Intellectual Disabilities Flashcards

(41 cards)

1
Q

The term “Intellectual Disability” is also called what kind of disorder?

A

Intellectual Developmental Disorder

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2
Q

What was the pejorative term for an intellectual disability (no longer used)?

A

“Mentally retarded”

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3
Q

What are the 2 main features of an intellectual disability?

A

(one resulting from another)
1. Fundamental deficit in ability to think
- Abstract judgement, planning, problem solving, reasoning, learning
- Overall IQ is below avg (<70)

  1. Ability to adapt to demands of normal life is seriously impaired
    - Problems w/ adaptation (school, work, home w/ family)
    - Conceptual (school skills), social (communication), practical (regulating behavior)
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4
Q

What feature is required to be diagnosed with an intellectual disability?

A

Problems with adaptation! (school, work, home w/ family)

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5
Q

What criteria was previously used for intellectual disability diagnosis, but is not anymore?

A

Low IQ (<70), indicating below avg intellectual functioning

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6
Q

How are intellectual disabilities classified?

A

Ranges:
1. Mild
2. Moderate
3. Severe
4. Profound

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7
Q

What does the mild range consist of?

A
  • 85% of ID population
  • Can generally learn reading, writing + math skills b/w 3rd and 6th grade lvls.
  • May have jobs + live independently
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8
Q

What does the moderate range consist of?

A
  • 10% of ID population
  • May be able to learn some basic reading + writing.
  • Able to learn functional skills such as safety and self-help.
  • Require some type of oversight/supervision.
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9
Q

What does the severe range consist of?

A
  • 5% of ID pop
  • Probably not able to read or write, although they may learn self-help skills + routines.
  • Require supervision in their daily activities and living environment
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10
Q

What does the profound range consist of?

A
  • 1% of the ID pop
  • Require intensive support.
  • May be able to communicate by verbal or other means
  • May have medical conditions that require ongoing nursing + therapy
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11
Q

Most people with an intellectual disability fall within which range?

A

Mild range

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12
Q

When is the onset of an intellectual disability?

A

Often in infancy, but problem show up in childhood + beyond

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13
Q

What behavioral problems are associated w/ an intellectual disability?

A
  • Aggression, dependency, impulsivity, passivity, stubbornness, poor frustration tolerance
  • Gulibility + naivete - risk for exploitation by others
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14
Q

How may someone w/ an intellectual disability appear?

A

May appear normal, while others have obvious physical characteristics
- Short stature, seizures, malformed eyes, ears, other pts of face

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15
Q

What causes intellectual disability?

A
  • No identifiable cause (30%)
  • Environment + exposure to toxins (25%)
  • Genetics (5%)
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16
Q

What are some inherited forms of intellectual disability?

A
  • Phenylketonuria (PKU)
  • Tay-Sachs Disease
  • Fragile X syndrome
  • Downs Syndrome
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17
Q

What causes Phenylketonuria?

A
  • Missing enzyme to break down phenylalanine, so it accumulates to toxic levels in your brain
18
Q

Is Phenylketonuria preventable?

A
  • Yes, 100% preventable w/ diet
19
Q

When do you test for Phenylketonuria? How prevalent is it?

A
  • Tested at birth
  • 1 in 10-15K U.S.
20
Q

What causes Tay-Sachs Disease?

A
  • Missing vital enzyme (hexosaminidase-A) that breaks down lipids
  • Lipids make their way to brain + spinal cord → accumulate in nerve cells
21
Q

What are common symptoms of Tay-Sachs Disease?

A
  • Gradually lose sight, hearing and swallowing abilities
  • Progressively worse problems w/ speech
22
Q

What is the general prevalence of Tay-Sachs?

A
  • Death before age 5
  • Most common among Jewish descent
23
Q

What must you have to get Tay-Sachs Disease?

A

Both your parents must be carriers

24
Q

Are there treatments for Tay-Sachs Disease?

A

No treatments available

25
What causes Fragile X syndrome?
- Damage/mutation to the X chromosome - Transmitted through fragile X gene on the X chromosome
26
What is the prevalence for Fragile X syndrome?
- Can affect both boys + girls, but is most common in males* - Mild-moderate ID - 1 in 4K males/1 in 8K females
27
What may be co-morbid with Fragile X syndrome?
ADHD co-morbidity
28
What are common features of Fragile X syndrome?
Elongated face, larger ears, head size
29
Is there a cure for Fragile X syndrome?
No
30
What causes Downs Syndrome?
Caused by the presence of an extra 21st chromosome
31
What is the prevalence of Downs Syndrome?
1 in 700 births
32
What is another name for Downs Syndrome?
Trisomy 21
33
What are common features for Downs Syndrome?
Characteristic facial structure: almond shaped elongated eyes, short stature, round face
34
When is the onset for Downs Syndrome?
Early on, via ultrasound
35
What are some environmental causes of Intellectual Disability?
- Prenatal Disease Rubella (German measles) - Difficult delivery - Premature birth - Prenatal substance abuse - Failure to thrive - Exposure to toxins (lead, chemicals)
36
What causes Fetal Alcohol Syndrome?
Substance abuse while pregnant (leading cause for ID)
37
What are common features of Fetal Alcohol Syndrome?
- Smooth philtrum, epicanthal folds - Cerebellar ataxia - problems w/ balance, gait, eye movements
38
What is the prevalence of Fetal Alcohol Syndrome?
- Leading case of intellectual disability - 10% of women drink while pregnant globally - 7.7-20 per 1000 births globally - lower in U.S.
39
Is Fetal Alcohol Syndrome preventable?
100% preventable
40
What can Fetal Alcohol syndrome do to your brain?
Shrinkage of brain tissue
41
What interventions are there for IDs?
- No cure, but some are preventable - Mainstreaming - Behavioral interventions involving family