Week 11 - Childhood Disorders Flashcards

Question

Is autism genetically linked?

Answer 1

yes strong heritability

Answer 2

prenatal issues, social brain issues (prefrontal cortex, limbic, amygdala, cerebellum, too many synapses, deficits in social cognition

Answer 3

more pathways and weaker connections

Answer 4

intensive behavior therapy - ABA, parent training Sign language or communication tools Academic tutoring/instructions Special education services

Answer 5

anticonvulsants, atypical antipsychotics, psychostimulants

Answer 6

inattentive, hyperactive/impulse, combined

Answer 7

``` fails attention to detail/careless mistakes difficulty sustaining attention doesn't listen when spoken to does not go through instructions loses things Avoids or dislikes sustained effort tasks Easily distracted Forgetful ```

Answer 8

fidgets, leaves seat, runs or climbs, difficulty playing quietly, on the go, talks excessively, blurts out answers, difficulty waiting turn, interrupts

Answer 9

>/=6 for 6 mo

Answer 10

A. 6 mo of 6 or more symptoms (interferes w/ fxn) B. before age 12 C. 2 settings D. evidence it interferes E. does not occur during other mental illnesses

Answer 11

adaptive functioning

Answer 12

A. defitits in social communication and interaction B. restricted repetative patter of interest, activities C. early development D significant impairment E not explained by ID or GDD

Answer 13

w or w/o intellectual impairment w or w/o language impair associated condition (genetic, medical, environmental) associated with neurodevelopment, mental or behavioral disorder w/ catonia

Answer 14

pointing, waving, gestures, EYE CONTACT

Answer 15

usually worse

Answer 16

follows gaze of adult, AUTISM

Answer 17

oppositional defiant disorder, academic problems

Answer 18

conners rating scales revised

Answer 19

vanderbilt scales

Answer 20

Impairment Rating Scale (IRS)

Answer 21

genetic | maldevelopment of frontal striatal cerebellar circuits in brain

Answer 22

``` Prenatal exposure to alcohol Prenatal exposure to tobacco smoke Prematurity Total increased pregnancy complications Maternal stress during pregnancy ```

Answer 23

Hypoxia Tumors, infections Lead poisoning (0-3 years old) Low birth weight

Answer 24

behavioral therapy - parent management Medications - psychostimulants combo meds

Answer 25

A. difficulties learning and using academic skills, at least one of the following SZ, persisting for 6 mo, despite provision of interventions to target difficulties B. academic skills are below what is expected for age and intereferes with academic or daily living (confirmed by standard achievement meaures and comprehensive lcinical assessment) C. learning problem begins during school age D. not better accounted for by intellectual disability, uncorrected vision or auditory problems, or language issues

Answer 26

``` High motor activity: always on the go, climbing on things, getting into things Decreased or restless sleep High curiosity Vigorous, often destructive play High attention needs More intense temper tantrums Require closer, more frequent monitoring Disobedience ```

Answer 27

Academic difficulties; difficult homework time School complaints of disruptive behavior (e.g., blurting out, leaving seat, missing directions) Help with chores and responsibilities Low frustration tolerance Social difficulties; conflict and rejection May have low self-esteem

Answer 28

Approximately 70-80% still display sx; 40-70% ADHD persists More restless and fidgety, rather than hyperactivity Continued academic difficulties Difficulty with authority figures At risk for earlier sexual behavior and cigarette smoking Higher rates of risky driving, substance abuse, and risky sexual behaviors

Answer 29

Syndrome persists in 50%+ Prevalence in adults is 4% More subtle presentation Difficulties initiating and organizing daily tasks Inconsistent performance and trouble with deadlines Restlessness, trouble relaxing Socially inappropriate

Answer 30

reading, written, mathematics | mild moderate or severe

Answer 31

ADHD, substance use

Answer 32

refer to school for testing, write letter

Answer 33

heritable, chromosomal abnormalities, exposure to teratogens

Answer 34

A. angry/irritable, argumentative, vendictiveness for at least 6 mo, 4 or more symptoms (towards someone that is not a sibiling) B. disturbance causes individual or others distress, negat impact fxn C. Not during psychotic, substancem depresive or bipolar CRITERIA NOT MET FOR DMDD

Answer 35

loses temper, easily annoyed, angry and resentful

Answer 36

argues with authority noncompliant deliberately annoys others blames others for own mistakes

Answer 37

spiteful or vindictive at least 2 times in past 6 mo

Answer 38

mild moderate severe

Answer 39

A. pattern of rights of others or society norms is violated with 3 of the 15 symptoms in the past yEAR with at least 1 criterion present in past 6 mo B.Disturbance cause impairment in social, academic, or job C. if 18+ , does not meet criteria for antisocial personality disorder

Answer 40

``` Bullies/intimidates Initiate physical fights Used weapon for harm Physically cruel to people Physically cruel to animals Steals while confronting a victim Forced sexual activity Deliberate fire setting (intention to cause harm) Deliberate destruction of property Broken into house, car, etc Lies/cons to obtain goods/favors or avoid obligations Steals without confronting victim Stays out all night ( ```

Answer 41

Childhood onset, adolescent onset, unspecified onset With limited prosocial emotions (lack of remorse/guilt, callous- lack of empathy, unconcerned about performance, shallow/deficient affect Mild, moderate, severe

Answer 42

``` Comorbid with each other ADHD Substance Use Disorders Antisocial Personality Disorder (after age 18) Anxiety Depression Learning Problems ```

Answer 43

Modest heritability – below 50% Genetic risk for difficult temperaments and hyperactivity/impulsivity that predisposes them for conduct problems Emotional reactivity Excessive emotional reactivity (low frustration tolerance) Impulsivity and aggression Coercive parent-child interactions (reinforces defiant behavior ) Low parental monitoring Peer rejection Low SES and high crime neighborhoods

Answer 44

behavior therapy anger coping and coping power multisystem therapy - family based approach

Answer 45

A. Severe recurrent temper outbursts manifested verbally and/or behaviorally that are grossly out of proportion in intensity or duration to the situation or provocation B. Temper outbursts are inconsistent with developmental level C. Temper outbursts occur, on average, 3 or more times per week D. Mood between outbursts is persistently irritable or angry, nearly every day, and observed by others E. Sx A-D present for 12 months or more. Has not had a period lasting 3 or more consecutive months without all of the Sx in A-D F. Criteria A and D are present in 2 out of 3 settings (home, school, peers) and are severe in 1 of the settings G. Do not make diagnosis before 6 years old or after 18 years old H. Age of onset of symptoms is before 10 years old (by history or observation) I. Never a distinct period (lasting more than 1 day) during which the full sx criteria for a manic or hypomanic episode have been met J. Behaviors do not occur exclusively during an episode of major depressive disorder, and not better explained by a mental health disorder Note. Cannot diagnose with ODD, intermittent explosive disorder, or bipolar disorder Note. Can co-occur with ADHD, MDD, CD, substance use K. Sx are not due to substances, or medical/neurological

Week 11 - Childhood Disorders Flashcards

(75 cards)