Axis I and personality comorbidity in adolescents with conduct disorder.
R. C. Burket and W. C. Myers,
Bull. Amer. Acad. Psychiatry & the Law
23(1): 73-82, 1995.
This study was undertaken to investigate psychiatric comorbidity in male and female adolescents
with conduct disorder diagnoses. Twenty-five hospitalized adolescents (11 females, 14 males) with
conduct disorder were evaluated using structured diagnostic interviews for Axis I and personality
disorders. The most common Axis I comorbid diagnoses were: depressive disorders (major
depression and/or dysthymia), 64 percent; anxiety disorders (separation anxiety disorder,
overanxious disorder, panic disorder, obsessive-compulsive disorder, phobias, and/or posttraumatic
stress disorder), 52 percent; substance abuse, 48 percent; and attention-deficit hyperactivity disorder,
28 percent. Common Axis II disorders included passive-aggressive personality disorder, 56 percent,
and borderline personality disorder, 32 percent. When compared with the male subjects, the females
had significantly more total Axis I disorders and a trend toward more total personality disorders,
anxiety disorders, depression, and borderline personality disorders. These findings support conduct
disorder as a complex illness with extensive Axis I and II involvement as well as some gender
differences in presentation.