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Homoeopathic Management of Conduct Disorder: A Case SeriesFunding No fund received.
Conduct disorder is a psychiatric syndrome occurring in childhood and adolescence, and is characterised by a long-standing pattern of violations of rules and antisocial behaviour. The aetiology of conduct disorder involves an interaction of genetic/constitutional, familial and social factors. Conduct disorder increases the risk of several public health problems, including violence, weapon use, substance abuse and dropping out of school. Thus, it is important to identify conduct disorder and begin intervention as early as possible.
Three cases of conduct disorder are presented here, which have been treated exclusively with homoeopathic medicines without any supportive therapies. The diagnosis and severity were assessed by Conduct Disorder Diagnostic Tool and the symptomatic assessment was done by using Conduct Disorder Rating Scale-Parent Version. Possible causal attribution of changes was explicitly depicted by Naranjo Criteria.
The initial outcome of homoeopathic treatment shows a positive role of homoeopathy as the cases are exclusively managed by homoeopathic medicine.
Statement of Ethics
The authors certify that they have obtained all appropriate patient assent and care-giver consent forms. In the form, the patients have given their assent for their clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Conduct disorder has long term ramifications like developing into mental disorders in adults if not recognized and treated early. This case series offers some early data on this important issue. But any serious consideration of this opinion will require more data.
17 June 2021 (online)
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- 1 American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders [Internet], Fifth Edition, American Psychiatric Association. 2013 [cited 2020 Jun 30]. Accessed Oct 29, 2020 from: https://psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596
- 2 Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2005; 62 (06) 593-602
- 3 Simonoff E, Elander J, Holmshaw J, Pickles A, Murray R, Rutter M. Predictors of antisocial personality. Continuities from childhood to adult life. Br J Psychiatry 2004; 184: 118-127
- 4 Bardone AM, Moffitt TE, Caspi A, Dickson N, Stanton WR, Silva PA. Adult physical health outcomes of adolescent girls with conduct disorder, depression, and anxiety. J Am Acad Child Adolesc Psychiatry 1998; 37 (06) 594-601
- 5 Kim-Cohen J, Caspi A, Moffitt TE, Harrington H, Milne BJ, Poulton R. Prior juvenile diagnoses in adults with mental disorder: developmental follow-back of a prospective-longitudinal cohort. Arch Gen Psychiatry 2003; 60 (07) 709-717
- 6 Erskine HE, Ferrari AJ, Polanczyk GV. et al. The global burden of conduct disorder and attention-deficit/hyperactivity disorder in 2010. J Child Psychol Psychiatry 2014; 55 (04) 328-336
- 7 Cohen P, Cohen J, Kasen S. et al. An epidemiological study of disorders in late childhood and adolescence--I. Age- and gender-specific prevalence. J Child Psychol Psychiatry 1993; 34 (06) 851-867
- 8 Copeland WE, Shanahan L, Erkanli A, Costello EJ, Angold A. Indirect comorbidity in childhood and adolescence. Front Psychiatry 2013; 4: 144 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3816229/ cited2020Jun30 [Internet]
- 9 Angold A, Costello EJ, Erkanli A. Comorbidity. J Child Psychol Psychiatry 1999; 40 (01) 57-87
- 10 Maughan B, Rowe R, Messer J, Goodman R, Meltzer H. Conduct disorder and oppositional defiant disorder in a national sample: developmental epidemiology. J Child Psychol Psychiatry 2004; 45 (03) 609-621
- 11 Collishaw S, Maughan B, Goodman R, Pickles A. Time trends in adolescent mental health. J Child Psychol Psychiatry 2004; 45 (08) 1350-1362
- 12 Fairchild G, Hawes DJ, Frick PJ. et al. Conduct disorder. Nat Rev Dis Primers 2019; 5 (01) 43
- 13 Scott S. Conduct disorders in children. BMJ 2007; 334 (7595): 646
- 14 Lochman JE, Powell NP, Boxmeyer CL, Jimenez-Camargo L. Cognitive-behavioral therapy for externalizing disorders in children and adolescents. Child Adolesc Psychiatr Clin N Am 2011; 20 (02) 305-318
- 15 Loy JH, Merry SN, Hetrick SE, Stasiak K. Atypical antipsychotics for disruptive behaviour disorders in children and youths. Cochrane Database Syst Rev 2012; (09) CD008559
- 16 Pringsheim T, Hirsch L, Gardner D, Gorman DA. The pharmacological management of oppositional behaviour, conduct problems, and aggression in children and adolescents with attention-deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorder: a systematic review and meta-analysis. Part 2: antipsychotics and traditional mood stabilizers. Can J Psychiatry 2015; 60 (02) 52-61
- 17 Pringsheim T, Panagiotopoulos C, Davidson J, Ho J. Canadian Alliance for Monitoring Effectiveness and Safety of Antipsychotics in Children (CAMESA) guideline group. Evidence-based recommendations for monitoring safety of second-generation antipsychotics in children and youth. Paediatr Child Health 2011; 16 (09) 581-589
- 18 Waschbusch DA, Elgar FJ. Development and Validation of the Conduct Disorder Rating Scale: Assessment [Internet]. 2016 Jul 26 [cited 2020 Jun 30]; Accessed Oct 29, 2020 from: https://journals.sagepub.com/doi/10.1177/1073191106289908
- 19 Searight HR, Rottnek F, Abby SL. Conduct disorder: diagnosis and treatment in primary care. Am Fam Physician 2001; 63 (08) 1579-1588
- 20 van Haselen RA. Homeopathic clinical case reports: Development of a supplement (HOM-CASE) to the CARE clinical case reporting guideline. Complement Ther Med 2016; 25: 78-85
- 21 Murray J, Farrington DP. Risk factors for conduct disorder and delinquency: key findings from longitudinal studies. Can J Psychiatry 2010; 55 (10) 633-642