Week 1: An Overview Flashcards

(31 cards)

1
Q

What is the APA (1994) definition of autism?

A

It’s a neurological disorder that limits an individual’s ability to function normally

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2
Q

What are the three main impairments of autism?

A

1) behavioural abnormalities
2) social limitations
3) communication impairments

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3
Q

What is the prevalence of autism? (Kanner)

A

It’s a lifelong disorder

  • 1.1% in the U.K.
  • 1.5% in the US
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4
Q

What is the ratio of males to females? (Kanner)

A

4: 1 male/female ratio
- under diagnosing females
- increasing prevalence since 2000

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5
Q

When did Kanner identify ‘Early Infantile Autism?)

A

1943

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6
Q

What did Kanner identify to be the key points of Early Infantile Autism?

A
  • extreme autistic aloneness
  • innate inability to form connections
  • over/under sensitivity of senses/sounds
  • typified by communication problems, lack of social engagement, motor abnormalities, stereotypies
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7
Q

What was Asperger’s syndrome (1944) originally known as?

A

Autistic psychopathology

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8
Q

Which disorder was initially believed to be an ‘exclusively male disorder’?

A

Asperger’s

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9
Q

What did Asperger believe to be the fundamental deficit of Asperger’s?

A

Limited social relationships

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10
Q

At what age is Asperger’s syndrome believed to develop?

A

Characteristics develop at 2yrs

- genetic implications

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11
Q

What are the 2 main symptoms of Asperger’s?

A

1) Social

2) Stereotypes/abnormal motor mannerisms

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12
Q

Describe Wing and Gould’s (1979) Camberwell study.

A

There is a prevalence of impaired social interactions in children

Triad of social impairment
- imagination, interaction, communication

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13
Q

What disorders go under the PDD DSM-4 categories?

A

ASD
Asperger’s
Rett’s syndrome
PDD-NOS

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14
Q

Describe Chakrabarti, et al’s. (2005) study findings.

A

• looked at DSM-4 definition of PDD
• impairments in social, language and communication
• 30/60 per 10,000
- increasing
• early interventions can alter developmental trajectories
• PDD-NOS is most frequently diagnosed: 1.7x more than autism

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15
Q

What is the DSM-4 criteria for Asperger’s?

A

• TRIAD OF IMPAIRMENTS
- develop by 36mths, minimum of 6 needed

1) social:
- lack of shared enjoyment
- lack of socio-emotional reciprocity

2) communication:
- lack of make believe play
- no initiated/sustained convo

3) RRB’s:
- adherence to non-functional routines
- preoccupation with parts of an object

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16
Q

Describe the DSM-4 criteria for Asperger’s?

A

• Diad of impairments

  • communication is not relevant
  • social impairment and RRB’s

• Same criteria for autism

17
Q

Discuss DSM-5 criteria for autism (2013).

A

• controversial removal of Asperger’s
- insinuation in ASD as it is a spectrum

• diad of impairments
- communication added to social impairment

18
Q

Name the different features associated with ASD.

A

1) sensory symptoms
2) intellectual disability
3) developmental regression
4) savant skills
5) sleep disturbances
6) epilepsy

19
Q

Describe Tomchek & Dunn’s (2008) study findings.

A

• sensory processing of 281 children
• 95% showed sensory difficulties
- confirms prevalence of sensory impairments in ASD

20
Q

Describe Kern, et al’s. (2007) study into sensory symptoms of ASD.

A
  • sensory dysfunction caused by brain’s inability to correctly process sensory stimuli
  • extends across all modalities and can therefore be assumed to be a global dysfunction
  • adaption/maturation of sensory symptoms with age
21
Q

Describe Schwartz, et al’s. (2012) study into intellectual disability in ASD.

A

• overlap of ASD and ID:

  • 70% ASD have ID
  • 10% ID have autistic traits

• ASD/ID are interconnected due to shared molecular pathways
- understanding one, facilitates understanding of the other

22
Q

What is developmental regression?

A

• It follows a period of typical development
• loss of previously acquired skills
- around 12-36months
• 20-49% of cases

23
Q

What do you know about savant skills?

A

• islets of ability
• only found in 10% of ASD sample
- not universal
- ‘little professors’ (Asperger)

24
Q

What percentage of autistic individuals are affected by sleep disturbances?

25
What is the clinical prevalence of epilepsy in ASD?
12-46% ASD | - only 1% in general population
26
What is macrocephaly and what is it's prevalence in ASD?
* A head size larger than the 97th percentile | * occurs in 14-37% of ASD sample
27
Describe Bailey, et al's. (1995) study into twin studies in autism.
• 90% of MZ twins are concordant with BAP - substantial genetic influences • ASD linked to obstetric hazards
28
Describe Folstein and Rutter's (1977) study into twin studies of autism.
• 60-92% concordance for MZ twins - different concordance rates for MZ & DZ twins suggests that ASD is genetically determined? • multiple interacting genes can influence
29
What is the Broader Autistic Phenotype?
• features found in relatives - Asperger (1944) • communication and socially triggered - RRBs rarely done when alone • BAP more common in MZ twins due to greater shared genetic material
30
What techniques are used to diagnosis ASD?
* developmental history * standardised interviews * observations * questionnaires
31
What percentage of ASD individuals have a comorbidity with another disorder?
* 70% with one of more comorbidities | * 40% with two or more comorbidities