Conduct disorder Assessment


The prevalence of the disorder is higher among school-agedchildren. Conduct disorder is one of the most diagnosed disorders, and can beidentified in an age that is earlier than 5 years, but these disorders areusually identified in late childhood or adolescence. The risk of developingconduct disorder is high in children with a family history of behavioralproblems.

The diagnosis of conduct disorder requires that theindividual exhibits a continuous pattern of breaking rules patterns, whichcauses severe disruption of life performance in different environments. Thediagnostic criterion includes three or more behaviors which fall under fourgroups: violence against individuals or animals (dustup, using guns, orviolence against animals, and so on), destruction of property (setting fires,disruptions) lack of trust (lying, theft), and serious violations of rules(escaping from home and school).

Children with conduct disorder exhibit initiallyoppositional and defiant behaviors. These behaviors increase and become severeand usually involve violence with others, destruction of property, and otherillegal activities. Within the framework of the school, the students whoexhibit such behavioral disorders are bullying students who are physicallyviolent against others intimidate and threaten other children, have manyproblems while playing, destroy property, steal money or property, and engagein over deviation behaviors in adolescence such as using guns, deliberatedestruction of school property, or stealing shops. Some adolescents enterjuvenile delinquency institutions before they enter secondary school, and onlyabout 50% of children with early delinquency continue their criminal behaviorin adulthood.

Diagnostic Criteria of ConductDisorder 312.8x(F91.x) in DSM5

A- A repetitive and persistent pattern ofbehavior in which the basic rights of others or major age-appropriate societalnorms or rules are violated

As manifested bythe presence of at least three of the following 15 criteria in the past 12months from any of the categories below, with at least one criterion present inthe past 6 months

Aggression to People and Animals

1- Often bullies, threatens, or intimidates others.

2- Often initiates physical fights.

3- Has used a weapon that can cause serious physical harmto others (e.g., a bat, brick, broken bottle, knife, gun).

4- Has been physically cruel to people.

5- Has been physically cruel to animals.

6- Has stolen while confronting a victim (e.g., mugging,purse snatching, extortion, armed robbery).

7- Has forced someone into sexual activity.

Property Destruction

8- Has deliberately engaged in fire setting with theintention of causing serious damage.

9- Has deliberately destroyed others’ property (otherthan by fire setting)

Deceitfulness or Theft

10- Has broken into someone else’s house, building, orcar.

11- Often lies to obtain goods or favors or to avoidobligations (i.e., “cons” others).

12- Has stolen items of nontrivial value withoutconfronting a victim (e.g., shoplifting, but without breaking and entering:forgery).

Serious Violations of Rules

13- Often stays out at night despite parentalprohibitions, beginning before age 13 years.

14- Has run away from home overnight at least twice whileliving in the parental or parental surrogate home, or once without returningfor a lengthy period.

15- Is often truant from school, beginning before age 13years.

B. The disturbance in behavior causesclinically significant impairment in social, academic, or occupationalfunctioning.

C. If the individual is age 18 yearsor older, criteria are not met for antisocial personality disorder.