Conduct disorder subtype and comorbidity
Department of Psychiatry
Adolescent; Age of Onset; Alcoholism; Attention Deficit Disorder with Hyperactivity; Bipolar Disorder; Child; Comorbidity; Conduct Disorder; Depressive Disorder; Female; Humans; Income; Male; Parent-Child Relations; Parents; Severity of Illness Index; Substance-Related Disorders
Behavior and Behavior Mechanisms | Mental and Social Health | Mental Disorders | Psychiatric and Mental Health | Psychiatry and Psychology
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 (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.
DOI of Published Version
Ann Clin Psychiatry. 2007 Jul-Sep;19(3):161-8. Link to article on publisher's site
Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists
Connor DF, Ford JD, Albert DB, Doerfler LA. (2007). Conduct disorder subtype and comorbidity. Implementation Science and Practice Advances Research Center Publications. https://doi.org/10.1080/10401230701465269. Retrieved from https://escholarship.umassmed.edu/psych_cmhsr/586