Conduct and Oppositional Defiant Disorders: Epidemiology, Risk Factors, and Treatment

Conduct and Oppositional Defiant Disorders: Epidemiology, Risk Factors, and Treatment

Conduct and Oppositional Defiant Disorders: Epidemiology, Risk Factors, and Treatment

Conduct and Oppositional Defiant Disorders: Epidemiology, Risk Factors, and Treatment

Synopsis

Recent decades have seen a steady rise in the incidence of antisocial behavior in youth. Possible direct consequences aside, such behavior is predictive of chronic emotional, educational, vocational, and emotional impairment that is associated with hundreds of millions of dollars in costs to overtaxed mental health, social services, special education, and juvenile justice systems. Written by an eminent group of international experts, Conduct and Oppositional Defiant Disorders: Epidemiology, Risk Factors, and Treatment offers the first comprehensive cutting-edge overview of all the major aspects of conduct disorder (CD) and oppositional defiant disorder (ODD) in children and adolescents. It is organized into three sections. The first summarizes classification and assessment, epidemiology and comorbidity, as well as course and outcome. The second examines factors that put children and adolescents at risk to develop CD and ODD: contextual, familial/genetic, and neuropsychological and neuroendocrine. The third presents numerous empirically supported approaches to prevention and treatment. An epilogue reviews recent progress and unresolved questions, and suggests needs for future research. Special attention is devoted to gender and developmental pathways in etiology, symptom expression, courses, and outcomes. This volume will be crucial reading for all mental health professionals whose work involves them with these exceptionally difficult clients.

Excerpt

There is probably no other hild and adolescent psychopathology that has attrcted more attention than conduct disorder (CD) and oppositional defiant disorder (ODD). there are a number of reasons for the attention devoted to these disorders, their risk factors, and sequelae. First, they are among the most common disorders in children andadolescents in the general population. They also represent the most common reasons for referral to children's mental health or counseling services. Second, the scope of impairment, poor social relationships, and involvement with the legal system. Third, CD and ODD are not only chronic, but also tend to increase risk for developing comorbid disorders such as despressive and substence use disorders. fourth, CD also entails costs for the society, both monetarily and sociall. The monetary cost of CD is enormous with figures in the hundreds of millions: Children with this disorderare involved in multiple system such as the mental health, juvenile justie, special education, and social services. The social costs include the “impaired” and unsafe learning environments in schools asa result of behaviors of children's with CD. The quality of life for the victims of children's antisocial and aggressive acts and for those who live in high-crime neighborhoods is greatly reduced.

The frequency, chronicity, associated cost, and the debilitating consequences of CD and ODD has resulted in an explosion of studies conduced to identify risk factors and gold standards for the prevention and treatment of these disorders. Consequently, the literature has been accumulating at a fast and exviting pace. In the 14 chapters to follow, contributors provide state of the art, comprehensive reviews and analyses of almost all aspects CD and ODD.

The contributors have been carefully selsected. They are the world's leading experts in their respective areas. Organized into four parts, the volume begins with a general overview of CD and ODD. Part I summarizes classification and assessment, epidemiology and comorbidity, as well as course and outcome. Part II examines factors that put children and adolescents at risk—familial / genetic, and neuropsychological and neuroendocrine. Part III presents numerous empirically supported approaches to prevention and cognitive-behavioral and pharmacological treatment of CD. An epilogue reviews progress and unresolved issues and suggests needs for future research.

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