2013 NICE 158 临床指南：青少年儿童反社会行为与品行障碍的识别、干预与管理临床指南
NICE clinical guideline 158:Antisocial behaviour and conduct disorders in children and young people: recognition, intervention and management(CG158 )
2013-03-27
This guidance updates and replaces NICE technology appraisal guidance 102 (publishedJuly 2006).Conduct disorders, and associated antisocial behaviour, are the most common mental andbehavioural problems in children and young people. The Office of National Statistics (ONS)surveys of 1999 and 2004 reported that their prevalence was 5% among children and youngpeople aged between 5 and 16 years. Conduct disorders nearly always have a significant impacton functioning and quality of life. The 1999 ONS survey demonstrated that conduct disordershave a steep social class gradient, with a three- to fourfold increase in prevalence in socialclasses D and E compared with social class A. The 2004 survey found that almost 40% oflooked-after children, those who had been abused and those on child protection or safeguardingregisters had a conduct disorder.Conduct disorders are characterised by repetitive and persistent patterns of antisocial,aggressive or defiant behaviour that amounts to significant and persistent violations of ageappropriatesocial expectations.The World Health Organization's ICD-10 classification of mentaland behavioural disorders divides conduct disorders into socialised conduct disorder,unsocialised conduct disorder, conduct disorders confined to the family context and oppositionaldefiant disorder. The major distinction between oppositional defiant disorder and the othersubtypes of conduct disorder is the extent and severity of the antisocial behaviour. Isolatedantisocial or criminal acts are not sufficient to support a diagnosis of conduct disorder oroppositional defiant disorder. Oppositional defiant disorder is more common in children aged10 years or younger; the other subtypes of conduct disorder are more common in those agedover 11 years or older.
