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Practitioner Review: Evaluation of the known behavioral heterogeneity in conduct disorder to improve its assessment and treatment / Ashlea M. KLAHR in Journal of Child Psychology and Psychiatry, 55-12 (December 2014)
[article]
Titre : Practitioner Review: Evaluation of the known behavioral heterogeneity in conduct disorder to improve its assessment and treatment Type de document : Texte imprimé et/ou numérique Auteurs : Ashlea M. KLAHR, Auteur ; S. Alexandra BURT, Auteur Article en page(s) : p.1300-1310 Langues : Anglais (eng) Mots-clés : Aggression nonaggressive rule-breaking conduct disorder antisocial behavior callous-unemotional traits Index. décimale : PER Périodiques Résumé : Background Conduct Disorder (CD) is among the most highly represented diagnostic problems in child and adolescent mental health treatment settings. There is a great deal of heterogeneity within the CD category, with potentially important implications for case conceptualization and treatment. The current review sought to detail forms of heterogeneity within CD, including callous-unemotional traits, comorbid Attention-Deficit Hyperactivity Disorder (ADHD), aggressive and nonaggressive antisocial behavior, and age of onset. Methods The current review summarizes research on etiological factors, correlates, and trajectories associated with distinguishable dimensions of CD, and considers how this heterogeneity should be incorporated into the assessment and treatment of CD. Results Callous-unemotional traits have been associated with a more severe and persistent form of CD, as have comorbid ADHD and child-onset CD. Aggressive antisocial behavior is a stable behavioral dimension that emerges in early childhood and is associated with high levels of neuroticism. Nonaggressive antisocial behavior demonstrates specific associations with impulsivity, is most frequent during adolescence, and evidences more moderate levels of stability. Conclusions Conduct disorder is a highly heterogeneous disorder. Although the clinical implications of this heterogeneity are discussed, future research is clearly needed to shore up our understanding of the clinical ramifications of the sub-dimensions within CD. En ligne : http://dx.doi.org/10.1111/jcpp.12268 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=243
in Journal of Child Psychology and Psychiatry > 55-12 (December 2014) . - p.1300-1310[article] Practitioner Review: Evaluation of the known behavioral heterogeneity in conduct disorder to improve its assessment and treatment [Texte imprimé et/ou numérique] / Ashlea M. KLAHR, Auteur ; S. Alexandra BURT, Auteur . - p.1300-1310.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 55-12 (December 2014) . - p.1300-1310
Mots-clés : Aggression nonaggressive rule-breaking conduct disorder antisocial behavior callous-unemotional traits Index. décimale : PER Périodiques Résumé : Background Conduct Disorder (CD) is among the most highly represented diagnostic problems in child and adolescent mental health treatment settings. There is a great deal of heterogeneity within the CD category, with potentially important implications for case conceptualization and treatment. The current review sought to detail forms of heterogeneity within CD, including callous-unemotional traits, comorbid Attention-Deficit Hyperactivity Disorder (ADHD), aggressive and nonaggressive antisocial behavior, and age of onset. Methods The current review summarizes research on etiological factors, correlates, and trajectories associated with distinguishable dimensions of CD, and considers how this heterogeneity should be incorporated into the assessment and treatment of CD. Results Callous-unemotional traits have been associated with a more severe and persistent form of CD, as have comorbid ADHD and child-onset CD. Aggressive antisocial behavior is a stable behavioral dimension that emerges in early childhood and is associated with high levels of neuroticism. Nonaggressive antisocial behavior demonstrates specific associations with impulsivity, is most frequent during adolescence, and evidences more moderate levels of stability. Conclusions Conduct disorder is a highly heterogeneous disorder. Although the clinical implications of this heterogeneity are discussed, future research is clearly needed to shore up our understanding of the clinical ramifications of the sub-dimensions within CD. En ligne : http://dx.doi.org/10.1111/jcpp.12268 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=243