Intermittent Explosive Disorder in Children

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is a common characteristic of aggression in children with Intermittent Explosive Disorder (IED)?

They often show aggression towards teachers only.

They rarely feel remorse after aggressive acts.

Their aggression is typically directed towards family or friends. (correct)

They usually feel in control during aggressive outbursts.

Which behavior is not typically associated with Intermittent Explosive Disorder (IED)?

Bullying.

Physical assault.

Aggression towards family members.

Calm and cooperative interactions. (correct)

Which of the following is an example of covert symptoms of conduct problems?

Lying. (correct)

Robbery.

Breaking and entering.

Physical assault.

How do children typically feel after showing aggressive behavior during an outburst related to IED?

Remorseful. Signup and view all the answers

What type of behaviors are not characteristic of children with IED?

Planning and executing complex crimes. Signup and view all the answers

Which of the following best describes the nature of overt symptoms in conduct problems?

They involve visible and confrontational antisocial acts. Signup and view all the answers

Which behavior is indicative of aggression directed at strangers in children with IED?

Feeling threatened or wronged. Signup and view all the answers

Which of the following is an example of antisocial behavior that may not involve physical aggression?

Lying. Signup and view all the answers

What behavioral characteristics are associated with children showing both conduct disorder (CD) and limited prosocial emotions?

They are often less responsive and resistant to treatment Signup and view all the answers

What act did Cade commit that resulted in significant damage and led to his first arrest?

Vandalizing school properties Signup and view all the answers

Cade's fascination with which of the following activities caused the most concern for his psychologist?

Building bombs Signup and view all the answers

Which behavior demonstrates Cade's lack of empathy towards others?

Deliberately provoking and hurting classmates Signup and view all the answers

What was the nature of Cade's behavior when he used a box cutter?

He injured a classmate during a fight Signup and view all the answers

Which statement best describes Cade's relationships with peers by sixth grade?

He had few friends his own age and preferred older boys Signup and view all the answers

What evidence is there that Cade showed early signs of antisocial behavior?

He cut all the whiskers off a cat Signup and view all the answers

What is the approximate percentage of youths meeting the criteria for Oppositional Defiant Disorder (ODD)?

3.3% Signup and view all the answers

How much more likely are boys to develop Conduct Disorder (CD) compared to girls across all ages?

Thrice as likely Signup and view all the answers

What is the lifetime prevalence of Conduct Disorder (CD) in boys?

5% to 10% Signup and view all the answers

What condition is most commonly associated with Conduct Disorder in youths?

Substance use problems Signup and view all the answers

Which gender is more likely to develop comorbid anxiety and depression?

Girls Signup and view all the answers

What is the common set of genes believed to predispose children towards?

ADHD and conduct problems Signup and view all the answers

Which factor is a strong predictor of anxiety and depression in children with ODD?

Symptoms of anger and irritability Signup and view all the answers

What does the dual failure model posits concerning conduct problems?

They lead to failure in important life areas Signup and view all the answers

What is a significant limitation of Parent Management Training (PMT)?

It is often difficult to access trained therapists. Signup and view all the answers

Which type of parenting does Authoritative parenting emphasize?

High demandingness and high responsiveness. Signup and view all the answers

Which group of families does Parent-Child Interaction Therapy (PCIT) specifically target?

Families with disruptive preschoolers or young school-age children. Signup and view all the answers

According to Baumrind's developmental theory, which type of parenting leads to children's behavior problems?

Indulgent parenting. Signup and view all the answers

What aspect of PMT is less effective for certain parents?

Single or low-income parents. Signup and view all the answers

What role do therapists play in Parent-Child Interaction Therapy (PCIT)?

They coach parents and children in real-time interactions. Signup and view all the answers

What do low levels of both demandingness and responsiveness represent in Baumrind's parenting styles?

Uninvolved parenting. Signup and view all the answers

Which parenting style sets high expectations and provides support to help children meet those expectations?

Authoritative parenting. Signup and view all the answers

What is the primary goal of Problem-solving skills training (PSST)?

To teach adaptive ways to problem-solve Signup and view all the answers

Which of the following is NOT a step in the problem-solving process of PSST?

Choosing a random action Signup and view all the answers

How long do treatment effects from PSST typically last?

For one year Signup and view all the answers

Which treatment shows better outcomes when combined with Problem-solving skills training?

Parent Management Training Signup and view all the answers

What does Aggression Replacement Training aim to provide to adolescents?

Skills needed for prosocial actions Signup and view all the answers

In problem-solving steps, what role does the therapist play during the practice?

A coach Signup and view all the answers

Which of the following statements about PSST is true?

PSST reduces symptoms more effectively than attention control. Signup and view all the answers

Which step immediately follows generating possible courses of action in PSST?

Evaluating possible courses of action Signup and view all the answers

What is the main focus of the Anger Regulation Training (ART)?

Enhancing social skills and moral reasoning Signup and view all the answers

What are the three main components of Anger Regulation Training?

Skillstreaming, anger control training, and moral reasoning training Signup and view all the answers

Which of the following is a feature of Multisystemic Therapy (MST)?

Family therapy and parental monitoring Signup and view all the answers

Based on Bronfenbrenner's ecological model, which factor is crucial in understanding a child's development?

Socio-cultural factors like family income and ethnicity Signup and view all the answers

What can be a consequence of insufficient parental monitoring according to the content?

Affiliations with deviant peers leading to antisocial behaviors Signup and view all the answers

How does the content describe the impact of community factors on children?

They can contribute to academic difficulties and deviant behaviors Signup and view all the answers

What is a potential benefit for parents involved in the treatment programs mentioned?

Improved techniques for better interactions with adolescents Signup and view all the answers

Which statement is true regarding the youths who undergo ART?

They exhibit improved moral reasoning and anger control. Signup and view all the answers

Study Notes

Conduct Problems in Children and Adolescents

Conduct problems are a significant concern, affecting up to 50% of children referred for mental health treatment.
DSM-5 categorizes conduct problems into three types: conduct disorder, oppositional defiant disorder, and intermittent explosive disorder.

Types of Conduct Problems

Conduct disorder: A pattern of behavior violating the rights of others or societal norms.
Oppositional defiant disorder (ODD): Characterized by angry/irritable mood, argumentative/defiant behavior, and vindictiveness.
Intermittent explosive disorder (IED): Repetitive angry outbursts resulting in verbal or physical aggression.

Effects of Conduct Problems

Conflict with caregivers and authority figures
Impaired relations with parents and teachers
Actions that violate societal standards and rights of others.
Adverse effects on children's behavioral and socio-emotional development.
Increased risk for interpersonal and occupational problems.

Oppositional Defiant Disorder (ODD)

DSM-5 disorder characterized by a pattern of angry/irritable mood, argumentative or defiant behavior, and vindictive behavior toward others.
Causes distress to parents, teachers, and other caregivers.
Adversely affects parent-child interactions.
Leads to negative impacts on children's educational and social activities.

Distinction with Normative Child Behavior

Developmental increase of oppositional and defiant behavior is normal in toddlers and preschoolers.
Clinically significant ODD behaviors involve the number and frequency of disruptive behaviors, and the child's overall development context.
Children with ODD display increased problematic behaviors compared to children without it.
Children with ODD consistently exhibit tantrums, arguments, and mean behaviors.
A substantial percentage (approximately 70%) of clinic-referred children exhibit tantrums and denial of adult requests

Diagnostic Criteria for Oppositional Defiant Disorder

A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months, evidenced by at least 4 symptoms from the categories below and exhibited during interaction with at least one non-sibling.
This pattern causes significant distress to the individual or others in their immediate social context (e.g., family, peer group), or negatively impacts areas of functioning (e.g., social, education).
The behaviors don't occur solely during a psychotic, substance use, depressive, or bipolar disorder.

Diagnosis

DSM-5 guidelines determine if disruptive symptoms are recurring enough to warrant diagnosis.
Most ODD symptoms occur daily in preschoolers and weekly in adolescents.
Children should demonstrate mean or vindictive behavior at least twice over 6 months.
Elevated norm-referenced behavior ratings beyond 93rd and 95th percentiles signify severe ODD.
ODD symptom categories include angry/irritable mood, argumentative/defiant behavior, and vindictiveness.
The relationship between symptoms and negative effects on life (e.g., depression, ADHD) can potentially be predicted.
Severity of symptoms occurring in only one setting (mild), two settings (moderate), or three or more settings (severe).

Conduct Disorder (CD)

DSM-5 disorder with a repetitive and persistent pattern of behavior violating the rights of others or major societal norms.
At least three of 15 criteria must be present in the past 12 months (with at least one in the past six months).
Categories include aggression to people/animals, destruction of property, deceitfulness/theft, and serious rule violations.

ODD and CD

ODD and CD can coexist.
Many children with ODD do not display the more severe symptoms of CD.
CD can be present in youth displaying no significant ODD symptoms.
CD is a predictor for future antisocial and substance use problems.
ODD is a predictor for both behavioral (defying, arguing) and emotional issues.

Case Studies

Case studies illustrate individuals diagnosed with ODD or CD.
Illustrate specific behaviors and challenges experienced by individuals diagnosed with Conduct Disorder.
Demonstrate specific family dynamics and coping strategies.

Intermittent Explosive Disorder (IED)

A disorder marked by repeated outbursts of anger resulting in verbal or physical aggression.
Recurrent outbursts, lasting for 3+ months, occurring at least twice monthly.
Outbursts exhibit emotional intensity grossly disproportionate to the provocation or stressor.
Outbursts lack premeditation and cause significant impairment or distress in daily functioning.
Chronological age is at least 6 years.

Signs and Symptoms (across disorders)

Overreaction to minor annoyances
Aggression frequently directed toward family/friends
Lack of remorse or emotional empathy
Conduct can range from mild disobedience and defiance to severe aggression

Causes, including:

Genetic factors
Shared environmental factors
Difficult temperament or emotional regulation
Hostile parenting
Low parental monitoring
Peer rejection
Neighborhood risk factors such as educational resources, inadequate monitoring, and high crime neighborhoods.

Treatment

Parent Management Training (PMT)
Parent-Child Interaction Therapy (PCIT)
Videotaped modeling
Problem-solving skills training (PSST)
Aggression Replacement Training (ART)
Multisystemic therapy (MST)

Prevalence

Prevalence statistics for ODD, CD, and IED are provided (broken down by gender and age groups.)

Associated Disorders

Common co-occurring conditions like ADHD and substance use issues are discussed.

Medications

Medications (e.g., methylphenidate, risperidone) and their potential effectiveness and side effects in treating conduct problems are examined.

Developmental Pathways (3 pathways)

This section details the different trajectories toward conduct problems, highlighting childhood onset, adolescent onset, and an ODD-only pathway.

What Works and Doesn't

This section evaluates the efficacy and limitations of various interventions. Examples of methods that prove ineffective, like incarceration, and methods proven better, like multisystemic therapy are provided.
Explains why certain interventions may be ineffective for treating conduct problems.

General Summary

This chapter outlines the concepts of conduct problems in children and adolescents, including types, factors, diagnosis, and treatment approaches.
It also covers prevalence, associated disorders, developmental pathways, and common treatment approaches for these conditions.

Studying That Suits You

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

Description

This quiz explores the characteristics and behaviors associated with Intermittent Explosive Disorder (IED) in children. It covers topics such as aggression, conduct problems, and emotional responses during outbursts. Test your knowledge about symptom descriptions and the implications of IED in children. Do not include anything about the case studies.