Conduct Disorder (CD) is a significant mental health concern among youth, particularly those at high risk of psychosis. Recent research conducted in Kenya sheds light on the prevalence and characteristics of CD in this demographic. This blog explores the findings and offers guidance for practitioners seeking to improve their skills and outcomes for affected youth.
The Research at a Glance
The study titled "DSM-5 conduct disorder and symptoms in youths at high risk of psychosis in Kenya with DSM-5 mental disorders and substance use: towards integrated management" investigates the prevalence of CD among Kenyan youth who screened positive for early signs of psychosis. The sample included 536 students from various educational institutions who had not yet developed a full-blown psychotic disorder.
Key Findings
- Prevalence: Approximately 5% of the participants met the criteria for DSM-5 CD, with an additional 10.1% classified as indeterminate.
- Gender Differences: Male participants exhibited higher rates of CD symptoms, particularly aggression-related behaviors.
- Comorbidities: CD was significantly associated with other mental disorders such as obsessive-compulsive disorder, psychosis, and substance use disorders.
- Substance Use: Lifetime use of substances like tobacco and cannabis was linked to higher rates of CD.
Implications for Practitioners
This research highlights the importance of comprehensive screening for conduct disorder, mental health issues, and substance use among youth at high risk of psychosis. Here are some actionable steps practitioners can take:
- Integrated Screening: Implement routine screenings for CD alongside assessments for psychosis and substance use disorders. This holistic approach can help identify comorbid conditions early.
- Cultural Sensitivity: Be mindful of cultural factors that may influence the presentation and management of CD. Tailor interventions to fit the cultural context of your clients.
- Gender-Specific Interventions: Develop targeted strategies to address gender-specific manifestations of CD, particularly in males who may exhibit more aggressive behaviors.
- Collaboration with Families: Engage families in the treatment process to provide support and education about CD and its implications.
- Ongoing Research: Encourage further research into CD in diverse populations to enhance understanding and inform best practices globally.
The Path Forward
The findings from this study underscore the need for integrated management approaches that address both conduct disorder and associated mental health issues. By implementing these strategies, practitioners can improve outcomes for youth at high risk of psychosis and contribute to a broader understanding of CD across different cultural contexts.
To read the original research paper, please follow this link: DSM-5 conduct disorder and symptoms in youths at high risk of psychosis in Kenya with DSM-5 mental disorders and substance use: towards integrated management.
