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Flashcards in childhood psych disorders Deck (48):
0

rates of mental illness in children

14-20%

1

how many children are receiving service?

1 in 4- most NOT in formal mental health settings

2

suicide # leading cause of death in teens

3rd

3

most common mental health disorders

ADHD
depression
anxiety

4

risk factors for mental health issues

chronic health issues
brain damage
temperament
genetics
family factors
psychosocial factors

5

comorbidies

rule rather than exception
about 1/3 of children with ADHD have ADHD alone

6

internalizing

affecting you

7

externalizing

affecting those around you

8

gender in childhood vs adult depression

childhood: males= females
adults: females 2:1 males

9

childhood depression more at risk for

substance abuse
anxiety disorders
adult depression
bipolar disorder

10

best evidence for depression treatment

cognitive behavioral therapy
--ssris?

11

adolescents with MDD

1 in 20

12

percent of adolescents that make suicide attempts each year

9%

13

suicides versus completion

rare event, but hard to predict

14

increased SSRi linked to

decrease suicide attempt

15

FDA lable for ped OCD

zoloft
luvox
prozax
anafranil

16

FDA label for Ped-MDD

prozac > 8 years

17

onset of action

6-12 weeks

18

trend in antidepressants

decline

19

best treatment for child MDD

floxtine + CBT

20

TADS columbia study

gave antidepressants black box warning- use with caution!

21

chilren with anxiety

look shut down, but physiologically very aroused

22

anxiety risk factors

temperament
genetics/epigenetics
attachment (anxious-resistant)
anxiety/depression in parent
anxious, hostile parenting style
trauma/environmental stress

23

what are the worst type of anxious parenting styles?

randomly/inconsistently hostile

24

on their own, stressful life events

do not provide a full explanation for the development of anxiety disorders

25

percentage of US children with anxiety

10-20%

26

most common childhod psych disorder

anxiety

27

anxiety and comorbidies

has a high rate

28

normal dev fears birth-6 months

loud noises
loss of physical support
rapid position changes
rapidly approaching/unfamiliar objects

29

7-12 months

strangers
looming objects
sudden confrontaton
unexpected objects
unfamilar people

30

1-5 years fears

strangers
storms
animals
dark
separation from parents
machines
objects
loud noises
toilet
monsters
ghosts insections
bodily harm

31

6-12 years fears

supernatural beings
bodily injury
disease (AIDS, cancer)
burglars
staying alone
failure
criticism
puihsment

32

12-18 years fears

tests
bodily injury
scrutiny
appearance
body image
performance

33

abnormal anxiety is more

frequency and intensity than content

34

pathology categorized by

pervasiveness
intensity
time consuming
debility

35

placebos nad children

very responsive to

36

combined therapy is best in

moderate-severe anxiety

37

majority of primary anxiety disorders in children

remit over time
greater than 1/3 develop new disorders
GAD-greatest risk

38

3 types of child ADHD

inattentive
hyperactive/impulsive
combined

39

percentage of childhood adhd that continues into adulthood

60%

40

adhd brain

dysregulation of Ne and DA in frontal striatl systems
temporalar insular cortex to feed up- much less efficient

41

pleasurable, on

positive reinforcement

42

pleasurable, off

extinction

43

averse, on

punishment

44

averse, off

negative reingorcement

45

punishment vs extinction

punishment is faster but extinction re-establishes neural networks to change behavior is long-term

46

side effects of meds for adhd

insomnia
tics
appetite suppresion/decreased growth

47

OCD in children

1-2% of population