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Störungen des Sozialverhaltens

Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie (Impact Factor: 0.99). 05/2014; 42(3):177-84. DOI: 10.1024/1422-4917/a000287
Source: PubMed

ABSTRACT

The diagnosis conduct disorder (CD) is characterized by aggressive (e.g., physical aggression) as well as nonaggressive symptoms (e.g., violation of rules, truancy). Conclusions regarding the course and prognosis, or recommendations for effective interventions, seem not to be equally valid for the whole patient group. DSM-IV-TR included subtyping age-of-onset as a prognostic criterion, even though the evidence base for subtyping from age of onset was rather sparse. The relevant literature on CD has grown substantially since the publication of DSM-IV-TR in 1994. For the new DSM-5 edition, some important issues were discussed, for example, consideration of personality traits, female-specific or dimensional criteria, and adding a childhood-limited subtype ( Moffitt et al., 2008 ). Nevertheless, the diagnostic protocol for CD was not changed in the most parts in the new edition of the DSM-5; the addition of a CD specifier with limited emotions is the most relevant change. On the basis of the existing evidence base, this review discusses whether the modifications in DSM-5 are helpful for fulfilling the requirements of a reliable and valid psychiatric classification.

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    • "flach und weisen eine besonders aggressive Form der SSV auf (American Psychiatric Association , 2013; Frick, Ray, Thornton & Kahn, 2014). Spezifika sind vermehrte Aggressionen (Frick, Cornell, Barry, Bodin & Dane, 2003; Frick, Ray, Thornton & Kahn, 2013; Kostas, Frick & Georgius, 2009), Delinquenz (Frick et al., 2003), eine verminderte Empathie (Pardini, Stepp, Hiwell, Stouthamer-Loeber & Loeber, 2012), neuropsychologische und neurobiologische Spezifika wie eine erhöhte Sensitivität auf Belohnungsreize und eine verminderte Reaktivität auf bestrafende Reize (Übersicht: Stadler, 2014), ein früher Störungsbeginn, ein stabiles Bild der Verhaltensprobleme (Rowe et al., 2010; Übersicht: Frick et al., 2013) und ein vermindertes Ansprechen auf therapeutische Interventionen (Übersicht: Stadler, 2014). Die Prävalenz der SSV-Unterform CU betrug in einer populationsbasierten Stichprobe 10–32 %, in einer klinischen 21–50 % und bei 12-bis 24-jährigen Gefängnisinsassen 14.2 % (Kahn, Frick, Youngstrom, Findling & Youngstrom, 2012; Kimonis et al., 2014). "
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    ABSTRACT: Objective: Do girls with conduct problems (CP) and callous-unemotional (CU) traits show specific deficits in perspective-taking (PT) compared to healthy girls? Method: We examined cognitive and affective PT in girls with CP and high CU scores (SVP-CU+), girls with CP and low CU-scores (SVP-CU-), and a healthy control group (KG) using a video sequence task and the animated shapes task. The sample consisted of 59 girls aged 8;6 to 16;11 years. Results: The groups did not differ in affective or in cognitive PT. Conclusion: The results emphasize the necessity of studies of PT in girls with CP and CU traits that account for differences in age and gender.
    No preview · Article · Sep 2015 · Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie