Parental abuse, onset of problem behavior in early childhood, financial hardship and lack of supervision are all associated with more severe conduct disorder.10, 18 Additionally, a poorer prognosis is associated with an increase in the number and severity of specific DSM - IV criteria.10 Risk also increases with comorbid
ADHD and substance abuse.10 These
dimensions should guide treatment Subclinical conduct disorder
symptoms or those of recent onset may be amenable to physician - parent counseling.
Factor analyses have revealed that
ADHD is comprised of 2 separate
dimensions of
symptoms (hyperactive / impulsive and inattentive).14 Accordingly, DSM - IV moved away from the unitary model of DSM - III - R and returned to a model with separate
dimensions.