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Oppositional Defiant Disorder and Conduct Disorder

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Handbook of Adolescent Behavioral Problems

Abstract

Conduct problems, including impulsive, defiant, and aggressive behaviors, with the diagnoses in childhood of conduct disorder or oppositional defiant disorder, are the most common reason for referrals to child mental health clinics in the Western hemisphere and have a poor prognosis for adult adjustment. In this chapter, theories regarding the emergence and persistence of these behaviors in childhood and adolescence are reviewed, and an integrative framework that helps to clarify the role of the different domains of risk factors is discussed. Incidence and prevalence rates along with measurement approaches are presented. Risk factors are reviewed by domains, including biological/genetic risk, individual risk (e.g., temperament), and risk and protective factors related to family processes and to social and community factors. Evidence-based treatment and prevention approaches are reviewed, and recommended best practice is discussed.

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Acknowledgments

The Antisocial and Other Personality Disorders Program, NIMH, U.S. PHS provided support for the Oregon Youth Study (Grant MH 37940). The Cognitive, Social, and Affective Development, NICHD, and Division of Epidemiology, Services and Prevention Branch, NIDA, NIH, U.S. PHS provided support for the Couples Study (HD 46364). Additional support was provided by Grant DA 051485 from the Division of Epidemiology, Services and Prevention Branch, NIDA, and Cognitive, Social, and Affective Development, NICHD, NIH, U.S. PHS; Grant MH 46690 from the Prevention, Early Intervention, and Epidemiology Branch, NIMH, and Office of Research on Minority Health, U.S. PHS; Grant No. 5R01HD054880, funded by NIH/NICHD (Eunice Kennedy Shriver National Institute of Child Health and Human Development); and Grant No. 90CA1781, funded by Department of Health and Human Services/Administration for Children and Families (ACF).

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Authors and Affiliations

  1. Oregon Social Learning Center, 10 Shelton McMurphey Blvd, Eugene, OR, 97401-4928, USA

    Deborah M. Capaldi Ph.D.

  2. University of Washington School of Social Work, 359476, Seattle, WA, 98195-9476, USA

    J. Mark Eddy Ph.D.

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  1. Deborah M. Capaldi Ph.D.
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  2. J. Mark Eddy Ph.D.
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Correspondence to Deborah M. Capaldi Ph.D. .

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  1. Child and Family Agency of Southeastern Connecticut, New London, Connecticut, USA

    Thomas P. Gullotta

  2. Value Options, Rocky Hill, Connecticut, USA

    Robert W. Plant

  3. Eastern Connecticut State University, Willimantic, Connecticut, USA

    Melanie A. Evans

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Capaldi, D.M., Eddy, J.M. (2015). Oppositional Defiant Disorder and Conduct Disorder. In: Gullotta, T., Plant, R., Evans, M. (eds) Handbook of Adolescent Behavioral Problems. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7497-6_14

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