Test 3 Flashcards

(50 cards)

1
Q

Autism Spectrum Disorder

A

a complex neurodevelopmental disorder characterized in the DSM-5-TR by persistent differences in social communication and social interaction across multiple contexts

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2
Q

Diagnostic criteria for ASD

A

− Significant and persistent differences in social interaction and communication skills
− Highly intense and repetitive patterns of interests and behaviors
* Symptoms must be present in early developmental period
* Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning
* These disturbances are not better explained by intellectual developmental disorder or global developmental delay

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3
Q

Treatments for ASD

A

− Minimize the core concerns of ASD
− Maximize the autistic child’s independence and quality of life
− Help the child and family cope and manage
− Engaging children and families in services and supports
− Improving mood regulation and frustration tolerance
− Teaching developmentally-appropriate social behavior
− Teaching adaptive skills
− Speech and language therapy are commonly used
− For some children, antipsychotic medications may help decrease challenging behaviors

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4
Q

Socially oriented behaviors(autism treatment)

A

Pairing people with whom the child has contact with actions, activities, and events that the child finds pleasant

Teaching social toy play, social pretend play, specific social skills
UCLA PEERS social skills training program is targeted for teens

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5
Q

Communication skills(autism treatment)

A

Operant speech training
Joint attention, symbolic play, engagement, and regulation (JASPER)

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6
Q

ASD and Comorbid disorders

A

Often accompany ASD are IDD and epilepsy, anxiety disorders, ADHD, learning disabilities, oppositional and conduct problems, and mood disturbances
Some autistic children also engage in extreme, persistent, and sometimes potentially life-threatening, self-injurious behavior (SIB)

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7
Q

Positive Symptoms of Schizophrenia

A

Delusions

Hallucinations most common for children are auditory-and occur in 80% of cases with onset prior to age 11

40% to 60% experience visual hallucinations, delusions, and thought disorder

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8
Q

Negative Symptoms of Schizophrenia

A

Slowed thinking, speech, movement; emotional apathy; and lack of drive

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9
Q

Criteria for Schizophrenia

A

Severe disturbance in sensory functioning and/or behavior
Social/occupational dysfunction: when the onset is in childhood or adolescence, there is failure to achieve expected level of interpersonal, academic, or occupational functioning
Duration: signs of the disturbance persist for at least 6 months
Schizoaffective and Mood Disorder exclusion
Substance/medical condition exclusion
Relationship to autism spectrum or communication disorder

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10
Q

Causes of schizophrenia

A

Neurodevelopmental model: defective neural circuitry increases a child’s vulnerability to stress
Biological factors:
Strong genetic contribution
Molecular genetic studies have identified several potential susceptibility genes

Environmental factors:
Familial disorder, high communication deviance, stress, distress, and personal tragedy

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11
Q

Schizophrenia Treatment

A

COS is a chronic disorder with a poor long-term prognosis
Current treatments emphasize use of antipsychotic medications combined with psychotherapy and social and educational support programs
Medications help control psychotic symptoms
There can be serious side effects

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12
Q

DSM-5-TR criteria for intellectual developmental disorder

A

Diagnostic criteria for intellectual developmental disorder (DSM-5-TR)
Deficits in intellectual functions confirmed by both clinical assessment and individualized, standardized intelligence testing
Deficits in adaptive functioning that result in failure to meet developmental and sociocultural standards for personal independence and social responsibility
Onset of intellectual and adaptive deficits during the developmental period (generally considered to be before age 18)
Changes in criteria focus more on the nature or qualities of the person rather than on the IQ score

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13
Q

Mild Severity for IDD

A

About 85% of people with IDD
This category has an overrepresentation of minority group members
Typically develop social and communication skills during the preschool years (modest delays in expressive language)
Minimal or no sensorimotor impairment
Engage with peers readily
Academic skills up to approximately the sixth-grade level
Social and vocational skills adequate for minimum self-support

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14
Q

Moderate Severity Level of IDD

A

About 10% of individuals with IDD
Show delays in reaching early developmental milestones
Usually identified during preschool years
Applies to many people with Down syndrome
Benefit from vocational training
Can perform supervised unskilled or semiskilled work in adulthood

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15
Q

Severe Severity Levels of IDD

A

About 4% of individuals with IDD
Often associated with organic causes
Usually identified at a very young age
Delays in developmental milestones and visible physical features are seen
May have mobility or other health problems
Need special assistance throughout their lives
Live in group homes or with their families

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16
Q

Profound Severity of IDD

A

About 2% of individuals with IDD
Identified in infancy due to marked delays in development and biological anomalies
Learn only the rudimentary communication skills
Require intensive training for:
Eating, grooming, toileting, and dressing behaviors
Require lifelong care and assistance

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17
Q

Types of cause for IDD

A

Genetic or environmental causes are known for almost two-thirds of individuals with moderate to profound IDD
Prenatal: genetic disorders and accidents in the womb
Perinatal: prematurity and anoxia
Postnatal: meningitis and head trauma

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18
Q

Role of the environment for IDD

A

Genetic influences are potentially modifiable by environment
Genotype: a collection of genes that pertain to intelligence
Phenotype: the expression of the genotype in the environment
Heritability: proportion of the variation of a trait attributable to genetic influences in the population
Ranges from 0% to 100%
The heritability of intelligence is about 50%
Major environmental variations affect cognitive performance and social adjustment in children from disadvantaged backgrounds

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19
Q

Comorbid Disorders for IDD

A

Rate is three to five times greater than in typically developing children
Due to limited communication skills, additional stressors, and neurological deficits
Most common psychiatric diagnoses are impulse control disorders, anxiety disorders, and mood disorders
Internalizing problems and mood disorders in adolescence are common
ADHD-related symptoms are common
Pica is seen in serious form among children and adults with IDD
Self-injurious behavior (SIB) affects about one in five young children with IDD

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20
Q

IQ versus adaptive functioning

A

General intellectual functioning is now defined by an intelligence quotient (IQ or equivalent)
IDD is no longer defined on the basis of IQ
Level of adaptive functioning is also important

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21
Q

Learning Disability

A

learning problems that occur in the absence of other obvious conditions
The DSM-5-TR uses more specific terms: communication disorders and learning disorders
Affects how individuals with average or above-average intelligence take in, retain, or express information
A learning disability is not visible and is often undetected in young children
Main characteristic all children with learning disorders share is not performing at their expected level in school

22
Q

Communication disorder

A

deficits in language, speech, and communication
Communication disorders include the following diagnostic categories
Language disorder
Speech sound disorder
Childhood-onset fluency disorder
Social (pragmatic) communication disorder

23
Q

specific learning disorder

A

specific problems in learning and using academic skills

24
Q

Language disorder

A

communication disorder characterized by difficulties in the comprehension or production of spoken or written language
Despite verbal examples and proper language stimulation
Some children do not develop in some areas of speech and language
Vocabulary often is limited, marked by short sentences, and has simple grammatical structure

25
Speech sound disorder
when the developmental language problem involves articulation or sound production rather than word knowledge Children with this disorder have trouble controlling their rate of speech, or lag behind playmates in learning to articulate certain sounds The speech quality of these children may be unusual, and even unintelligible Assessment and intervention are warranted when These issues persist beyond the typical developmental range (age 4) Or interfere with academic and social activities by age 7
26
Treatment for language disorders
Promote the child’s language competencies Adjust the environment in ways that accommodate the child’s needs Therapy to equip them with knowledge and skills to reduce behavioral and emotional symptoms
27
Childhood onset fluency disorder
The repeated and prolonged pronunciation of certain syllables that interferes with communication
28
Social communication disorder
Persistent difficulties in pragmatics involving both expressive and receptive skills Deficits in using communication for social purposes Difficulties changing their communication to match the situation or the listener Problems following the rules of language Difficulties understanding what someone is not explicitly saying Children with SCD may experience lasting impairments in peer relations
29
Specific Learning Disorder Characteristics
is difficulties learning keystone academic skills: reading, writing, spelling, or math Learning difficulties: specific, not due to intellectual developmental disorder, and not due to global developmental delay Achievement test scores are at least 1.5 standard deviations below average for their age and sex Performance difficulties interfere with academic achievement or daily living Must persist for more than six months despite efforts to improve A child or adult can have more than one form of SLD
30
SLD with Impairment in reading
Most common underlying feature: inability to distinguish or separate sounds in spoken words Difficulty learning sight words Errors in reversals (b/d, p/q), transpositions (was/saw, scared/sacred), inversions (m/w, u/n), and omissions (place for palace, section for selection) Dyslexia is sometimes used to describe this pattern of reading difficulties Core deficits: decoding rapidly enough to read the whole word and problems reading single, small words
31
SLD Impairment in Written Expression
Writing disorders are often associated with problems with eye/hand coordination Leads to poor handwriting Children with writing disorders: Produce shorter, less interesting, and poorly organized essays Are less likely to review spelling, punctuation, and grammar to increase clarity
32
SLD with Impairment in Mathematics
Difficulties in number sense, memorization of arithmetic facts, accurate or fluent calculation, and/or accurate math reasoning Dyscalculia: alternative term sometimes used to describe this pattern of math difficulties May include problems in comprehending abstract concepts or in visual-spatial ability Involves core deficits in arithmetic calculation and/or mathematics reasoning abilities
33
Treatment for Learning Disorders
Interventions rely primarily on educational and psychosocial methods No biological treatments exist In coexistent challenges in concentration and attention, some children respond favorably to stimulant medications Issues of identification are important There is a brief window of opportunity for successful treatment Prevention involves training children in phonological awareness activities at an early age
34
Computer Assisted Learning
Provides more academic engagement and achievement than traditional pencil-and-paper-methods Some children with communication and learning disorders are unable to process information that flashes by too quickly Computer programs slow down grammatical sounds allowing young children to process them more slowly and carefully
35
Treatment for Communication Disorders
Parental changes: speak to the child slowly in short sentences Contingency management procedures Habit reversal procedures If left untreated, children with severe communication and language difficulties Will lag behind their peers Are at risk of having behavioral or social concerns Treatment is based on three principles Promote the child’s language competencies Adjust the environment in ways that accommodate the child’s needs Therapy to equip them with knowledge and skills to reduce behavioral and emotional symptoms
36
Childhood Obesity
The prevalence of obesity is at 19.7% Childhood obesity is a chronic medical condition Obesity usually is defined in terms of a body mass index (BMI) On any given day, 30% of American children eat fast food
37
Avoidant/Restrictive Food Intake Disorder(ARFID)
Avoidance or restriction of food intake, leading to significant weight loss (or failure to maintain usual growth) and/or nutritional deficiency Significant weight loss Significant nutritional deficiency Dependence on enteral feeding or oral nutritional supplements Marked interference with psychosocial functioning
38
Pica
Ingestion of inedible, nonnutritive substances (e.g., hair, insects, and paint) for a period of at least one month One of the more common and usually less serious eating disorders Affects mostly very young children and those with intellectual disability May be life-threatening if it continues into adolescence
39
Anorexia Nervosa
Characterized by refusal to maintain minimally typical body weight, intense fear of gaining weight, and significant disturbance in perception and experiences of body size DSM-5-TR subtypes Restricting type: individual loses weight through diet, fasting, or excessive exercise Binge-eating/purging type
40
Bulimia Nervosa
Much more common than anorexia Primary feature is recurrent binge eating Binge is an episode of overeating that must involve An objectively large amount of food Lack of control over what or how much food is eaten Followed by compensatory behaviors: purging or non-purging Medical consequences are severe, but not as severe as consequences resulting from anorexia
41
Binge Eating Disorder
Has become increasingly widespread during this age of abundant fast food and obesity Similar to bulimia without the compensatory behaviors Involves periods of eating more than other people would, accompanied by feeling of loss of control Affects 1.5% to 3% of adolescents Has negative health correlates Those with BED are often above average weight
42
Sexual Orientation and Eating Disorders
Relationship between sexual orientation and eating disorders has attracted increasing attention from researchers Gay men appear to be At greater risk for behavioral symptoms of eating disorders than heterosexual men More susceptible than heterosexual men to media images promoting thinness More likely than heterosexual men to experience poor body image and body dissatisfaction and symptoms of related eating disorders
43
Ethnic/Cultural/Socioeconomic influences on Eating Disorders
Anorexia occurs around the world, although it may manifest differently Bulimia is a culture-bound syndrome Arising predominately in Western regions of the world Higher SES for women was considered a risk factor in the past Upon reaching a certain level of affluence, the association between high SES and eating disorders may no longer exist
44
Causes of EDs
Single best predictor or risk for developing an eating disorder is being an adolescent female Biological dimension: may contribute to the maintenance of the disorder Genetic and constitutional factors: eating disorders run in families Neurobiological factors Imbalances of serotonin, which regulates hunger and appetite, may be implicated Biochemical similarities have been found between people with eating disorders and those with OCD
45
Other causes of eating disorders
Social dimension Features of contemporary Western culture may be implicated in eating disorders Sociocultural factors Western culture self-worth, happiness, and success are determined primarily by physical appearance Teenage girls: weight loss and being skinny are more important than many other issues Mass media influences perceptions of body dissatisfaction
46
Family influences on EDs
Teen’s eating disorder may be functional Directing attention away from basic family conflicts Family processes may contribute to an overemphasis on weight and dietary control Child sexual abuse may be a risk factor for eating disorders, especially bulimia General risk factor for psychopathology, rather than specific risk factor for eating disorders
47
Treatment for Eating Disorders
Family therapy and individual therapy Cognitive–behavioral therapy and interpersonal psychotherapy, Cognitive training and dialectical behavioral therapy More recently, virtual or telehealth-based practices Behavioral family-based treatment modalities (FBT) for both adolescent anorexia nervosa and bulimia nervosa met well established treatment criteria CBT was the most effective treatment Especially for bulimia nervosa, binge eating disorder and the night eating syndrome For anorexia nervosa, the family approach showed greater effectiveness Pharmacological treatments Gaining recognition for assistance in the management of eating disorders Family involvement often is necessary and practical
48
Joint Attention
The ability to coordinate one’s focus of attention on another person and an object of mutual interest
49
operant speech training
a step-by-step approach that first increases the child’s vocalizations and then teaches imitation of sounds and words, the meanings of words, labeling objects, making verbal requests, and expressing desires
50
theory of mind
The cognition and understanding of mental states that cannot be observed directly, such as beliefs and desires, both in one’s self and in others. Also referred to as mentalization.