Which of the following has the highest risk of metabolic syndrome?

A. Vindictive. Being vindictive is more characteristic of oppositional defiant disorder (ODD) rather than conduct disorder (CD). While both disorders involve defiant and hostile behavior, ODD is marked by persistent anger, argumentativeness, and vindictiveness, whereas CD includes more severe violations of social norms and the rights of others.

B. Deceitful. Deceitfulness is a core symptom of conduct disorder. It includes lying, manipulating others, shoplifting, and breaking promises for personal gain. This behavior is often done without guilt or remorse.

C. Aggressive towards people and animals. Physical aggression is a defining feature of conduct disorder. Individuals may bully, threaten, fight, use weapons, or show cruelty towards animals without regard for others' safety.

D. Destroying property. Conduct disorder includes deliberate destruction of property, such as vandalism, arson, or breaking into buildings, often as a way to exert control or express defiance.

A. Argumentative. Oppositional defiant disorder (ODD) is characterized by a pattern of defiant, hostile, and argumentative behavior toward authority figures. Children with ODD frequently argue with adults, refuse to comply with rules, and deliberately provoke others.

B. Resentful. Children with ODD often display persistent resentment and anger, particularly when they feel they have been wronged. They may hold grudges and struggle to forgive perceived slights, leading to ongoing conflicts with parents, teachers, or peers.

C. Aggressive toward animals. Aggression toward animals is not a symptom of ODD but is a key feature of conduct disorder (CD). Children with conduct disorder engage in severe violations of social norms, including cruelty to animals, destruction of property, and physical aggression toward people. ODD, in contrast, involves defiant and disruptive behaviors without serious violations of others' rights.

D. Vindictive. A vindictive attitude is one of the diagnostic criteria for ODD. Children with ODD may seek revenge, retaliate excessively, or intentionally annoy others to provoke a reaction. This behavior is often fueled by feelings of frustration and perceived injustice.