Chapter 5 Flashcards
Intellectual Disability; Developmental Disorders (27 cards)
Intellectual disability
significant limitations in general cognitive abilities and adaptive functioning
Prevalence of intellectual disability
2-3% (based on IQ), slightly more common in males due to x chromosomes/ more vulnerable CNS
Examples of intellectual deficits
impairment of language, reasoning, problem solving, planning, academic learning, real-world learning
Deficits in adaptive functioning
conceptual skills (language, reading), social skills (conversations, eye contact), practical skills (safety, hygiene)
Intellectual disability diagnostic criteria (early onset)
deficits in intellectual and adaptive functioning, early onset (begin in childhood)
Mild intellectual disability range
IQ of 50 to 70 (85% of cases fall in this category, 1 out of every 100 US individuals)
Moderate intellectual disability range
IQ of 35 to 49 (10% of cases)
Severe intellectual disability range
IQ of 20 to 34 (3% to 4% of cases)
Profound intellectual disability range
IQ below 20 (1% to 2% of cases)
Global Development Delay (GDD)
affects 1% to 3% of infants; a slow development across most/all skill dominants: (fine/gross motor skills, speech/language, social/personal, daily living)
What is GDD used for
flag impairments in infants/toddlers who are too young to take IQ tests
Chromosomal microarray (CMA)
used to find genetic abnormalities; “genetic testing”
A portion of children with GDD…
will “catch up”, but many won’t
(Theory) Why does intellectual disability occur?
similar sequence hypothesis and/or similar structure hypothesis
Similar sequence hypothesis
youth with and without intellectual disability develop along the same sequence; youth with ID develop at slower pace and possible earlier end-point
Similar structure hypothesis
children with and without intellectual disabilities are matched in terms of cognitive stage and should perform similarly
Challenging behavior in intellectually disabled children
challenging behavior, stereotypes, self-injurious behaviors (SIBs), physical aggression
Stereotypes of challenging ID behavior
flaps hands, twirls fingers, grimacing, self-biting/licking
How often is physical aggression displayed in children with ID
about 20-25%
Fragile X Syndrome
caused by the FMR 1 gene at long arm of X chromosome- makes it fragile
PKU
autorecessive metabolic disorder- must inherit the recessive gene from both parents to develop the disorder
Craniofacial features associated with FAS
low nasal bridge, short nose, skin folds at corners of eyes, thin upper lip, small midface, small eye opening, small head circumference
Prenatal screening
maternal blood tests at 15-18 weeks gestation to detect some developmental disorders
Ways to treat ID
prenatal screening, early education programs, academic inclusion, IDEIA (identification of ID youth and IEP), universal design, contingency management (reinforcers/consequences), atypical antipsychotic medication