Review of Treating the unmanageable adolescent: A guide to oppositional defiant and conduct disorders.

Psychotherapy ◽  
1997 ◽  
Vol 34 (2) ◽  
pp. 222-223
Author(s):  
Jackson P. Rainer
Author(s):  
BENJAMIN B. LAHEY ◽  
ROLF LOEBER ◽  
HERBERT C. QUAY ◽  
PAUL J. FRICK ◽  
JAMES GRIMM

2018 ◽  
Vol 21 (2) ◽  
pp. 45-52 ◽  
Author(s):  
Charlotte Waddell ◽  
Christine Schwartz ◽  
Caitlyn Andres ◽  
Jenny Lou Barican ◽  
Donna Yung

QuestionOppositional defiant and conduct disorders (ODD and CD) start early and persist, incurring high individual and collective costs. To inform policy and practice, we therefore asked: What is the best available research evidence on preventing and treating these disorders?Study selection and analysisWe sought randomised controlled trials (RCTs) evaluating interventions addressing the prevention or treatment of behaviour problems in individuals aged 18 years or younger. Our criteria were tailored to identify higher-quality RCTs that were also relevant to policy and practice. We searched the CINAHL, ERIC, MEDLINE, PsycINFO and Web of Science databases, updating our initial searches in May 2017. Thirty-seven RCTs met inclusion criteria—evaluating 15 prevention programmes, 8 psychosocial treatments and 5 medications. We then conducted narrative synthesis.FindingsFor prevention, 3 notable programmes reduced behavioural diagnoses: Classroom-Centered Intervention; Good Behavior Game; and Fast Track. Five other programmes reduced serious behaviour symptoms such as criminal activity. Prevention benefits were long term, up to 35 years. For psychosocial treatment, Incredible Years reduced behavioural diagnoses. Three other interventions reduced criminal activity. Psychosocial treatment benefits lasted from 1 to 8 years. While 4 medications reduced post-test symptoms, all caused important adverse events.ConclusionsConsiderable RCT evidence favours prevention.Clinical implicationsEffective prevention programmes should therefore be made widely available. Effective psychosocial treatments should also be provided for all children with ODD/CD. But medications should be a last resort given associated adverse events and given only short-term evidence of benefits. Policymakers and practitioners can help children and populations by acting on these findings.


Author(s):  
Ronald T. Brown ◽  
David O. Antonuccio ◽  
George J. DuPaul ◽  
Mary A. Fristad ◽  
Cheryl A. King ◽  
...  

1994 ◽  
Vol 23 (1) ◽  
pp. 56-68 ◽  
Author(s):  
Mary F. Russo ◽  
Rolf Loeber ◽  
Benjamin B. Lahey ◽  
Kate Keenan

2000 ◽  
Vol 34 (3) ◽  
pp. 453-457 ◽  
Author(s):  
Joseph M. Rey ◽  
Garry Walter ◽  
Jon M. Plapp ◽  
Elise Denshire

Objective: This study aims to ascertain whether there were differences in family environment among patients with attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder and conduct disorder. Method: The records of 233 patients, selected for high or low scores on a scale that taps ADHD symptoms, were reviewed by three clinicians who made DSM-IV diagnoses and rated the family environment with the Global Family Environment Scale (GFES). Self-report data obtained from the parent and child versions of the Child Behaviour Checklist were also used. The quality of the family environment was then compared between the various diagnostic groups. Results: A poorer family environment was associated with conduct disorder and oppositional defiant disorder and predicted a worse outcome (e.g. admission to a non-psychiatric institution, drug and alcohol abuse). Quality of the family environment did not vary according to ADHD diagnosis or gender. Conclusions: There seems to be no association between the quality of the family environment and a diagnosis of ADHD among referred adolescents. However, there is an association with conduct disorder. Interventions that improve family environment in the early years of life may prevent the development of conduct problems.


2015 ◽  
Vol 27 (3) ◽  
pp. 326-337 ◽  
Author(s):  
Anja Goertz-Dorten ◽  
Christina Benesch ◽  
Christopher Hautmann ◽  
Emel Berk-Pawlitzek ◽  
Martin Faber ◽  
...  

Author(s):  
V. Mark Durand

Disorders of development include a range of disorders first evidenced in childhood. Although most disorders have their origins in childhood, a few fully express themselves before early adulthood. This chapter describes the nature, assessment, and treatment of the more common disorders that are revealed in a clinically significant way during a child’s developing years. The disorders of development affect a range of functioning from single skills deficits to more pervasive problems that negatively impact a child’s ability to function. Included is coverage of several disorders usually diagnosed first in infancy, childhood, or adolescence, including the neurodevelopmental disorders (e.g., attention-deficit/ hyperactivity disorder, autism spectrum disorder, communication disorders, intellectual disability, and specific learning disorder) and the disruptive, impulse control, and conduct disorders (e.g., oppositional defiant disorder, conduct disorder). Recommendations for future research on the potential for advancing knowledge regarding spectrums within some of these disorders as well as recommendations for treatment are outlined.


Author(s):  
Ingrid Carla Brussier

This chapter investigates the psychological, physiological, and social aspects of conduct disorder (CD) and oppositional defiant disorder (ODD). These disorders are classified in the disruptive, impulse-control, and conduct disorders class in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (2013). This chapter will consider the symptoms of ODD and CD and their effect on a child's social and biological development. The most common consequences of the disorders will be discussed: for example, the risk for other psychopathologies, social adversities, delinquency, and aggression. These severe outcomes signal the need for therapy options for children and adolescents and the assessment of their efficacy.


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