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23 Cards in this Set
- Front
- Back
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Margaret Steele
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ODD
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Criteria for ODD
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ODD prev?
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1 to 16%
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ODD compare gender rates
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pre-teen, more boys ,after teens = and girls more overt
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ODD comborbidities?
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ADHD, MOOD, Anxiety, LD
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What worsens prognosis?
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Early age onset, ADHD comborb
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Domains of Conduct Ds in DSM?
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1. Aggression to people & animals 2. Destruction property 3. Deceitful/theft 4. Rule breaking
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Fire setting assoc with?
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Sexual Abuse
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CD prevalence rate? Change?
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1 to 3%, increasing
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CD onset
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late childhoold, early teens
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CD more in urban or rural?
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more in urban
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CD gender?
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Male = female
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CD comorbid?
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ADHD, SU, Mood, Anx
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CD outcome wories?
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Mood, Anx, ASPD (40%), SU
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CD and Bio markers?
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under-arousal, low cortisol, high testosterone, exposure to toxins, hyperactivity, cog problems, chronic illness
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CD and Psych factors?
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insecure attach, misattribution of hostility, lower empathy
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CD and social factors
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poverty, violence, availability of rx, comercive family processes, lack of supervsion, inconsistend discipl, lack of positive parental involvement, marital discord, poor moderlling, overly permissive, neglectfu or punitive, abusive, rejecting parents, child abuse, peer rejection association with deviant peers
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Most preditive Sx of CD
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Cruelty, running away, breaking into a building
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Girls sx more predictie of CD
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fighint, cruel behaviours, atypical behavior, unemotional
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CD proctive factor
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competence outside of school, 1 + relationship, prosocial peers, + school atmosphere
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ODD /CD Tx general approach?
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1. Alliance, 2. Data Gathe: comorbid, Child Behav Check, Collateral, Interview, ABC 3. Specific plan based on continuum matching severity 4. Tx comorbididity
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ODD/CD Specific Tx
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1. Parent Education: discipline/supervision 2. School tx, 3. Multisystemic Fam Tx, 4. Individual Problem Solving 5. Contingency Mngmt 6. Intensive home therapy
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ODD/CD Rx Tx
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Tx. Comorbd, Consider Atypicals i.e. Risperidone
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