PSYC 412 Lecture Notes - Lecture 18: Relational Aggression, Truancy, Conduct Disorder

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PSYC 412: Developmental Psychopathology
Jan 31st, 2018
Lecture 8:
Mediators: mediating variables
o Moderators: weve talked about these
A variable that influences direction/strength of relationship between
two variables
E.g. age as a moderator of treatment effects
Moderator variables answer questions about
who
: who benefits from
treatment? Shows the effect?
o Mediators: answer questions about why/how
A variable that explains the relationship between two other variables
E.g. socioeconomic status associated with conduct problems in kids:
why? What about SES leads to increase in conduct problems? One
possibility is that lower SES is associated with increase in child abuse
which then leads to increase in conduct problems: child abuse so the
mediating variable answering question
why
do we see association?
Costello et al.
o Study on destructive behaviors in families in first nation community
o Examined possible mediators of association between increase in income and
decrease in behavioral symptoms
o Poverty is associated with a lot of different things, and any of these could be
the reason that changing poverty changes destructive behavioral symptoms
o In this study they looked at 40 possible mediators and the only one that
came out was increased parental supervision
Increase in income led to improved parental supervision, which in turn
led to decreased behavior problems
Prevalence
o Gender differences
Conduct problems are 2-4x more common in male children, but there
are smaller differences in early teens
This is because more girls engage in covert, nonaggressive
behavior in early adolescence (lying, truancy)
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Early onset conduct disorder much more common in boys than in girls:
10:1 ratio
Adolescent-limited CD
More common in boys but less pronounced 2:1 ratio
More physical aggression shown by males across life span
Aggression in girls
o Girls may not be physically aggressive but can harm people in other ways, like
relational aggression
Harming other people by attacking their social relationships
Rumor spreading, exclusion
More common for girls than physical aggression is
Girls are not more likely to show relational aggression than boys:
comparable rates between boys and girls, girls may be slightly higher
but its a very small difference
Boys antisocial behavior tends to be more overt: physical aggression,
vandalism, etc. and it might get them noticed
younger
than girls
Developmental Course
o Infants
Babies are all very different from one another: all have different
temperaments
Some babies have difficult temperaments: more fussy, more
irritable, cry more, harder to sooth/calm down
Some evidence that boys who show this sort of temperament
might be at a greater risk to have ODD
o Preschoolers
Significant problems emerge for some kids
Two diagnostic challenges:
Most symptoms are impossible or improbable for very small
children, e.g. truancy, staying out all night
So how do we adapt symptoms to a younger age group?
Preschoolers may show physical aggression, verbal aggression
lying, property destruction
Some non-compliance is normative in preschoolers
Normative misbehavior in preschoolers
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Noncompliance, temper loss, and aggression
Childrens physical aggression increases and peaks at about 2”
months of age
40% of girls and 50% of boys are reported by their parents to
hit, kick, and bite occasionally
75% of preschoolers have temper tantrums
DBD in preschoolers: diagnostic challenges
o How do we distinguish typical misbehavior from that representing a
significant problem
Severity: hitting with hand vs. hitting with an object
Frequency: if normative behaviors happen
a lot
it may be concerning
Expectability: is behavior happening in circumstances where we often
see kids having difficulties?
Pervasiveness: is this behavior limited to a particular situation or one
relationship? The more we see it across settings and relationships the
more problematic it will be
Flexibility: how easy is it for me as an adult to modify this childs
behavior?
For some preschoolers, we start to see evidence of significant conduct problems
fairly early on in their life
o Early onset/life-course persistent pathway
To be diagnosed in DSM we need to see at least one symptom before
the age of 10, and this is much more common in boys
50% of people who show symptoms early will persist in antisocial
behavior into adulthood
Typical progression: aggression in childhood less serious
nonaggressive antisocial behavior in middle childhood (shoplifting,
truancy) more sever aggressive behaviors including violence towards
others
o Late onset pathway
Onset in adolescence, frequently accompanied by social change
Peer influences: 2:1 or 1:1 male to female ratio (more girls
engage in these types of behavior)
Less extreme antisocial behavior
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