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13 - Conduct disorders in young children

Published online by Cambridge University Press:  21 August 2009

Veira Bailey
Affiliation:
Maudsley Hospital, London, UK
Philip J. Graham
Affiliation:
Institute of Child Health, University College London
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Summary

Conduct disorder (CD) is a term used to describe behaviour which includes: excessive levels of fighting or bullying; cruelty to animals or other people; severe destructiveness to property; fire-setting, stealing and repeated lying; frequent and severe temper tantrums; defiant provocative behaviour and persistent severe disobedience; and truanting from school and running away from home. As a child grows, not only do problems escalate but the response to treatment is reduced (Olweus, 1979; Patterson, 1982). Longitudinal studies indicate that CD is relatively stable over time and predicts antisocial behaviour in adult life: there are increased rates of delinquency and antisocial personality disorders (Farrington, 1995). Follow-up studies suggest high rates not only for alcoholism, substance abuse, physical illness, suicide and accidental death but also for widespread social dysfunction, with poor work records and difficulties in all relationships, including marital relationships (Robins and Rutter, 1990).

The prediction of antisocial behaviour is stronger for men than for women. For girls, CD in childhood predicts depression and anxiety disorders more strongly than antisocial behaviour and substance abuse (Robins and Price, 1991).

In addition to antisocial behaviours, there may be coexisting attention deficit and hyperactivity, frequently including cognitive deficits and academic failure (Moffitt, 1990a, b; Moffitt and Henry, 1991; Farrington, 1995). This is associated with particularly poor outcome (Sturge, 1982; Taylor et al., 1996).

Younger children are more likely to show the signs of oppositional defiant disorder (ODD) which is classified as a subtype of CD in ICD-10 (World Health Organization, 1996), characterized by markedly defiant, disobedient and disruptive behaviour that does not include delinquent acts or the more extreme forms of aggressive or antisocial behaviour.

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Publisher: Cambridge University Press
Print publication year: 2004

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References

American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th edn. Washington, DC: American Psychiatric Association
Bailey, V. and Vickers, B. (2003). Cognitive behavioural group work with children. In E. Garralda and C. Hyde (eds.), Managing Children with Psychiatric Problems. London: BMJ Books, pp. 79–95
Barkley, R. A. (1990). Attention-Deficit Hyperactivity Disorder. A Handbook for Diagnosis and Treatment, 2nd edition. New York: Guilford Press
Behar, L. B. and Springfield, S. (1974). A behaviour rating scale for the preschool child. Developmental Psychology, 10, 601–10CrossRefGoogle Scholar
Brestan, E. V. and Eyberg, E. M. (1998). Effective psychosocial treatments of children with CD and adolescents: 29 years, 82 studies and 5272 kids. Journal of Clinical Child Psychology, 27, 180–9CrossRefGoogle Scholar
Burke, J. D., Loeber, R. and Birnaher, B. (2002). Oppositional defiant disorder and conduct disorder: a review of the past ten years. Part II. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1275–93CrossRefGoogle Scholar
Camp, B. W. and Bash, M. A. S. (1985). Think Aloud: Increasing Social and Cognitive Skills – A Problem-Solving Programme for Children. Champaign, IL: Research Press
Clark, H. B., Risley, T. R. and Cataldo, M. F. (1976). Behavioral technology for the normal middle-class family. In E. J. Mash., L. A. Hamerlynk and L. C. Hardy (eds.), Behavior Modification and Families. New York: Brunner/Mazel
Conners, C. C. (1969). A teacher rating scale for use in drug studies with children. American Journal of Psychiatry, 126, 884–6CrossRefGoogle ScholarPubMed
Crick, N. R. and Dodge, K. A. (1994). A review and reformulation of social information processing mechanisms in childrens' social adjustment. Psychological Bulletin, 115, 74–101CrossRefGoogle Scholar
Dadds, M. R., Schwartz, S. and Sanders, M. R. (1987). Marital discord and treatment outcome in behavioral treatment of child conduct disorders. Journal of Consulting and Clinical Psychology, 55, 396–403CrossRefGoogle ScholarPubMed
Dishion, T. J., McCord, J. and Paulin, E. (1999). When interventions harm: peer groups and problem behaviour. American Psychologist, 54, 755–64CrossRefGoogle Scholar
Dodge, K. A. (1986). Attributional bias in aggressive children. In P. C. Kendall (ed.), Advances in Cognitive-Behavioral Research and Therapy. San Diego: Academic Press, pp. 71–100
Dodge, K. A. and Newman, J. P. (1981). Biased decision-making processes in aggressive boys. Journal of Abnormal Psychology, 90, 375–9CrossRefGoogle ScholarPubMed
Dodge, K. A., Price, J. M., Bachorowski, J. and Newman, J. P. (1990). Hostile attributional biases in severely aggressive adolescents. Journal of Abnormal Psychology, 99, 385–92CrossRefGoogle ScholarPubMed
D'Zurilla, T. J. and Nezu, A. (1982). Social problem-solving in adults. In P. C. Kendall (ed.), Advances in Cognitive Behavioral Research and Therapy, Volume 1. New York: Academic PressCrossRef
Farmer, E. M. Z., Compton, S. N., Burus, J. B. and Robertson, E. (2002). Review of the evidence base for treatment of childhood psycopathology: externalizing disorders. Journal of Consulting and Clinical Psychology, 70, 1267–302CrossRefGoogle Scholar
Farrington, D. P. (1995). The development of offending and anti-social behaviours from childhood: key findings from the Cambridge Study in Delinquent Development. Journal of Child Psychology and Psychiatry, 36, 929–64CrossRefGoogle Scholar
Forehand, R. L. and McMahon, R. J. (1981). Helping the Non-Compliant Child: A Clinician's Guide to Parent Training. New York: Guilford Press
Garrison, S. T. and Stolberg, A. G. (1983). Modification of anxiety in children by affective imagery training. Child Psychology, 11, 115–30Google Scholar
Goodman, R. (1997). The strengths and difficulties questionnaire: a research note. Journal of Child Psychology and Psychiatry, 38, 581–6CrossRefGoogle ScholarPubMed
Goodman, R., Meltzer, H. and Bailey, V. (1998). Strengths and difficulties questionnaire: a pilot study on the validity of the self-report measure. European Child and Adolescent Psychiatry, 7, 125–30CrossRefGoogle Scholar
Herbert, M. (1987). Behavioural Treatment of Children with Problems: A Practice Manual. London: Academic Press/Harcourt Brace Jovanovich
Hinshaw, S. P., Henker, B. and Whalen, C. K. (1984). Cognitive behavioral and pharmacological interventions for hyperactive boys: comparative and combined effects. Journal of Consulting and Clinical Psychology, 52, 739–49CrossRefGoogle Scholar
Hoagwood, K. (2001). Evidence-based practice in children's mental health services: what do we know? Why aren't we putting it to use?Report on Emotional and Behavioral Disorders in Youth, I, 84–7Google Scholar
Kazdin, A. E. (1996). Combined and multimodal treatments in child and adolescent psychotherapy: issues, challenges and research directions. Clinical Psychology: Science and Practice, 3, 69–100Google Scholar
Kazdin, A. E. (1997). Practitioner review: psychosocial treatments for conduct disorder in children. Journal of Child Psychology and Psychiatry, 38, 161–78CrossRefGoogle ScholarPubMed
Kazdin, A. E., Esveldt-Dawson, K., French, A. E. and Unis, A. S. (1987). Problem-solving skills training and relationship therapy in the treatment of antisocial child behavior. Journal of Consulting and Clinical Psychology, 55, 76–85CrossRefGoogle ScholarPubMed
Kazdin, A. E., Siegel, T. and Bass, D. (1992). Cognitive problem-solving skills and parent management training in the treatment of antisocial behaviors in children. Journal of Consulting and Clinical Psychology, 60, 733–47CrossRefGoogle ScholarPubMed
Kendall, P. C. (1989). Stop and Think Workbook. Merrion Station, PA: Workbooks
Kendall, P. C. and Bartel, N. R. (1990). Teaching Problem-Solving for Students with Learning and Behavior Problems: A Manual for Teachers. Merrion Station, PA: Workbooks
Kupersmidt, J. G., Core, J. D. and Dodge, K. A. (1990). The role of peer relationships in the development of disorders. In G. R. Asher and J. D. Coie (eds.), Peer Rejection in Childhood. Cambridge: Cambridge University Press, pp. 274–308
Light, D. and Bailey, V. (1993). Pound foolish. Health Service Journal, 11, 16–18Google Scholar
Lochman, J. E. (1987). Self and peer perceptions and attributional biases of aggressive and non-aggressive boys in dyadic interactions. Journal of Consulting and Clinical Psychology, 55, 404–10CrossRefGoogle Scholar
Lochman, J. E. and Curry, J. F. (1986). Effects of social problem-solving training and self-instruction with aggressive boys. Journal of Consulting and Clinical Psychology, 15, 159–64Google Scholar
Lochman, J. E., Lampron, L. B., Gemmer, T. C., Harris, R. and Wyckoff, G. M. (1987). Anger coping intervention with aggressive children: a guide to implementation in school settings. In P. A. Keller and S. R. Heyman (eds.), Innovations in Clinical Practice: A Source Book. Professional Resource Exchange, pp. 339–56
Lochman, J. E., White, K. J. and Wayland, K. K. (1991). Cognitive behavioral assessment and treatment with aggressive children. In P. C. Kendall (ed.), Child and Adolescent Therapy: Cognitive Behavioral Procedures. New York: Guilford Press, pp. 25–65
Matthys, W., Cuperus, J. M. and Engeland, H. (1999). Deficient social problem-solving in boys with ODD/CD with ADHD and with both disorders. American Academy of Child and Adolescent Psychiatry, 38, 311–21CrossRefGoogle ScholarPubMed
McMahon, R. J. and Forehand, R. (1978). Non-prescriptive behavior therapy: effectiveness of a brochure in teaching mothers to correct their child's inappropriate mealtime behaviours. Behaviour Therapy, 9, 814–20CrossRefGoogle Scholar
Meichenbaum, D. and Goodman, J. (1971). Training impulsive children to talk to themselves: a means of developing self-control. Journal of Abnormal Psychology, 77, 115–26CrossRefGoogle ScholarPubMed
Moffitt, T. E. (1990a). The neuropsychology of delinquency: a critical review of theory and research. In N. Morris and M. Tonry (eds.), Crime and Justice: An Annual Review of Research, Vol. 12. Chicago: University of Chicago Press, pp. 99–169
Moffitt, T. E. (1990b). Juvenile delinquency and attention deficit disorder: boys' developmental trajectories from age 3 to age 15. Child Development, 61, 893–910CrossRefGoogle Scholar
Moffitt, T. E. (1993). Adolescence-limited and life-course-persistent antisocial behaviors: a developmental taxonomy. Psychological Review, 100, 674–701CrossRefGoogle ScholarPubMed
Moffitt, T. E. and Henry, B. (1991). Neuropsychological studies of juvenile delinquency and juvenile violence. In J. S. Milner (ed.), Neuropsychology of Aggression. Boston: Kluwer Academic Publishers, pp. 67–91CrossRef
Mulvey, E., Ashton, M., Reppucci, N. (1993). The prevention and treatment of juvenile delinquency. Clinical Psychology Review, 13, 133–67CrossRefGoogle Scholar
Offord, D. R. (1989). Conduct disorders: risk factors and prevention. In D. Shaffer, I. Philips, N. B. Enzer and M. M. Silverman (eds.), Prevention of Mental Disorders, Alcohol and Other Drug Use in Children and Adolescents. Rockville, MD: US Department of Health and Human Services, pp. 273–307
Olweus, D. (1979). Stability of aggressive behavior patterns in males: a review. Psychological Bulletin, 86, 852–75CrossRefGoogle ScholarPubMed
Olweus, D. (1994). Bullying at school: basic facts and effects of a school based intervention programme. Journal of Child Psychology and Psychiatry, 35, 1171–90CrossRefGoogle Scholar
Patterson, G. R. (1980). Mothers: the unacknowledged victims. Monographs for the Society for Research in Child Development, 45, 1–64CrossRefGoogle Scholar
Patterson, G. R. (1982). Coercive Family Process. Eugene, OR: Castalia
Patterson, G. R. (1991). Performance models for antisocial boys. American Psychologist, 41, 432–44CrossRefGoogle Scholar
Prinz, R. J. and Miller, G. E. (1994). Family based treatment for childhood antisocial behavior: experimental influence on dropout and engagement. Journal of Consulting and Clinical Psychology, 62, 645–50CrossRefGoogle Scholar
Richardson, J. and Joughin, C. (2002). Parent Training Programmes for the Management of Young Children with CDs: Findings from Research. London: Royal College of Psychiatrists
Robins, L. N. and Price, R. K. (1991). Adult disorders predicted by childhood conduct problems: results from the NMH Epidemiologic Catchment Area Project. Psychiatry, 54, 116–32CrossRefGoogle Scholar
Robins, L. N. and Rutter, M. (eds.) (1990). Straight and Devious Pathways from Childhood to Adulthood. Oxford: Oxford University Press
Routh, D. K. (1978). Hyperactivity. In P. Magrab (ed.), Psychological Management of Pediatric Problems, 2. Baltimore: University Park Press
Sanders, M. R. and McFarland, M. T. (2000). Treatment of depressed mothers with disruptive children: a controlled study of cognitive behavioral family intervention. Behavior Therapy, 31, 89–112CrossRefGoogle Scholar
Scott, S. (2002). Parent training programmes. In M. Rutter and E. Taylor (eds.), Child and Adolescent Psychiatry. Oxford: Blackwell Publishing, pp. 949–67
Scott, S., Knapp, M., Henderson, J. and Maughan, B. (2001a). Financial cost of social exclusion: follow-up study of antisocial children into adulthood. British Medical Journal, 323, 194–7CrossRefGoogle Scholar
Scott, S., Spender, Q., Doolan, M., Jacobs, B. and Aspland, H. (2001b). Multicentre controlled trial of parenting groups for child antisocial behaviour in clinical practice. British Medical Journal, 323, 194–7CrossRefGoogle Scholar
Slaby, R. G. and Guerra, N. G. (1988). Cognitive mediators of aggression in adolescent offenders: 1. Assessment. Developmental Psychology, 24, 4, 580–8CrossRefGoogle Scholar
Spivack, G., Platt, J. J. and Shure, M. B. (1976). The Problem-Solving Approach to Adjustment. San Francisco: Jossey-Bass
Sturge, C. (1982). Reading retardation and antisocial behaviours. Journal of Child Psychology and Psychiatry, 23, 21–31CrossRefGoogle Scholar
Sylva, K. and Hurry, J. (1995). Early Intervention in Children with Reading Difficulties. Research Monograph Series. London: School Curriculum Assessment Authority
Taylor, E., Chadwick, O., Heptinstall, E. and Danckaerts, M. (1996). Hyperactivity and conduct problems as risk factors for adolescent development. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1213–26CrossRefGoogle ScholarPubMed
Webster-Stratton, C. (1982). Teaching mothers through video tape modelling to change their children's behaviors. Journal of Paediatric Psychology, 1, 279–94CrossRefGoogle Scholar
Webster-Stratton, C. (1989a). Predictors of treatment outcome in parent training for children with CD. Behaviour Therapy, 16, 223–43CrossRefGoogle Scholar
Webster-Stratton, C. (1989b). Systematic comparison of consumer satisfaction of three cost-effective parent training programmes for conduct problem children. Behaviour Therapy, 20, 103–15CrossRefGoogle Scholar
Webster-Stratton, C. (1994). Advancing videotape parent training: a comparison study. Journal of Consulting and Clinical Psychology, 62, 583–93CrossRefGoogle ScholarPubMed
Webster-Stratton, C. and Hammond, M. (1997). Treating children with early-onset conduct problems: a comparison of child and parent training interventions. Journal of Consulting and Clinical Psychology, 65, 93–109CrossRefGoogle ScholarPubMed
Webster-Stratton, C. and Spitzer, A. (1991). Development, reliability and validity of a parent's daily telephone discipline interview: DDI. Behavioural Assessment, 13, 221–39Google Scholar
Webster-Stratton, C., Reid, J. and Hammond, M. (2001). Social skills and problem-solving training for children with early onset conduct problems: who benefits?Journal of Child Psychology and Psychiatry, 42, 943–52CrossRefGoogle ScholarPubMed
Wheldall, K. and Lam, Y. Y. (1987). Rows versus tables. II. The effects of two classroom seating arrangements on classroom disruption rate, on-task behaviour and teacher behaviours in three special school classes. Educational Psychology, 7, 303–12CrossRefGoogle Scholar
Wheldall, K. and Merrett, F. (1991). Effective classroom behaviour management: positive teaching. In K. Wheldall (ed.), Discipline in Schools: Psychological Perspectives on the Elton Report. London: Routledge, pp. 46–65
Wimsberg, B. G., Bialer, I., Jupietz, S., Botti, E. and Balka, E. (1980). Home versus hospital care of children with behavior disorders. Archives of General Psychiatry, 37, 413–18CrossRefGoogle Scholar
World Health Organization (1996). Multiaxial Classification of Childhood and Adolescent Psychiatric Disorders: The ICD-10 Classification of Mental and Behavioural Disorders in Children and Adolescents. Cambridge: Cambridge University Press

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