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Conduct Disorder What is the outcome of the conduct disorder?

What is the outcome of conduct disorder?

Longitudinal studies analyzing conduct disorder symptoms along a dimension showed moderate to strong stability across ten years. Conduct disorder severity (i.e. number of symptoms) seems to be a major predictor of later functional outcome in various domains (relational, professional, legal, mental and physical health.). Comorbid ADHD (especially the hyperactive/impulsive dimension) is associated with severity, persistence and early age of onset of CD.

Developmental continuity between oppositional defiant disorder (ODD), conduct disorder and antisocial personality disorder is still a matter of debate. In DSM-IV, ODD is conceptualized as a developmental precursor of conduct disorder, whereas in ICD-10, ODD appears to be a less severe variant of CD. Follow-up studies indicate that that a significant proportion of children with ODD (about 40% in a community sample, 60% in a referred sample) will develop CD, but this progression is far from systematic. However, most children/adolescents with CD also meet criteria for ODD.

Progression from CD to antisocial personality follows a similar pattern: one third to a half of patients with CD will meet criteria of ASPD in adulthood, but a large majority of adults with ASPD also had CD in adolescence. Callous-unemotional traits, depression, substance use have predictive value for the progress of CD towards ASPD.

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