Conduct disorders and antisocial personality disorder in childhood and adolescence

2020 ◽  
pp. 1265-1276
Author(s):  
Stephen Scott ◽  
Melanie Palmer
Keyword(s):  
Personality Disorder ◽  
Antisocial Personality Disorder ◽  
Academic Failure ◽  
Conduct Disorders ◽  
Drug Misuse ◽  
Antisocial Personality ◽  
Callous Unemotional ◽  
Oppositional Defiant ◽  
Callous Unemotional Traits ◽  
Unemotional Traits

Oppositional defiant and conduct disorders are the most common mental health problems in childhood. They have a poor prognosis if left untreated, with increased crime, violence, drug misuse, academic failure, dependence on state welfare, psychosis, and early death. A number of children additionally have callous-unemotional traits, and they are at risk for going on to develop antisocial personality disorder, which has its origins in childhood. Children with comorbid callous-unemotional traits or attention-deficit/hyperactivity disorder (ADHD) symptoms have a high genetic contribution to their problems and reduced functioning in the limbic and prefrontal areas. There have been over 100 randomized controlled trials of interventions, with evidence-based parenting programmes repeatedly being shown to be effective in both the short and the longer term. There is emerging evidence that they may help prevent personality disorder. In the absence of ADHD, medication has no role to play in the routine management of oppositional defiant and conduct disorders.

Specifying the Connection Between Reward Processing and Antisocial Psychopathology Across Development

2019 ◽  
pp. 311-332
Author(s):  
Suzanne Estrada ◽  
Scott Tillem ◽  
Allison Stuppy-Sullivan ◽  
Arielle Baskin-Sommers
Keyword(s):  
Personality Disorder ◽  
Conduct Disorder ◽  
Antisocial Behavior ◽  
Antisocial Personality Disorder ◽  
Reward Processing ◽  
Self Report ◽  
Antisocial Personality ◽  
Callous Unemotional ◽  
Callous Unemotional Traits ◽  
Unemotional Traits

Antisocial behavior is a heterogeneous construct that includes a range of behavioral problems and psychopathologies. With regard to classification, children and adolescents may be identified as having conduct disorder or callous–unemotional traits; whereas adults may be identified as having antisocial personality disorder or psychopathy. The adverse consequences of the behaviors and diagnoses related to this construct produce great burdens for the perpetrators, victims, family members, and society at large. Research has focused on identifying various factors contributing to antisocial behavior, with reward processing among one of the most studied. This chapter synthesizes self-report, behavioral, electrophysiological, and neuroimaging literature on reward processing in antisocial behavior across development. Findings are organized regarding key reward constructs within the Positive Valence Systems domain of the Research Domain Criteria matrix. Overall, children with conduct disorder display deficits in action selection, responsivity to reward, and reward prediction that result in risky choices, impaired performance in the face of reward, and poor integration of reward information. By contrast, children with callous–unemotional traits demonstrate poor reward learning and use of reward cues. In adults, those with antisocial personality disorder display deficits in reward valuation; whereas those with psychopathy show context-dependent abnormalities in multiple components of reward processing. Ultimately, an integrative focus on abnormal reward processing across subtypes of individuals who engage in antisocial behavior might help refine the phenotype and improve the prediction of onset and recovery of these disorders.

scholarly journals Efficacy of Rational Emotive Therapy in the Management of Antisocial Personality Disorder among Adolescents in Owerri Municipal, Imo State, Nigeria

2020 ◽  
Vol 7 (1) ◽  
pp. 555-565
Author(s):  
Chikwe Agbakwuru ◽  
Hope Ejiociii Mgbeoduru
Keyword(s):  
Personality Disorder ◽  
Antisocial Personality Disorder ◽  
Conduct Disorders ◽  
Control Group ◽  
Antisocial Personality ◽  
Rational Emotive Therapy ◽  
Sample Mean ◽  
Imo State ◽  
Oppositional Defiant ◽  
Rational Emotive

This study investigated the efficacy of Rational Emotive Therapy in, the management of (ASPD) among adolescents in Owerri municipal, Imo State, Nigeria. It adopted a quasi-experimental design of pre-test post-test control group. Three research questions and three hypotheses tested at 0.05 level of significance guided the study. Thirty adolescents who were eighteen years formed the sample. Mean, standard derivation, t-test and 2 ways ANOVA were used to analyze the data obtained. The results obtained showed that Rational Emotive Therapy is efficacious in the management of antisocial personality disorder at post and follow up tests. The results also indicate that male and female adolescents have ASPD and are amenable to change using cognitive restructuring technique of Rational Emotive Therapy. Based on the findings, it was recommended that counselling psychologists should be posted to schools and made teaching subject free to enable them identify and work on adolescents with ASPD and its antecedents of Attention Deficit Hyperactivity Disorder, Oppositional Defiant Disorder and Conduct Disorders.

scholarly journals Adolescent callous–unemotional traits and conduct disorder in adoptees exposed to severe early deprivation

2012 ◽  
Vol 200 (3) ◽  
pp. 197-201 ◽  
Author(s):  
Robert Kumsta ◽  
Edmund Sonuga-Barke ◽  
Michael Rutter
Keyword(s):  
Conduct Disorder ◽  
Self Report ◽  
Central Component ◽  
Disruptive Behaviour ◽  
Prospective Longitudinal Study ◽  
Callous Unemotional ◽  
Oppositional Defiant ◽  
Callous Unemotional Traits ◽  
Unemotional Traits ◽  
Prospective Longitudinal

BackgroundThere is a debate over whether disruptive behaviour should be regarded as a central component of, or rather as an epiphenomenon with little diagnostic value for, psychopathy.AimsTo test whether callous–unemotional traits and conduct disorder can be dissociated in the English and Romanian Adoptee Study, a prospective longitudinal study of adopted individuals with a history of severe early institutional deprivation.MethodThe Child and Adolescent Psychiatric Assessment was used to establish DSM-IV diagnoses for conduct disorder (and also oppositional defiant disorder) at the 15-year follow-up stage. The Inventory of Callous–Unemotional Traits questionnaire was administered to assess psychopathy traits.ResultsThere was no significant association between callous–unemotional traits and conduct disorder, both according to parent and youth self-report assessed categorically and dimensionally after controlling for confounds.ConclusionsThe majority of individuals with high callous–unemotional traits did not show conduct disorder in this special sample of children. This supports the view that, while common, an overlap between these aspects of psychopathology is not inevitable and so provides evidence for the dissociation of these two concepts. In terms of classification, we argue for a diagnostic scheme where psychopathy can be diagnosed independently of conduct disorder.

Disruptive and Conduct Disorders, Delinquency

2018 ◽  
Author(s):  
Eva R. Kimonis ◽  
Georgette E. Fleming
Keyword(s):  
Distinct Group ◽  
Conduct Problem ◽  
Conduct Disorders ◽  
Callous Unemotional ◽  
Oppositional Defiant ◽  
Callous Unemotional Traits ◽  
Authority Figures ◽  
Clinical Considerations ◽  
Profound Disability ◽  
The Individual

Disruptive and conduct disorders, comprising oppositional defiant disorder and conduct disorder, are characterized by behaviors that violate the rights of others or bring the individual into significant conflict with societal norms or authority figures. These disorders are highly prevalent, emerge early in childhood, and are associated with profound disability and societal burden. Given the heterogeneity in presentation and outcomes of youth with disruptive and conduct disorders, attempts have been made to identify more homogeneous subgroups. Notably, children displaying callous–unemotional traits (e.g., lack of empathy, remorse/guilt) represent a distinct group with severe, aggressive, and chronic conduct problems. To identify this and other important clinical considerations, it is imperative that conduct problem assessment is effective and comprehensive. Assessment findings should inform implementation of evidence-based treatment tailored to the child’s and family’s individual needs. Additional clinical considerations and recommendations for the next frontiers of research into disruptive and conduct disorders are discussed.

scholarly journals Untangling Intelligence, Psychopathy, Antisocial Personality Disorder, and Conduct Problems: A Meta–Analytic Review

2019 ◽  
Vol 33 (5) ◽  
pp. 529-564 ◽  
Author(s):  
Olga Sánchez de Ribera ◽  
Nicholas Kavish ◽  
Ian M. Katz ◽  
Brian B. Boutwell
Keyword(s):  
Personality Disorder ◽  
Conduct Disorder ◽  
Oppositional Defiant Disorder ◽  
Antisocial Personality Disorder ◽  
Negative Relationship ◽  
Psychopathic Traits ◽  
Significant Heterogeneity ◽  
Antisocial Personality ◽  
Oppositional Defiant ◽  
Analytic Review

Substantial research has investigated the association between intelligence and psychopathic traits. The findings to date have been inconsistent and have not always considered the multidimensional nature of psychopathic traits. Moreover, there has been a tendency to confuse psychopathy with other closely related, clinically significant disorders. The current study represents a meta–analysis conducted to evaluate the direction and magnitude of the association of intelligence with global psychopathy, as well as its factors and facets, and related disorders (i.e. antisocial personality disorder, conduct disorder, and oppositional defiant disorder). Our analyses revealed a small, significant, negative relationship between intelligence and total psychopathy ( r = −.07, p = .001). Analysis of factors and facets found differential associations, including both significant positive (e.g. interpersonal facet) and negative (e.g. affective facet) associations, further affirming that psychopathy is a multidimensional construct. Additionally, intelligence was negatively associated with antisocial personality disorder ( r = −.13, p = .001) and conduct disorder ( r = −.13, p = .001) but positively with oppositional defiant disorder ( r = .06, p = .001). There was significant heterogeneity across studies for most effects, but the results of moderator analyses were inconsistent. Finally, bias analyses did not find significant evidence for publication bias or outsized effects of outliers. © 2019 European Association of Personality Psychology

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