This video presents the conduct disorder in the light of DSM 5.
Conduct disorder has a repetitive and persistent pattern of behaviors that must be carefully evaluated by the doctor who closes the diagnosis. Criterion A, for example, provides for aggression against people and animals, destruction of property, falsehood or theft, and serious breaches of rules. We will understand a little better each one of these items of criterion A: the first item is aggression against people or animals, in this topic there are provocations, threats, intimidation to start physical fights, the use of various weapons such as stones, batons and etc. Cruelty to people, cruelty to animals, eventually he has stolen or even forced the sexual act.
In the second item of property destruction, it is foreseen that it has already promoted, or tried to promote, fires or that it has damaged the property, such as breaking the glass of a car or the window of a house, among other criteria.
The criterion of falsehood or theft, provides for invasion of houses and invasion of other people's cars. Very frequent lies. cheating habits and even theft without confrontation. In the criterion of serious violations of rules we have the absence, without parental authorization, this occurring before the age of 13. Running away from home or the shelter you are living in and skipping classes without consent, also before the age of 13.
There are other criteria, the important thing is that the conduct disorder causes impairment in social, academic and also professional functioning. In addition, the criteria for social anxiety disorders are not met, of course when dealing with people over 18 years old. When the psychiatrist closes the diagnosis of conduct disorder he has to indicate which subtype. There are three possible subtypes, the first is that of childhood onset, that is, it already had a symptom before the age of 10; the second subtype is that beginning in adolescence, that is, without symptoms before the age of 10 and the third is when the beginning is not specified because it is not known when the behaviors started to appear.
In addition, a specification is necessary in this diagnosis, and that specification is related to very limited prosocial emotions and there are four pillars to be considered: the first is the absence of remorse it occupies, the second is the insensitivity that reports a great lack of empathy, the third a total lack of concern about performance and the fourth reports superficial or even deficient affection. It is also important to note that these patients find other people far more hostile and threatening than they really are. Many of them have negative affectivity and low control that can be evidenced, for example, by irritability, outbursts, distrust, insensitivity to punishments, search for strong emotions and even recklessness. It is important to note that patients with conduct disorder may experience suicidal ideation, attempted suicide and even suicide in their behavior. Prevalence data from dsm 5 report something between 2 and 10% with an average of 4% and also emphasizes that the incidence is much higher in males and females.
Among the risk factors and prognosis of conduct disorder we can highlight:
those temperamental ones, for example, the child temperament of difficult control and also the intelligence below the average. Environmental ones, such as parental neglect rejection, aggressive discipline, physical, sexual abuse, parental crime and others. In addition to these factors, genetic and physiological factors are also reported, for example, parents and siblings, and there may be biological or adoptive siblings, they are an important factor. Also, if the parents have other mental disorders.
It is also worth mentioning that there are behavioral differences between boys and girls, in girls the most observed behaviors are: lying, skipping classes, running away from home, substance abuse and prostitution. Among boys the most observed are fights, thefts, vandalism and even disciplinary problems. Regarding the functional consequences, we can highlight mainly school suspension and expulsion, legal problems due to theft and robbery, problems at work, when they are able to adapt themselves to some workplace; sexually transmitted infections due to the promiscuity that can border on prostitution, likewise unplanned pregnancies due to this promiscuous behavior, and of course, are exposed to different types of physical injuries.
Негізгі бет Conduct disorder: DSM-5
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