NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.

Substance Abuse and Mental Health Services Administration. DSM-5 Changes: Implications for Child Serious Emotional Disturbance [Internet]. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2016 Jun.

Cover of DSM-5 Changes

DSM-5 Changes: Implications for Child Serious Emotional Disturbance [Internet].

Show details

Table 17DSM-IV to DSM-5 Conduct Disorder Comparison

DSM-IV: Conduct DisorderDSM-5: Conduct Disorder
Disorder Class: Attention deficit and disruptive behavior disordersDisorder Class: Disruptive, Impulse-Control, and Conduct Disorders
A. A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of three (or more) of the following criteria in the past 12 months, with at least one criterion present in the past 6 months:A. A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of three (or more) of the following 15 criteria in the past 12 months from any of the categories below, with at least one criterion present in the past 6 months:
Aggression to people and animalsAggression to people and animals
 1. often bullies, threatens, or intimidates others 1. SAME
 2. often initiates physical fights 2. SAME
 3. has used a weapon that can cause serious physical harm to others (e.g., a bat, brick, broken bottle, knife, gun) 3. SAME
 4. has been physically cruel to people 4. SAME
 5. has been physically cruel to animals 5. SAME
 6. has stolen while confronting a victim (e.g., mugging, purse snatching, extortion, armed robbery) 6. SAME
 7. has forced someone into sexual activity 7. SAME
Destruction of propertyDestruction of property
 8 has deliberately engaged in fire setting with the intention of causing serious damage 8. SAME
 9. has deliberately destroyed others’ property (other than by fire setting) 9. SAME
Deceitfulness or theftDeceitfulness or theft
 10. has broken into someone else’s house, building, or car 10. SAME
 11. often lies to obtain goods or favors or to avoid obligations (i.e., “cons” others) 11. SAME
 12. has stolen items of nontrivial value without confronting a victim (e.g., shoplifting, but without breaking and entering; forgery) 12. SAME
Serious violations of rulesSerious violations of rules
 13. often stays out at night despite parental prohibitions, beginning before age 13 years 13. SAME
 14. has run away from home overnight at least twice while living in parental or parental surrogate home (or once without returning for a lengthy period) 14. SAME
 15. is often truant from school, beginning before age 13 years 15. SAME
B. The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.B. SAME
C. If the individual is age 18 years or older, criteria are not met for Antisocial Personality Disorder.C. SAME
Code based on age at onset:
  • 312.81 Conduct Disorder, Childhood-Onset Type: onset of at least one criterion characteristic of Conduct Disorder prior to age 10 years
  • 312.82 Conduct Disorder, Adolescent-Onset Type: absence of any criteria characteristic of Conduct Disorder prior to age 10 years
  • 312.89 Conduct Disorder, Unspecified Onset: age at onset is not known
Specify whether:
  • 312.81 (F91.1) Conduct Disorder, Childhood-Onset Type: Individuals show at least one symptom characteristic of conduct disorder prior to age 10 years
  • 312.82 (F91.2) Conduct Disorder, Adolescent-Onset Type: Individuals show now symptom characteristic of conduct disorder prior to age 10 years
  • 312.89 (F91.9) Conduct Disorder, Unspecified Onset: Criteria for a diagnosis or conduct disorder are met, but there is not enough information available to determine whether the onset of the first symptom was before or after age 10 years.
N/ASpecify if:
  • With limited prosocial emotions: To qualify for this specifier, an individual must have displayed at least two of the following characteristics persistently over at least 12 months and in multiple relationships and setting. These characteristics reflect the individual’s typical pattern of interpersonal and emotional functioning over this period and not just occasional occurrences in some situations. Thus, to assess the criteria for the specifier, multiple information sources are necessary. In addition to the individual’s self-report, it is necessary to consider reports by others who have known the individual for extended periods of time (e.g., parents, teachers, coworkers, extended family members, peers).
  • Lack of remorse or guilt: Does not feel bad or guilty when he/she does something wrong (excluding remorse when expressed only when caught and/or facing punishment). The individual shows a general lack of concern about the negative consequences of his or her actions. For example, the individual is not remorseful after hurting someone or does not care about the consequences of breaking rules.
  • Callous—lack of empathy: Disregards and is unconcerned about the feelings of others. The individual is described as cold and uncaring. The person appears more concerned about the effects of his or her actions on himself or herself, rather than their effects on others, even when they result in substantial harm to others.
  • Unconcerned about performance: Does not show concern about poor/problematic performance at school, work, or in other important activities. The individual does not put forth the effort necessary to perform well, even when expectations are clear, and typically blames others for his or her poor performance.
  • Shallow or deficient affect: Does not express feelings or show emotions to others, except in ways that seem shallow, insincere, or superficial (e.g., actions contradict the emotion displayed; can turn emotions “on” or “off” quickly) or when emotional expressions are used for gain (e.g., emotions displayed to manipulate or intimidate others).
Specify severity:
  • Mild: few if any conduct problems in excess of those required to make the diagnosis and conduct problems cause only minor harm to others
  • Moderate: number of conduct problems and effect on others intermediate between “mild” and “severe”
  • Severe: many conduct problems in excess of those required to make the diagnosis or conduct problems cause considerable harm to others
Specify current severity:
  • Mild: Few if any conduct problems in excess of those required to make the diagnosis are present, and conduct problems cause relatively minor harm to others (e.g., lying, truancy, staying out after dark without permission, other rule breaking).
  • Moderate: The number of conduct problems and the effect on others are intermediate between those specified in “mild” and those in “severe” (e.g., stealing without confronting a victim, vandalism).
  • Severe: Many conduct problems in excess of those required to make the diagnosis are present, or conduct problems cause considerable harm to others (e.g., forced sex, physical cruelty, use of a weapon, stealing while confronting a victim, breaking and entering).

From: 3, DSM-5 Child Mental Disorder Classification

Copyright Notice

All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, HHS.

Views

  • Cite this Page
  • PDF version of this title (767K)

Other titles in this collection

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...