • Medication necessity
    • Intellectual deficiency
    • Poor parenting/lack of control.
    • Malicious intent.

    DSM-5 Criteria (ADHD)

    • Detailed symptom lists for inattention and hyperactivity/impulsivity, with specific examples of each.
    • Must meet specific symptom criteria (number, duration, age of onset, presence in multiple settings, impact on functioning).

    DSM-5 Criteria (ODD)

    • Detailed symptom categories (angry/irritable mood, argumentative/defiant behavior, vindictiveness).
    • Specific criteria (number & duration of symptoms, impact on functioning)

    DSM-5 Criteria (CD)

    • Detailed categories of behaviors violating rights/norms, including aggression, rule-breaking, property destruction, and deceit.
    • Includes detailed criteria for symptom count, duration, and impact on functioning required for diagnosis.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    Explore the characteristics and implications of Disruptive Behavior Disorders, including their classification and common manifestations in children and adolescents. This quiz will cover key clusters of behaviors, diagnostic criteria, and the impact on development. Gain insights into addressing these challenges for effective intervention.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser