Certain infectious and parasitic diseases
Certain infectious and parasitic diseases Certain infectious and parasitic diseases
motor and language development are disproportionately frequent. Secondary complications include dissocial behaviour and low self-esteem. Excludes: anxiety disorders ( F41.- ) mood [affective] disorders ( F30-F39 ) pervasive developmental disorders ( F84.- ) schizophrenia ( F20.- ) F90.0 Disturbance of activity and attention Attention deficit: · disorder with hyperactivity · hyperactivity disorder · syndrome with hyperactivity Excludes: hyperkinetic disorder associated with conduct disorder ( F90.1 ) F90.1 Hyperkinetic conduct disorder Hyperkinetic disorder associated with conduct disorder F90.8 Other hyperkinetic disorders F90.9 Hyperkinetic disorder, unspecified Hyperkinetic reaction of childhood or adolescence NOS Hyperkinetic syndrome NOS F91 Conduct disorders Disorders characterized by a repetitive and persistent pattern of dissocial, aggressive, or defiant conduct. Such behaviour should amount to major violations of age-appropriate social expectations; it should therefore be more severe than ordinary childish mischief or adolescent rebelliousness and should imply an enduring pattern of behaviour (six months or longer). Features of conduct disorder can also be symptomatic of other psychiatric conditions, in which case the underlying diagnosis should be preferred. Examples of the behaviours on which the diagnosis is based include excessive levels of fighting or bullying, cruelty to other people or animals, severe destructiveness to property, fire-setting, stealing, repeated lying, truancy from school and running away from home, unusually frequent and severe temper tantrums, and disobedience. Any one of these behaviours, if marked, is sufficient for the diagnosis, but isolated dissocial acts are not. Excludes: mood [affective] ( F30-F39 ) pervasive developmental disorders ( F84.- ) schizophrenia ( F20.- ) when associated with: · emotional disorders ( F92.- ) · hyperkinetic disorders ( F90.1 ) F91.0 Conduct disorder confined to the family context Conduct disorder involving dissocial or aggressive behaviour (and not merely oppositional, defiant, disruptive behaviour), in which the abnormal behaviour is entirely, or almost entirely, confined to the home and to interactions with members of the nuclear family or immediate household. The disorder requires that the overall criteria for F91.- be met; even severely disturbed parent-child relationships are not of themselves sufficient for diagnosis. 222 WHO’s ICD-10
F91.1 Unsocialized conduct disorder Disorder characterized by the combination of persistent dissocial or aggressive behaviour (meeting the overall criteria for F91.- and not merely comprising oppositional, defiant, disruptive behaviour) with significant pervasive abnormalities in the individual's relationships with other children. Conduct disorder, solitary aggressive type Unsocialized aggressive disorder F91.2 Socialized conduct disorder Disorder involving persistent dissocial or aggressive behaviour (meeting the overall criteria for F91.- and not merely comprising oppositional, defiant, disruptive behaviour) occurring in individuals who are generally well integrated into their peer group. Conduct disorder, group type Group delinquency Offences in the context of gang membership Stealing in company with others Truancy from school F91.3 Oppositional defiant disorder Conduct disorder, usually occurring in younger children, primarily characterized by markedly defiant, disobedient, disruptive behaviour that does not include delinquent acts or the more extreme forms of aggressive or dissocial behaviour. The disorder requires that the overall criteria for F91.- be met; even severely mischievous or naughty behaviour is not in itself sufficient for diagnosis. Caution should be employed before using this category, especially with older children, because clinically significant conduct disorder will usually be accompanied by dissocial or aggressive behaviour that goes beyond mere defiance, disobedience, or disruptiveness. F91.8 Other conduct disorders F91.9 Conduct disorder, unspecified Childhood: · behavioural disorder NOS · conduct disorder NOS F92 Mixed disorders of conduct and emotions A group of disorders characterized by the combination of persistently aggressive, dissocial or defiant behaviour with overt and marked symptoms of depression, anxiety or other emotional upsets. The criteria for both conduct disorders of childhood (F9l.-) and emotional disorders of childhood (F93.-) or an adult-type neurotic diagnosis (F40-F48) or a mood disorder (F30-F39) must be met. F92.0 Depressive conduct disorder This category requires the combination of conduct disorder (F91.-) with persistent and marked depression of mood (F32.-), as demonstrated by symptoms such as excessive misery, loss of interest and pleasure in usual activities, selfblame, and hopelessness; disturbances of sleep or appetite may also be present. Conduct disorder in F91.- associated with depressive disorder in F32.- Version for 2007 223
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F91.1 Unsocialized conduct disorder<br />
Disorder characterized by the combination of persistent dissocial or aggressive<br />
behaviour (meeting the overall criteria for F91.- <strong>and</strong> not merely comprising<br />
oppositional, defiant, disruptive behaviour) with significant pervasive<br />
abnormalities in the individual's relationships with other children.<br />
Conduct disorder, solitary aggressive type<br />
Unsocialized aggressive disorder<br />
F91.2 Socialized conduct disorder<br />
Disorder involving persistent dissocial or aggressive behaviour (meeting the<br />
overall criteria for F91.- <strong>and</strong> not merely comprising oppositional, defiant,<br />
disruptive behaviour) occurring in individuals who are generally well integrated<br />
into their peer group.<br />
Conduct disorder, group type<br />
Group delinquency<br />
Offences in the context of gang membership<br />
Stealing in company with others<br />
Truancy from school<br />
F91.3 Oppositional defiant disorder<br />
Conduct disorder, usually occurring in younger children, primarily characterized<br />
by markedly defiant, disobedient, disruptive behaviour that does not include<br />
delinquent acts or the more extreme forms of aggressive or dissocial behaviour.<br />
The disorder requires that the overall criteria for F91.- be met; even severely<br />
mischievous or naughty behaviour is not in itself sufficient for diagnosis. Caution<br />
should be employed before using this category, especially with older children,<br />
because clinically significant conduct disorder will usually be accompanied by<br />
dissocial or aggressive behaviour that goes beyond mere defiance, disobedience,<br />
or disruptiveness.<br />
F91.8 Other conduct disorders<br />
F91.9 Conduct disorder, unspecified<br />
Childhood:<br />
· behavioural disorder NOS<br />
· conduct disorder NOS<br />
F92 Mixed disorders of conduct <strong>and</strong> emotions<br />
A group of disorders characterized by the combination of persistently aggressive,<br />
dissocial or defiant behaviour with overt <strong>and</strong> marked symptoms of depression,<br />
anxiety or other emotional upsets. The criteria for both conduct disorders of<br />
childhood (F9l.-) <strong>and</strong> emotional disorders of childhood (F93.-) or an adult-type<br />
neurotic diagnosis (F40-F48) or a mood disorder (F30-F39) must be met.<br />
F92.0 Depressive conduct disorder<br />
This category requires the combination of conduct disorder (F91.-) with<br />
persistent <strong>and</strong> marked depression of mood (F32.-), as demonstrated by symptoms<br />
such as excessive misery, loss of interest <strong>and</strong> pleasure in usual activities, selfblame,<br />
<strong>and</strong> hopelessness; disturbances of sleep or appetite may also be present.<br />
Conduct disorder in F91.- associated with depressive disorder in F32.-<br />
Version for 2007 223
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