Exam Three Flashcards

(67 cards)

1
Q

Autism Spectrum Disorder - Neurodevelopmental disorders - impairments in what areas?

A

Social communication and interaction
Restricted, repetitive, stereotyped behavior and interest

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2
Q

Autism Spectrum Disorder - Leo Kanner

A

“Early infantile autism”
Inability to relate to people and situations
Autism = “within oneself”

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3
Q

Autism Spectrum Disorder - Joint Social Attention

A

Ability to coordinate one’s focus of attention on another person and object of mutual interest

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4
Q

Autism Spectrum Disorder - Pragmatics and Social Communication Deficits

A

Primary language deficit
Appropriate use of language in social and communication contexts

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5
Q

Autism Spectrum Disorder - Behavior Impairments

A

Perseveration or abnormal preoccupation
Ritualistic behavior
Stereotyped body movements
Insistence of sameness
Self-stimulatory behavior

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6
Q

Autism Spectrum Disorder - Theory of Mind

A

Impairment in the ability to understand others’ and their onw mental states

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7
Q

Autism Spectrum Disorder - Prevalence and Course

A

1 in 59 children
Prevalence is increasing
5 times more likely in boys
Most commonly identified around age 2
Usually chronic and lifelong

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8
Q

Autism Spectrum Disorder - Genetic Influences

A

Higher than expected rate of autism-like developmental disorders found in families

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9
Q

Autism Spectrum Disorder - Brain Abnormalities

A

Structural and functional abnormalities in brain development
Elevated levels of serotonin

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10
Q

Autusm Spectrum Disorder - UCLA Young Autism Project (Treatment)

A

Behavior modification
32 month old children
Discrete trial training
Incidental teaching
Early intervention and extensive training can be successful.

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11
Q

Intellectual Disability - Criteria

A

Significantly subaverage IQ (<70)
Concurrent deficits or impairments in adaptive functioning
Characteristics evident prior to age 18
Level of adaptive functioning

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12
Q

Language & Learning Disabilities - Identifying Disabilities

A

IQ-achievement discrepancy
Below average achievement

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13
Q

Language & Learning Disabilities - Phonological Awareness

A

Necessary for basic reading skills and expressive language development

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14
Q

Language & Learning Disabilites - Pragmatics

A

Use of language in a social context

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15
Q

Language & Learning Disabilities - Development

A

Language functions housed primarily in left temporal lobe
Middle ear infections may lead to speech and language delays
Predictor of school performance and overall intelligence

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16
Q

Language & Learning Disabilities - Reading

A

Most common underlying feature is inability to distinguish or separate sounds in spoken words

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17
Q

Language & Learning Disabilities - Written Expression

A

Shorter, less interesting, and poorly organized essays, and are less likely to review spelling, grammar, punctuation
Associated with problems with eye/hand coordination (bad handwriting)

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18
Q

Language & Learning Disabilities - Mathematics

A

Difficulty recognizing number and symbols, memorizing facts, aligning numbers, and understanding abstract concepts

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19
Q

Language & Learning Disabilities - Course

A

At risk for social and psychological problems
Poor academic self-concept
Depression
Behavior problems
Social skills deficits
Dropping out of school

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20
Q

Language & Learning Disabilities - Causes

A

Genetic-based neurological problem
Reading and language-based problems associated with abnormalities in left hemisphere of brain

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21
Q

Language & Learning Disabilities - Regular Education Initiative

A

Education for All Handicapped Children Act
Individuals with Disabilities Education Act
Individuals with Disabilities Education Improvement Act

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22
Q

Intellectual Disability - Adaptive Functioning

A

How effectively an individual copes with ordinary life demands and how capable he/she is of living independently and abiding by community standards

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23
Q

Intellectual Disability - Levels of Support

A

Intermittent
Limited
Extensive
Pervasive

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24
Q

Intellectual Disability - Levels of ID

A

Mild - 85%
Moderate - 10%
Severe - 3-4%
Profound - 1-2 %

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25
Intellectual Disability - Organic Causes
More prevalent at moderate, severe and profound levels of ID Clear cause
26
Intellectual Disability - Familial Causes
No obvious cause, sometimes another family member also has ID More prevalent in mild ID
27
Intellectual Disability - Genetic & Constitutional Factors
Chromosomal abnormalities are the single most common cause of severe ID
28
Intellectual Disability - Prevention, Education & Treatment
Psychosocial: intensive, child focused, early intervention Optimal timing is preschool years Behavioral techniques
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Intellectual Disability - Functional Communication Training
Reduce challenging behavior Enhance adaptive behavior
30
Elimination Disorders - Enuresis
Repeated discharge of urine during the day or night, whether involuntary or intentional At least twice a week for three months or accompanied by significant distress in a child at least 5 years old
31
Elimination Disorders - Enuresis Causes
Deficiency of antidiuretic hormone Genetic predisposition Immature signaling mechanism
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Elimination Disorders - Enuresis Treatment
Urine alarm
33
Elimination Disorders - Encopresis
The passage of feces into inappropriate places At least once per month for three months in a child at least 4 years old
34
Elimination Disorders - Encopresis Causes
Untreated constipation Abnormal defecation dynamics
35
Elimination Disorders - Encopresis Treatment
Medical and behavioral approaches Use of fiber, enemas or laxatives to treat the constipation, followed by behavioral and biofeedback interventions to establish healthy elimination patterns
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Elimination Disorders - Encopresis Treatment
Use of fiber, enemas, or laxatives to treat the constipation, followed by behavioral and biofeedback interventions to establish healthy elimination patterns
37
Eating Disorders - Rumination
Voluntary and repeated regurgitation of food or liquid
38
Eating Disorders - PICA
Eating inedible, non-nutritive substances for a period of at least one month Mostly very young children & those with ID
39
Eating Disorders - Childhood Obesity
Excessive body fat Prevalence is increasing Childhood onset obesity is more likely to persist into adolescence and adulthood
40
Eating Disorders - Childhood Obesity Causes
Genetic predisposition Improper diet Unhealthy lifestyle Family influences
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Eating Disorders - Childhood Obesity Treatment
Proper nutrition and less sedentary lifestyle are recommended
42
Eating Disorders - Anorexia Nervosa
Refusal to maintain minimally normal body weight Intense fear of gaining weight
43
Eating Disorders - Subtypes of Anorexia
Restricting: diet, fasting, or excessive exercise Binge-eating/purging: episodes of binge eating or purging, or both
44
Eating Disorders - Bulimia Nervosa
Often retaining or even gaining of weight Primary symptom is recurrent binge eating followed by compensation
45
Eating Disorders - Subtypes of Bulimia
Purging: self-induced vomiting or misuse of laxatives or diuretics Non-purging: fasting, excessive exercise
46
Eating Disorders - Prevalence of Anorexia & Bulimia
Rare among adolescents Anorexia: 0.3% Bulimia: 0.9% Large number of adolescents show core symptoms of eating disorder Girls: 12% Boys: 2%
47
Eating Disorders - Onset of Anorexia
Between ages 14 and 18 After a stressful life event Fewer than 1/2 show full recovery, 1/5 continue on chronic course
48
Eating Disorders - Onset of Bulimia
Late adolescence During or after a period of restrictive dieting Follows a chronic course or occurs intermittently Between 50 to 75% show full recovery
49
Eating Disorders - Sociocultural Influences
Emphasis on valuing slim, young bodies Media, peers, and families transmit cultural messages
50
Eating Disorders - Biological Influences
Minor role in precipitating anorexia and bulimia Major role in their maintenance ED run in families Imbalances of serotonin may be implicated
51
Eating Disorders - Psychological Causes
Affect disturbance is often comorbid with anorexia Bulimia associated with mood swings, poor impulse control, OCD behaviors, depression, anxiety, and substance abuse
52
Eating Disorders - Treatment
Sometimes hospitalization Antidepressants and SSRI's may be helpful for Bulimia Anorexia generally less responsive to treatment Family considered most important resource Cognitive-behavioral treatment: cognitive distortion and loss of control over eating core of disorder Interpersonal therapy: problems involved in development and maintenance of eating disorders
53
Sleeping Disorders - Impaired Prefrontal Cortex
Decreased concentration Decreased ability to inhibit or control basic drives, impulses, and emotions
54
Sleeping Disorders - Sleep Stages
REM sleep: highest brain activity New information is sorted and stored into memory Non-REM sleep: Quiet, slow and synchronized
55
Sleeping Disorders - Development of Sleep Patterns
Needs, patterns and problems change as children develop - Infants and toddlers: night waking problems Younger school-aged children: going to bed problems Adolescents: going to, staying, or having enough time to sleep
56
Sleeping Disorders - Dyssomnias
Disorders of initiating and maintaining sleep Night waking problems Falling Asleep problems Difficulty or staying asleep or not having enough time to sleep
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Sleeping Disorders - Parasomnias
Disorders in which behavioral or psychological events intrude upon ongoing sleep
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Sleeping Disorders - Narcolepsy
Recurring, irresistible attacks of sleep that intrude upon wakefulness Accompanied by brief episodes of loss of muscle tone Rare among children and adolescents Appears to be an inherited neurological disorder
59
Sleeping Disorders - Breathing-Related
Sleep loss or disruption due to impaired breathing Obstructed sleep apnea syndrome is the most common form among children
60
Sleeping Disorders - Nightmares
Common in children ages 3 to 6 Affect 10 to 50% of children in that age group Occur during REM sleep Frequency and intensity often affected by stress.
61
Sleeping Disorders - Sleep Terrors
3% of children Between ages 4 and 12 Occur during non-REM sleep Non-reactivity to external stimuli Difficulty being aroused Mental confusion when awakened Lack of memory for the event in the morning
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Sleeping Disorders - Sleepwalking
Eyes are open and child leaves bed and walks around No later memory of episode 15% of children ages 5 to 12 have isolated incidents Occurs during non-REM sleep
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Chronic Illness - Definition
Persists for more than three months or requires hospitalization for more than one month
64
Chronic Illness - Prevalence and Course
10 to 20% of children (about 1/3 have moderate to severe conditions) Asthma is most common Suffer the most with social adjustment May demonstrate academic problems (absenteeism, fatigue, or psychological stress)
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Chronic Illness - Diabetes Mellitus
Body can't metabolize carbs because pancreas does not release enough insulin Life expectancy 1/3 less than normal
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Chronic Illness - Childhood Cancer
Sudden onset Often at a more advanced stage when first diagnosed Most common form is acute lymphoblastic leukemia
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Chronic Illness - Transactional Stress and Coping Model
A person's ability to cope and adjust to chronic illness is a consequence of transactions (interactions) that occur between them and their environment