Notes: Conduct disorder

SHARE:


 


  Conduct disorder
  • Objectives
  • Define conduct disorder
  • List down subtypes
  • Explain the etiological factors
  • Describe the predisposing factors
  • List down the clinical manifestations
  • Explain the differential diagnosis
  • Describe the management
Definition
  • Conduct disorder is an enduring set of behaviours that evolves over time, usually characterized by aggression and violation of the rights of others.
Subtypes
  • Childhood onset type
  • Adolescent on set type
  • Oppositional defiant disorder
            The disorder is an enduring pattern of negativistic, hostile, and defiant behaviours in the absence of serious violations of social norms or the rights of others.
  Etiology
  • Parental factors
    • Chaotic home conditions
    • Divorce
    • Parental psychopathology, child abuse and negligence
    • Sociopathy, alcohol dependence, and substance abuse in the parents
  • Socio-cultural Factors
  • Socioeconomically deprived children in urban environments
  • Unemployed parents, lack of supportive social network, and lack of positive participation in community activities
  • Drugs and substance abuse increases the risk
  • Psychological factors
  • Neurologic Factors
  • Child abuse and maltreatment
Predisposing Factors
  • Biological influences
  • Genetics- Family history of conduct disorder in the family predisposes to conduct disorder
  • Temperament-Children with difficult temperament before age of 3 years have high chance of developing conduct disorder
  • Biochemical factors-Alterations in nor-epinephrine and serotonin were seen in cases with conduct disorder. Higher levels of testosterone is seen among boys with this disorder
  • Psychosocial influences
    • Peer relationship: Poor peer relationship and rejection in turn will lead to aggressive behaviour and conduct disorder
    • Family influences:
  • Parental rejection
  • Inconsistent management with harsh discipline
  • Early institutional living
  • Frequent shifting of parental figures
  • Large family size
Clinical features
  • Frequent lying
  • Stealing or robbery
  • Running away from home and school
  • Physical violence like rape, fire-setting, assault or break-in, use of weapons
  • Cruelty towards other people and animals
  • Secondary complications such as syphilis, HIV, suicidal and homicidal behaviours
Differential Diagnosis
  • Childhood psychiatric conditions
  • ADHD and substance abuse often associate with conduct disorder
Treatment
  • Behavioural interventions
  • Social skill training
  • Family education and therapy
  • Individual psychotherapy
  • Pharmacologic interventions
    • Tb Lithium, Tb.Carbamazepine To treat aggressive behaviour
    • Antipsychotics- To treat psychotic symptoms
Nursing management Diagnoses
  • Risk for other directed violence related to characteristics of temperament, peer rejection, negative parental role models, and dysfunctional family dynamics.
  • Impaired social interaction related to negative parental role models, impaired peer relations leading to inappropriate social behaviour.
  • Defensive coping related to low self esteem and dysfunctional family system.
  • Low self esteem related lack of positive feedback and unsatisfactory parent/child relationship.
Management
  • Observe the child carefully for high risk behaviour.
  • Redirect the violent behaviour to physical activities such as exercise or cleaning ward
  • Administer tranquilizing drugs as prescribed
  • Use mechanical restraints if needed.
  • Set limits on manipulative behaviour
  • Maintain a log book on behaviour
  • provide positive reinforcement for acceptable behaviour
  • Assist in practicing adaptive behaviour
  • Provide social skill training
  • Guidance and support of parents in managing the childs behaviour.

COMMENTS

Name

anaphysio,3,ASEPSIS AND INFECTION CONTROL,9,audio,1,biochemistry,2,blog,1,BSN Notes: Assessment in Psychiatry,6,BSN Notes: Burns,11,BSN Notes: Care of Terminally Ill Patients,6,BSN Notes: Childhood and Developmental Disorders,6,BSN Notes: Common Behavioural and Social Problems,4,BSN Notes: Common Childhood Diseases,7,BSN Notes: Common Signs And Symptoms,32,BSN Notes: Community Mental Health Nursing,12,BSN Notes: Critical Care,12,BSN Notes: Disaster and Emergency,15,BSN Notes: ENT,8,BSN Notes: Eye,25,BSN Notes: History and Assessment,24,BSN Notes: Introduction of Psychiatry,27,BSN Notes: Legal Issues In Psychiatry,4,BSN Notes: Medication Administration,24,BSN Notes: Neuritic_Stress related and Somatization Disorders,10,BSN Notes: Neurology,6,BSN Notes: Oncological Nursing,8,BSN Notes: Organic Brain Disorders,1,BSN Notes: Oxygenation,3,BSN Notes: Personality_Sexual and Eating Disorders,5,BSN Notes: Principles and Concepts of Psychiatry Nursing,2,BSN Notes: Psych-pharmacology and Other Treatment Modalities,30,BSN Notes: Psychiatry Emergencies and Crisis Intervention,4,BSN Notes: Psychosocial Needs,5,BSN Notes: Schizophrenia and othe Psychotic Disorders,4,BSN Notes: The healthy child,5,BSN Notes: TNPR,9,BSN Notes: Urinary Elimination,14,chn,41,clinicalkannada,4,clinicals1,35,clinicals2,10,clinicals3,26,clinicals4,11,Code of Ethics,3,community,7,Critical thinking,7,drugs,3,Equipment & Linen,9,Equipments & Linen,1,Etics and Legal,1,exa,1,exam,11,featured,19,fon,141,fon3,141,fun,1,geriatric,1,graphic,1,Growth and Development,5,he,93,hotspot,6,kannada,54,language,1,Machinery,10,Medications,1,Memory Tools,9,mhn,126,microbiology,3,misc,2,mnemonics,48,msn,137,NCLEX,13,ncp,27,news,4,obg,28,OBG Medications,1,Peri- operative Nursing,2,pharma,29,Physical Examination and Assessment,9,Psychology,2,Pulse,7,resources,1,Respiration,4,Transitional care,1,Ventilators,5,voice,2,
ltr
item
notes.nursium.com: Notes: Conduct disorder
Notes: Conduct disorder
http://rajbai.org/wp-content/uploads/boy-child-being-bullied-by-two-other-boys.jpg
notes.nursium.com
https://notes.nursium.com/2017/02/notes-conduct-disorder.html
https://notes.nursium.com/
https://notes.nursium.com/
https://notes.nursium.com/2017/02/notes-conduct-disorder.html
true
3454605208880343795
UTF-8
Loaded All Posts Not found any posts VIEW ALL Readmore Reply Cancel reply Delete By Home PAGES POSTS View All RECOMMENDED FOR YOU LABEL ARCHIVE SEARCH ALL POSTS Not found any post match with your request Back Home Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sun Mon Tue Wed Thu Fri Sat January February March April May June July August September October November December Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec just now 1 minute ago $$1$$ minutes ago 1 hour ago $$1$$ hours ago Yesterday $$1$$ days ago $$1$$ weeks ago more than 5 weeks ago Followers Follow THIS CONTENT IS PREMIUM Please share to unlock Copy All Code Select All Code All codes were copied to your clipboard Can not copy the codes / texts, please press [CTRL]+[C] (or CMD+C with Mac) to copy