Conduct Disorder in Girls: a Review of the Literature

Overview

Journal Clin Child Fam Psychol Rev

Publisher Springer

Specialties Pediatrics
Psychology

Date 2001 Apr 28

PMID 11324095

Citations 51

Authors

K Keenan

R Loeber

S Green

Affiliations

Soon will be listed here.

Abstract

The study of Conduct Disorder (CD) has primarily been limited to boys. The lack of research resulted from a premise that CD in girls was rare. However, CD in girls is a relatively common psychiatric diagnosis, and appears to be associated with several serious outcomes, such as Antisocial Personality Disorder and early pregnancy. Understanding gender differences in the course and severity of CD may lead to important information about etiology. Empirical studies on precursors, developmental course, risk factors and treatment for CD in girls are reviewed, while highlighting similarities and differences between girls and boys. Generally, CD symptoms in girls are stable. Precursors to CD in girls probably include Oppositional Defiant Disorder and temperamental factors, but also may include certain negative cognitions. What distinguishes CD in girls is the high risk they have to develop comorbid conditions, especially internalizing disorders. Risk factors for CD in girls partly overlap with those known for boys, but some factors appear to be highly salient for girls. Finally, there may be some significant effects of gender on treatment efficacy. Implications of these findings for future etiologic research are discussed.

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References

. Early-onset conduct problems: does gender make a difference?. J Consult Clin Psychol. 1996; 64(3):540-51. DOI: 10.1037//0022-006x.64.3.540. View

Windle M . A longitudinal study of antisocial behaviors in early adolescence as predictors of late adolescent substance use: gender and ethnic group differences. J Abnorm Psychol. 1990; 99(1):86-91. DOI: 10.1037//0021-843x.99.1.86. View

Paternite C, Loney J, Roberts M . External validation of oppositional disorder and attention deficit disorder with hyperactivity. J Abnorm Child Psychol. 1995; 23(4):453-71. DOI: 10.1007/BF01447208. View

Mahoney A, Jouriles E, Scavone J . Marital adjustment, marital discord over childrearing, and child behavior problems: moderating effects of child age. J Clin Child Psychol. 1998; 26(4):415-23. DOI: 10.1207/s15374424jccp2604_10. View

Verhulst F, van der Ende J . Four-year follow-up of teacher-reported problem behaviours. Psychol Med. 1991; 21(4):965-77. DOI: 10.1017/s0033291700029950. View

Cohen P, Cohen J, Kasen S, Velez C, Hartmark C, Johnson J . An epidemiological study of disorders in late childhood and adolescence--I. Age- and gender-specific prevalence. J Child Psychol Psychiatry. 1993; 34(6):851-67. DOI: 10.1111/j.1469-7610.1993.tb01094.x. View

Petersen A, Sarigiani P, Kennedy R . Adolescent depression: Why more girls?. J Youth Adolesc. 2013; 20(2):247-71. DOI: 10.1007/BF01537611. View

Fagot B . The consequents of problem behavior in toddler children. J Abnorm Child Psychol. 1984; 12(3):385-95. DOI: 10.1007/BF00910654. View

Caspi A, Henry B, McGee R, Moffitt T, Silva P . Temperamental origins of child and adolescent behavior problems: from age three to age fifteen. Child Dev. 1995; 66(1):55-68. DOI: 10.1111/j.1467-8624.1995.tb00855.x. View

10.

Szatmari P, Boyle M, Offord D . Familial aggregation of emotional and behavioral problems of childhood in the general population. Am J Psychiatry. 1993; 150(9):1398-403. DOI: 10.1176/ajp.150.9.1398. View

11.

Zoccolillo M, Pickles A, Quinton D, Rutter M . The outcome of childhood conduct disorder: implications for defining adult personality disorder and conduct disorder. Psychol Med. 1992; 22(4):971-86. DOI: 10.1017/s003329170003854x. View

12.

Biederman J, Milberger S, Faraone S, Lehman B . Are perinatal complications relevant to the manifestation of ADD? Issues of comorbidity and familiality. J Am Acad Child Adolesc Psychiatry. 1993; 32(5):1032-7. DOI: 10.1097/00004583-199309000-00023. View

13.

Zoccolillo M . Co-occurrence of conduct disorder and its adult outcomes with depressive and anxiety disorders: a review. J Am Acad Child Adolesc Psychiatry. 1992; 31(3):547-56. DOI: 10.1097/00004583-199205000-00024. View

14.

Kovacs M, Krol R, Voti L . Early onset psychopathology and the risk for teenage pregnancy among clinically referred girls. J Am Acad Child Adolesc Psychiatry. 1994; 33(1):106-13. DOI: 10.1097/00004583-199401000-00014. View

15.

Keenan K, Shaw D, Delliquadri E, Giovannelli J, Walsh B . Evidence for the continuity of early problem behaviors: application of a developmental model. J Abnorm Child Psychol. 1999; 26(6):441-52. DOI: 10.1023/a:1022647717926. View

16.

Tremblay R, Masse B, Perron D, LeBlanc M, Schwartzman A, Ledingham J . Early disruptive behavior, poor school achievement, delinquent behavior, and delinquent personality: longitudinal analyses. J Consult Clin Psychol. 1992; 60(1):64-72. DOI: 10.1037//0022-006x.60.1.64. View

17.

McCord J . Some child-rearing antecedents of criminal behavior in adult men. J Pers Soc Psychol. 1979; 37(9):1477-86. DOI: 10.1037//0022-3514.37.9.1477. View

18.

Links P, Boyle M, Offord D . The prevalence of emotional disorder in children. J Nerv Ment Dis. 1989; 177(2):85-91. DOI: 10.1097/00005053-198902000-00003. View

19.

Raine A, Venables P, Williams M . Relationships between central and autonomic measures of arousal at age 15 years and criminality at age 24 years. Arch Gen Psychiatry. 1990; 47(11):1003-7. DOI: 10.1001/archpsyc.1990.01810230019003. View

20.

Gittelman R, Mannuzza S, Shenker R, Bonagura N . Hyperactive boys almost grown up. I. Psychiatric status. Arch Gen Psychiatry. 1985; 42(10):937-47. DOI: 10.1001/archpsyc.1985.01790330017002. View