Attention Difficulties and Disruptive Behaviour Flashcards Preview

Week 41: Normal/Abnormal Growth and Development > Attention Difficulties and Disruptive Behaviour > Flashcards

Flashcards in Attention Difficulties and Disruptive Behaviour Deck (14)
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1

Pathogenesis of ADHD

Genetic factors (especially involving DA)
Neuroanatomy: smaller prefrontal cortex and anterior cingulate cortex, reduced global activation and local activation of the basal ganglia
Food additives, refined sugar, and essential fatty acid deficiencies have possible relationships
Iron and zinc deficiency have likely relationships

2

Diagnostic criteria for ADHD

For children under 18
6+ symptoms
Present before the age of 12
Persist for > 6 months
More than one setting
Impairs function
Excessive for developmental level
Behavioural ratings from 2 settings

3

FIRST B.PAW

For hyperactivity and impulsivity subtype
F: fidgetiness
I: interruption or intrusion
R: restlessness
S: troubles remaining seated
T: excessive talking
B: blurting out answers
P: difficulties playing quietly
A: always on the go
W: difficulties waiting turn

4

FATED DOLL

Inattention subtype
F: forgetful
A: difficulty sustaining attention
T: fails to follow through
E: avoids tasks requiring sustained effort
D: distractibility
D: not providing close attention to detail
O: difficulties with organization
L: loses objects
L: seems not to listen

5

Management of ADHD
1. Preschool (4-5)
2. School-age (6+)

1. Behavioural 1st line, behaviour + meds second line
2. 1st line is stimulant and behavioural

6

When would you use meds in a preschool age kid?

At risk for expulsion
Significant injury to others
Strong family history of ADHD
Suspected CNS cause
ADHD interferes with other needed therapies

7

Behavioural management examples

Positive reinforcement
Response cost
Token economy
Parent-child interaction
Time-outs
Programs (incredible years, triple p, etc)

8

ABCs of behaviour

A: antecedent
B: behaviour of interest
C: consequence

9

Side effects of stimulants

Appetite suppression
Poor growth
CV: dizziness, HTN
Mood lability
Insomnia
Rebound behavioural effects
Tics
Less common: priapism, psychosis

10

DSM Diagnosis of Learning Disability

Difficulties in learning and using academic skill
Substantially affected and quantifiably below expected performance (by standardized tests)
Must persist for 6 months despite intervention
Begin during school age years

11

Dyslexia

A reading disability
Issues with decoding and phonics

12

Intellectual Disability

Neurodevelopmental disorder characterized by deficits in intellectual and daily living skills
Presents before 18 years old
Multiple definitions and severity

13

3 adaptive domains

Conceptual: literacy and math concepts
Social: friendships, social problem solving
Practical: personal care, daily routines, occupation

14

Global Developmental Delay

Intellectual and adaptive impairment in children Under 5
Significant delay (2 SDs below mean) in at least 2 developmental domains