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December 12, 2016 00:03

Conduct disorder in children : causes, symptoms , diagnosis, treatment

conduct disorder - a recurrent or persistent behavior, prejudicing the rights of others or major age-appropriate societal norms and rules.Diagnosis is based on history data.The treatment with proven efficacy does not exist, and many children require significant control.

prevalence of conduct disorder (CD) is about 10%.There disorder usually seen in older children and adolescents is more common in boys.The etiology is set to a complex interaction of genetic and environmental factors.Parents of adolescents with conduct disorder often abuse drugs, commit anti-social behavior, often in history have marked ADHD, mood disorders, schizophrenia, or antisocial personality disorder.However, conduct disorder can occur in children from wealthy, healthy families.

Symptoms conductive rasstroysta children

In children and adolescents with conduct disorder is absent or insufficient sensitivity to the feelings and well-being of others, they mistakenly perceive the behavior of others as threatening.They can be aggre

ssive, a bully and intimidating, threatening or using weapons, committing actions related to physical violence, or forcing someone into sexual activity, it is completely or almost no feeling of pity and remorse.In some cases, their aggression and cruelty directed at animals.These children and young people can participate in property destruction, cheat and steal.They can not tolerate the unmet needs and often irresponsible, break the rules and prohibitions of parents (eg, running away from home, often skipping school).Aberrant behavior is different in males and females: the boys are prone to fights, vandalism, theft;girls tend to lie and escape prostitution.Individuals of both sexes are often marked difficulty in school, they are prone to abuse illicit drugs.Often there are suicidal thoughts, suicide attempts should be taken seriously.

conduct disorder is diagnosed when a child or adolescent shows 3 or more feature in the last 12 months and at least 1 of the last 6 months.Symptoms or actions should be expressed enough to break relationships with others, at school and at work.

Prognosis and treatment in children conductive rasstroysta

In most cases, the behavior of normal with age, but about 1/3 of the cases the symptoms persist.However, many patients meet the criteria for antisocial personality disorder.Early onset is associated with a worse prognosis.Some developed in the subsequent mood disorders, somatoform and anxiety disorders, disorders associated with substance use and psychotic disorders, starting at a young age.In children and adolescents with conduct disorder increased the likelihood of having other physical and mental illnesses.

Treatment of comorbidity with drug therapy and psychotherapy can improve self-esteem and self-monitoring of the patient and ultimately improves the control of conduct disorder.Moralization and reproaches are ineffective and should be avoided.Individual psychotherapy, including cognitive therapy and behavior modification, can be effective.Often only isolation from the environment, discipline and constant behavioral therapy give hope of success.