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Trastorno de conducta - Symptom

Síntomas:

Los niños con trastorno de conducta tienden a ser impulsivos, difíciles de controlar y despreocupados por los sentimientos de los demás.

Los síntomas pueden abarcar:

  • Romper las reglas sin razón aparente.
  • Comportamiento cruel o agresivo hacia personas y animales (por ejemplo, intimidar, pelear, usar armas peligrosas, forzar la actividad sexual y robar).
  • Ausentismo escolar (inasistencia, comenzando antes de los 13 años).
  • Consumo excesivo de alcohol y/o de drogas psicoactivas.
  • Iniciar incendios de manera deliberada.
  • Mentir para conseguir un favor o evitar cosas que tiene que hacer.
  • Escaparse.
  • Vandalismo o destrucción de la propiedad.

Estos niños a menudo no hacen ningún esfuerzo por ocultar su comportamiento agresivo y pueden tener dificultad para hacer amigos verdaderos.

Signos y exámenes:

No existe ningún examen real para diagnosticar el trastorno de conducta. El diagnóstico se hace cuando un niño o adolescente tiene un antecedente de comportamientos de dicho trastorno.

Una exploración física y exámenes de sangre pueden ayudar a descartar afecciones que sean similares al trastorno de conducta. En raras ocasiones, una gammagrafía del cerebro también puede ayudar a descartar otros trastornos.

  • Reviewed last on: 2/28/2011
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, Unviversity of Washington, School of Medicine; and David B. Merrill, MD, Assistant Clinical Professor of Psychiatry, Department of Psychiatry, Columbia University Medical Center, New York, NY. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Nurcombe B. Oppositional defiant disorder and conduct disorder. In: Ebert MH, Loosen PT, Nurcombe B, Leckman JF, eds. Current Diagnosis & Treatment Psychiatry. 2nd ed. New York, NY: McGraw Hill; 2008:chap 36.

Thomas CR. Evidence-based practice for conduct disorder symptoms. J Am Acad Child Adolesc Psychiatry. 2006;45:109-114.

Whittinger NS. Clinical precursors of adolescent conduct disorder in children with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2007;46:179-187.

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