BACKGROUND: Conduct disorder is considered difficult to treat, but comorbid psychiatric disorders may be a basis for treating some youths with conduct disorder. We sought to identify patterns of comorbid psychiatric diagnoses and psychopathology associated with conduct disorder by reported age-of-onset. METHODS: Referred children and adolescents, aged 4-17 years old, were clinically evaluated. Ages of onset of CD symptoms (N=53) were ascertained and divided according to DSM-IV criteria as childhood onset (<10 years old) or adolescent onset (>or=10 years old). RESULTS: Childhood-onset conduct disorder was associated with higher rates of ADHD and anxiety disorders, male gender, and perceived and total hostility scores than adolescent-onset conduct disorder. Adolescent-onset was associated with higher rates of PTSD, alcohol and substance use disorders, complex comorbidity (i.e., 6+ diagnoses lifetime), and female gender. CONCLUSIONS: Understanding age-of-onset-related patterns of comorbidity may facilitate psychiatric treatment planning in children and adolescents with conduct disorder.
BACKGROUND:Conduct disorder is considered difficult to treat, but comorbid psychiatric disorders may be a basis for treating some youths with conduct disorder. We sought to identify patterns of comorbid psychiatric diagnoses and psychopathology associated with conduct disorder by reported age-of-onset. METHODS: Referred children and adolescents, aged 4-17 years old, were clinically evaluated. Ages of onset of CD symptoms (N=53) were ascertained and divided according to DSM-IV criteria as childhood onset (<10 years old) or adolescent onset (>or=10 years old). RESULTS: Childhood-onset conduct disorder was associated with higher rates of ADHD and anxiety disorders, male gender, and perceived and total hostility scores than adolescent-onset conduct disorder. Adolescent-onset was associated with higher rates of PTSD, alcohol and substance use disorders, complex comorbidity (i.e., 6+ diagnoses lifetime), and female gender. CONCLUSIONS: Understanding age-of-onset-related patterns of comorbidity may facilitate psychiatric treatment planning in children and adolescents with conduct disorder.
Authors: Felix Euler; Nils Jenkel; Christina Stadler; Klaus Schmeck; Jörg M Fegert; Michael Kölch; Marc Schmid Journal: J Abnorm Child Psychol Date: 2015-05
Authors: Mireia Rosa-Justicia; Melanie C Saam; Ulrike M E Schulze; Josefina Castro-Fornieles; Itziar Flamarique; Roger Borràs; Jilly Naaijen; Andrea Dietrich; Pieter J Hoekstra; Tobias Banaschewski; Pascal Aggensteiner; Michael C Craig; Arjun Sethi; Paramala Santosh; Ilyas Sagar-Ouriaghli; Celso Arango; María José Penzol; Daniel Brandeis; Julia E Werhahn; Jeffrey C Glennon; Barbara Franke; Marcel P Zwiers; Jan K Buitelaar Journal: Eur Child Adolesc Psychiatry Date: 2020-11-04 Impact factor: 4.785
Authors: Stuart F White; Roberta Clanton; Sarah J Brislin; Harma Meffert; Soonjo Hwang; Stephen Sinclair; R James R Blair Journal: J Pers Disord Date: 2014-02