Determinants of symptom profile and severity of conduct disorder in a tertiary level pediatric care set up: A pilot study

Jayaprakash, R; Rajamohanan, K; Prabhakaran, Anil

doi:10.4103/0019-5545.146511

Cited by 8 publications

(9 citation statements)

References 22 publications

(30 reference statements)

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“…This finding suggests that a tailored therapeutic approach to treating these age-specific traits of CD would be crucial to have promising outcomes in symptom management. Similar to Jayaprakash et al [9], the authors highlighted the importance understanding age-specific traits and incorporating a dual parent-physician therapeutic relationship to have beneficial effects [10].…”

Section: Resultsmentioning

confidence: 88%

“…A commonality across the four studies included under the treatment topic emphasizes the involvement of the family to produce favorable outcomes in symptom management. Jayaprakash et al [9] aimed to analyze the symptom profile and severity of childhood-onset CD in tertiary level care in their study. A descriptive clinical-based outpatient study design was utilized to examine a sample of 60 children in terms of clinical history, observation, and family and schoolteacher evaluation interviews.…”

Section: Resultsmentioning

confidence: 99%

“…Johnson and colleagues [10], similar to Jayaprakash et al [9], aimed to discover whether the childhood-onset subtype of CD, compared to adolescent-onset subtype, requires a tailored treatment plan to ensure favorable outcomes in their study. A qualitative interview study design was utilized to investigate 43 subjects and compare childhood-onset antisocial youths with adolescent-onset antisocial youths with CD.…”

Section: Resultsmentioning

confidence: 99%

“…These persistent disruptive management problems in early childhood, such as defiance, non-compliance, and impulsivity, directly affects not only the youth in question, but also their immediate social network, peers, and family members [8]. Early detection and intervention is important to increase the chances for a positive outcome for all affected, such as reducing the emotional strain on parents and internalizing thoughts of siblings [8,9]. Externalizing spectrum disorders, such as CD and ADHD, contribute significant costs on youth, families, and society with regards to academic underachievement, criminality, unemployment, and incarceration [7,9].…”

Section: Discussionmentioning

confidence: 99%

“…Early detection and intervention is important to increase the chances for a positive outcome for all affected, such as reducing the emotional strain on parents and internalizing thoughts of siblings [8,9]. Externalizing spectrum disorders, such as CD and ADHD, contribute significant costs on youth, families, and society with regards to academic underachievement, criminality, unemployment, and incarceration [7,9]. Previously, externalizing spectrum disorders have been treated as individual problems; however, high comorbidity and continuity suggests shared etiology between them [7,9].…”

Section: Discussionmentioning

confidence: 99%

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Assessment and Treatment of Childhood-Onset Conduct Disorder: A Literature Review

Szorady

2023

URNCST Journal

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Introduction: Conduct disorder (CD) is among the most highly represented diagnostic issues in child psychiatry. Current research suggests that early-onset CD is predictive of a worse prognosis and trajectory than other CD subtypes if not subsequently met with appropriate psychological assessment and symptom management. This paper aims to provide an overview of the literature from 2014 to 2021 in assessment and intervention protocols that target childhood-onset type specific CD, and appraise associated barriers implicated by the findings. Methods: This review involved a thorough literature search in electronic databases to extract empirical studies directly related to childhood-onset CD. The review was performed on PsycINFO and PubMed using the following search words: “conduct disorder(s)” OR “CD” OR “conduct disordered”, AND “child(hood)-onset” OR “elementary-onset” OR “early-onset”, AND “assessment” OR “evaluation” OR “examination”, AND “intervention” OR “treatment” OR “symptom management”. Results: Based on trends, articles were sorted into three common topics: assessment, treatment, and barriers to psychological services. The studies demonstrated the importance of sensitive and specific assessment tools, neural measures, behavioural markers, and the limited prosocial emotions (LPE) specifier. The results indicated that comorbidities, tailored school- and family-based intervention, parent-child conflict, and the LPE specifier in addition to the age-of-onset subtype is an area of research for clinicians. Discussion: Research has shown that childhood-onset CD, compared to other age-of-onset subtypes, is associated with individual risk factors such as neurological and cognitive deficits, poor emotion regulation, familial maladaptive parenting styles, and evocative family instability. While research has focused on dispositional risk factors for this heterogenous disorder, it is important to shift the focus to evidence-based clinical assessment and treatment strategies tailored to the poor prognosis of this subtype. Future research should examine current assessment sensitivity and appraise key stakeholders in early identification and treatment. Conclusion: Early detection and intervention will increase the chances of a positive outcome for all parties, which includes reducing emotional strain and internalizing thoughts of caregivers and teachers and preventing antisocial personality disorder in adulthood. Normative treatment options for childhood-onset CD coincides with individual risk factors, further research will have implications in identifying and providing early care to at-risk children.

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Section: Resultsmentioning

confidence: 88%

Section: Resultsmentioning

confidence: 99%