Overview of Multistage Strategy for Evidence-Based Assessment of Conduct Disorder(adapted from McMahon and Frick, 2005; 2007) [1] [2]
Stage 1:
Stage 2:
Stage 3:
Additional Notes:
Setting | Reference | Base Rate | Demography | Diagnostic Method |
---|---|---|---|---|
Nationally representative large-scale study (N=9282) - adult retrospective report | Nock, Kazdin, Hiripi, & Kessler, 2006 [3] | 9.5% overall: 12% males, 7% females | All of U.S.A. | CIDIr |
The Great Smoky Mountains Study – longitudinal, population-based study of community sample | Costello, Mustillo, Erkanli, Keeler, Angold, 2003 [4] | 9.0% overall: 14% males, 4% females | Western North Carolina | CAPAp,y |
Incarcerated adolescents | Karnik, Soller, Redlick, Silverman, Kraemer, Steiner, 2009 [5] | 93% males, 92% females | California, Division of Juvenile Justice (DJJ) | SCID-IVy |
Community samples – summary of past findings | Farrington, 2008 [6] | 6-16% males, 2-9% females | Various locations across USA | Varied |
p Parent interviewed as part of diagnostic assessment; y youth interviewed as part of diagnostic assessment; r adult interviewed for retrospective report as part of diagnostic assessment.
Notes: CIDI = World Health Organization (WHO) Composite International Diagnostic Interview; CAPA = Child and Adolescent Psychiatric Interview; SCID-IV = Structured Clinical Interview for DSM-IV.
Despite a plethora of studies assessing prevalence of comorbidity of conduct disorder with other disorders (e.g., substance abuse, bipolar, ADHD), searches outlined below did not yield a single study providing a prevalence of conduct disorder alone in an outpatient or community clinic setting.
Appendix 1: DSM-IV criteria for diagnosis of conduct disorder: The essential feature of Conduct Disorder is a repetitive and persistent pattern of behavior in which the basic rights of others or major age appropriate societal rules are violated. Three behaviors must have been present during the past 12 months with at least one present in the past 6 months
The same 4 domains of symptoms are used in DSM-IV as in DSM-5, and of these, 3 of the 4 must have been present in the last twelve months for diagnosis:
The changes in DSM-5 to conduct disorder are as follows:
Screening Measure "(Primary Reference)" | Area under curve (AUC) and Sample Size | LR+ "(Score)" | LR- "(Score)" | Citation | |||
---|---|---|---|---|---|---|---|
Children and Adolescents (6-18 Years) | |||||||
CBCL Aggression T-Score | .801 "(N=370)" | 4.18 "(55+)" | .35 "(<55)" | Hudziak, Copeland, Stanger, (2004) [7] |
See Effective Child Therapy, a website sponsored by The Society for Child and Adolescent Psychology (APA, Division 53) and the Association for Behavioral and Cognitive Therapies (ABCT), for current summary of evidence-based treatments.
Measure | Subscale | Cut-off scores* | Critical Change (unstandardized scores) | ||||
A | B | C | 95% | 90% | SEdifference | ||
Benchmarks Based on Published Norms | |||||||
CBCL T-scores (2001 Norms) |
Externalizing | 49 | 70 | 58 | 7 | 6 | 3.4 |
Conduct Disorder Samples Were Not Found in Searches* |
See Table 1 in Section 1.1 for overview of evidence-based measures to use depending on etiology, symptomatology and conduct problems
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cite journal}}
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Overview of Multistage Strategy for Evidence-Based Assessment of Conduct Disorder(adapted from McMahon and Frick, 2005; 2007) [1] [2]
Stage 1:
Stage 2:
Stage 3:
Additional Notes:
Setting | Reference | Base Rate | Demography | Diagnostic Method |
---|---|---|---|---|
Nationally representative large-scale study (N=9282) - adult retrospective report | Nock, Kazdin, Hiripi, & Kessler, 2006 [3] | 9.5% overall: 12% males, 7% females | All of U.S.A. | CIDIr |
The Great Smoky Mountains Study – longitudinal, population-based study of community sample | Costello, Mustillo, Erkanli, Keeler, Angold, 2003 [4] | 9.0% overall: 14% males, 4% females | Western North Carolina | CAPAp,y |
Incarcerated adolescents | Karnik, Soller, Redlick, Silverman, Kraemer, Steiner, 2009 [5] | 93% males, 92% females | California, Division of Juvenile Justice (DJJ) | SCID-IVy |
Community samples – summary of past findings | Farrington, 2008 [6] | 6-16% males, 2-9% females | Various locations across USA | Varied |
p Parent interviewed as part of diagnostic assessment; y youth interviewed as part of diagnostic assessment; r adult interviewed for retrospective report as part of diagnostic assessment.
Notes: CIDI = World Health Organization (WHO) Composite International Diagnostic Interview; CAPA = Child and Adolescent Psychiatric Interview; SCID-IV = Structured Clinical Interview for DSM-IV.
Despite a plethora of studies assessing prevalence of comorbidity of conduct disorder with other disorders (e.g., substance abuse, bipolar, ADHD), searches outlined below did not yield a single study providing a prevalence of conduct disorder alone in an outpatient or community clinic setting.
Appendix 1: DSM-IV criteria for diagnosis of conduct disorder: The essential feature of Conduct Disorder is a repetitive and persistent pattern of behavior in which the basic rights of others or major age appropriate societal rules are violated. Three behaviors must have been present during the past 12 months with at least one present in the past 6 months
The same 4 domains of symptoms are used in DSM-IV as in DSM-5, and of these, 3 of the 4 must have been present in the last twelve months for diagnosis:
The changes in DSM-5 to conduct disorder are as follows:
Screening Measure "(Primary Reference)" | Area under curve (AUC) and Sample Size | LR+ "(Score)" | LR- "(Score)" | Citation | |||
---|---|---|---|---|---|---|---|
Children and Adolescents (6-18 Years) | |||||||
CBCL Aggression T-Score | .801 "(N=370)" | 4.18 "(55+)" | .35 "(<55)" | Hudziak, Copeland, Stanger, (2004) [7] |
See Effective Child Therapy, a website sponsored by The Society for Child and Adolescent Psychology (APA, Division 53) and the Association for Behavioral and Cognitive Therapies (ABCT), for current summary of evidence-based treatments.
Measure | Subscale | Cut-off scores* | Critical Change (unstandardized scores) | ||||
A | B | C | 95% | 90% | SEdifference | ||
Benchmarks Based on Published Norms | |||||||
CBCL T-scores (2001 Norms) |
Externalizing | 49 | 70 | 58 | 7 | 6 | 3.4 |
Conduct Disorder Samples Were Not Found in Searches* |
See Table 1 in Section 1.1 for overview of evidence-based measures to use depending on etiology, symptomatology and conduct problems
{{
cite journal}}
: CS1 maint: extra punctuation (
link)