Exploring the clinical utility of the DSM-5 conduct disorder specifier of ‘with limited prosocial emotions’ in an adolescent inpatient sample

2016 ◽  
Vol 69 ◽  
pp. 116-131 ◽  
Author(s):  
Salome Vanwoerden ◽  
Tyson Reuter ◽  
Carla Sharp
Keyword(s):  
Conduct Disorder ◽  
Clinical Utility ◽  
Dsm 5 ◽  
Adolescent Inpatient ◽  
Limited Prosocial Emotions

scholarly journals Clinical Utility of the Limited Prosocial Emotions Specifier in the Childhood-Onset Subtype of Conduct Disorder

2019 ◽  
Vol 64 (12) ◽  
pp. 838-845 ◽  
Author(s):  
Michèle Déry ◽  
Vincent Bégin ◽  
Jean Toupin ◽  
Caroline Temcheff
Keyword(s):  
Conduct Disorder ◽  
Conduct Problems ◽  
Attention Deficit ◽  
Clinical Utility ◽  
Clinical Usefulness ◽  
Childhood Onset ◽  
Persistent Symptoms ◽  
Stable Pattern ◽  
Oppositional Defiant ◽  
Limited Prosocial Emotions

Objective: Clinicians may specify the diagnosis of conduct disorder (CD) as “with limited prosocial emotions” (LPE). This specifier is thought to identify youths with particularly severe and stable symptomatology. However, few studies have examined the clinical usefulness of the LPE specifier among children with childhood-onset CD. The current study examines whether the LPE specifier distinguishes children with particularly severe and persistent symptoms among those with childhood-onset CD. The study also aims to test whether the LPE specifier aids in identifying children with subclinical CD whose conduct problems are at risk of increasing. Method: Two hundred sixty-four children showing at least one CD symptom before age 10 were divided based on the presence of CD and the specifier. Children with and without the specifier were compared on number of CD symptoms (assessed at study inception) and trajectory of conduct problems (assessed over 4 years). The analyses controlled for oppositional defiant and attention deficit hyperactivity symptomatology. Results: Compared with children with CD but without LPE, children with CD and the LPE specifier did not differ on likelihood of endorsing most symptoms nor on total numbers of symptoms. Moreover, they did not show a more stable pattern of conduct problems across the 4 years. Children with subclinical CD with and without the LPE specifier were also similar in terms of their symptoms, severity, and evolution of their problems. Conclusions: Among youths with childhood-onset CD, the specifier appears to offer limited value in identifying those with particularly severe and stable CD symptomatology.

Störungen des Sozialverhaltens

2014 ◽  
Vol 42 (3) ◽  
pp. 177-184 ◽  
Author(s):  
Christina Stadler
Keyword(s):  
Conduct Disorder ◽  
Dsm 5 ◽  
Dsm Iv ◽  
Störungen Des Sozialverhaltens ◽  
Limited Prosocial Emotions

Störungen des Sozialverhaltens (DSM: Conduct Disorder) sind sowohl durch aggressive (z. B. körperliche Auseinandersetzungen) als auch nicht-aggressive Verhaltensmerkmale (z. B. Missachtung von Regeln, Schuleschwänzen) gekennzeichnet. Aussagen hinsichtlich Prognose und Verlauf oder Behandlungsempfehlungen sind aufgrund der Heterogenität der Verhaltenssymptomatik meist nicht für die Gesamtgruppe der Patienten gültig. Als mögliches prognostisches Kriterium wurde bisher im DSM-IV einzig die Subtypisierung nach dem Störungsbeginn berücksichtigt. Die Evidenzgrundlage hierfür ist jedoch nicht eindeutig, und seit Erscheinen des DSM-IV im Jahre 1994 hat sich die empirische Befundlage zu Störungen des Sozialverhaltens beträchtlich erweitert. Für die Neuauflage des DSM-5 wurde die Berücksichtigung weiterer Kriterien diskutiert, insbesondere persönlichkeitsspezifischer Risikofaktoren, mädchenspezifischer Merkmale oder dimensionaler Beurteilungskriterien bzw. die Ergänzung eines auf die Kindheit beschränkten Subtyps ( Moffitt et al., 2008 ). Jedoch sind die wesentlichen diagnostischen Kriterien im DSM-5 gleichgeblieben; eine entscheidende Änderung ist die nun mögliche Klassifikation eines CD specifiers with limited prosocial emotions. Die Frage, inwieweit die im DSM-5 vorgenommenen Modifikationen hilfreich sind, um den Anforderungen einer psychiatrischen Klassifikation gerecht zu werden, soll in diesem Beitrag auf der Basis der vorliegenden Evidenzgrundlage diskutiert werden.

The Clinical Utility of the Callous Unemotional Subtype of Conduct Disorder in the DSM-5

2012 ◽  
Author(s):  
D. Pardini ◽  
S. Stepp ◽  
A. Hipwell ◽  
M. Stouthamer-Loeber ◽  
R. Loeber
Keyword(s):  
Conduct Disorder ◽  
Clinical Utility ◽  
Dsm 5 ◽  
Callous Unemotional

scholarly journals The Clinical Utility of the Proposed DSM-5 Callous-Unemotional Subtype of Conduct Disorder in Young Girls

2012 ◽  
Vol 51 (1) ◽  
pp. 62-73.e4 ◽  
Author(s):  
Dustin Pardini ◽  
Stephanie Stepp ◽  
Alison Hipwell ◽  
Magda Stouthamer-Loeber ◽  
Rolf Loeber
Keyword(s):  
Conduct Disorder ◽  
Clinical Utility ◽  
Young Girls ◽  
Dsm 5 ◽  
Callous Unemotional

Limited Prosocial Emotions in a Clinical Population of Children and Adolescents: Proposal for Core and Ancillary Characteristics: Émotions prosociales limitées dans une population clinique d’enfants et d’adolescents; Proposition de caractéristiques essentielles et accessoires

2021 ◽  
pp. 070674372110048
Author(s):  
Francisco R. de la Peña ◽  
Marcos F. Rosetti ◽  
Juan David Palacio ◽  
Lino Palacios-Cruz ◽  
Rosa Elena Ulloa
Keyword(s):  
Conduct Disorder ◽  
Children And Adolescents ◽  
Latent Class ◽  
Clinical Population ◽  
Behavioural Disorders ◽  
Dsm 5 ◽  
Specificity And Sensitivity ◽  
Sensitivity Indices ◽  
Core Characteristics ◽  
Limited Prosocial Emotions

Objective: Limited prosocial emotions (LPE) has been recently incorporated into international classifications as a specifier for conduct disorder in the DSM-5 and for all disruptive behavioural disorders in the ICD-11. The aims of the current work were to determine (a) the accuracy of each of the characteristics used to assess the LPE specifier and (b) whether the manner in which symptoms group together supports the idea of LPE having core characteristics. Method: Trained clinicians conducted interviews and determined LPE characteristics using responses from 74 parent/guardian and child/adolescent participants. Results: The distribution of LPE characteristics among those participants with LPE ( n = 13) was compared to those with only one LPE characteristic ( n = 11). The proposal of callous lack of empathy (CLE) and shallow deficient affect (SDA) as core characteristics was supported by strong associations with the presence of the LPE specifier, larger specificity, and sensitivity indices than those for unconcerned about performance and lack of remorse or guilt, as well as by a robust aggregation in a latent class analysis. Conclusions: CLE and SDA could be considered as core characteristics of LPE in children and adolescents.

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