2013-03-27
NICE clinical guideline 158:Antisocial behaviour and conduct disorders in children and young people: recognition， intervention and management(CG158 )
guidance.nice.org.uk
This guidance updates and replaces NICE technology appraisal guidance 102 (published July 2006). Conduct disorders， and associated antisocial behaviour， are the most common mental an..显示全部 >>
This guidance updates and replaces NICE technology appraisal guidance 102 (published July 2006). Conduct disorders， and associated antisocial behaviour， are the most common mental and behavioural problems in children and young people. The Office of National Statistics (ONS) surveys of 1999 and 2004 reported that their prevalence was 5% among children and young people aged between 5 and 16 years. Conduct disorders nearly always have a significant impact on functioning and quality of life. The 1999 ONS survey demonstrated that conduct disorders have a steep social class gradient， with a three- to fourfold increase in prevalence in social classes D and E compared with social class A. The 2004 survey found that almost 40% of looked-after children， those who had been abused and those on child protection or safeguarding registers had a conduct disorder. Conduct disorders are characterised by repetitive and persistent patterns of antisocial， aggressive or defiant behaviour that amounts to significant and persistent violations of ageappropriate social expectations.The World Health Organization's ICD-10 classification of mental and behavioural disorders divides conduct disorders into socialised conduct disorder， unsocialised conduct disorder， conduct disorders confined to the family context and oppositional defiant disorder. The major distinction between oppositional defiant disorder and the other subtypes of conduct disorder is the extent and severity of the antisocial behaviour. Isolated antisocial or criminal acts are not sufficient to support a diagnosis of conduct disorder or oppositional defiant disorder. Oppositional defiant disorder is more common in children aged 10 years or younger; the other subtypes of conduct disorder are more common in those aged over 11 years or older.
