ADHD Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

what does ADHD stand for?

A

attention deficit hyperactivity disorder

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2
Q

prevalence

A

7.2%, most common behaviour disorder that shows itself in childhood

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3
Q

how much more likely are boys to be diagnosed while in school?

A

10 times

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4
Q

ration of men to women diagnosed in adulthood

A

2:1

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5
Q

concerns around the prevalence of ADHD

A

has appeared to be the more common in Western countries, especially US
apparent increase un disorder rates over time

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6
Q

several reviews of prevalence rates found:

A

high degree of variability between estimates

no significant variability by geographical location or year of study

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7
Q

what is ADHD most often associated with?

A
aggression 
conduct disorder 
learning disabilities 
anxiety 
low self esteem
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8
Q

DSM 5 diagnostic criteria

A

a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development

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9
Q

DSM 5 diagnostic criteria (extra specifications)

A

• 6 or more symptoms of inattention/hyperactivity-impulsivity (5 or more if aged
17+) that have persisted for at least 6 months
• Several symptoms were present before age 12
• Symptoms occur in two or more settings
• Symptoms interfere with, or reduce the quality of social, school, or work
functioning
• The symptoms are not better explained by another mental disorder`

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10
Q

inattention symptoms

A

Often fails to give close attention to details or makes careless mistakes in schoolwork, at work, or with other
activities.

Often has trouble holding attention on tasks or play activities.

Often does not seem to listen when spoken to directly.

Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace

Often has trouble organizing tasks and activities.

Often avoids, dislikes, or is reluctant to do tasks that require mental effort over a long period of time

Often loses things necessary for tasks and activities

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11
Q

hyperactivity/ impulsivity symptoms

A

fidgets with or taps hands and feet, squirms in seat

often leaves seat when expected to stay seated

often runs and climbs in situations where it is not appropriate to do so

often unable to take part in leisure activities quietly

often ‘on the go’ acting as if ‘driven by a motor’

often talks excessively

often blurts out an answer before question has been completed

often has trouble waiting his or her turn

often interrupts or intrudes on others

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12
Q

possible causes of ADHD

A

not completely understood
thought to be a combination of:
-genetic factors
-brain and structure function

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13
Q

risk factors for the development of ADHD

A

those born prematurely or with a low birth weight

those with epilepsy

those with brain damage which has happened in the womb or after severe head injury in later life

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14
Q

rate of heritability

A

75%-91%

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15
Q

what die Larsson et al., 2014 twin study show?

A

88% heritability

that shared environment was not significant

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16
Q

what heritability factors can be associated with future course of ADHD symptoms?

A

genetic risk factors, cognition and neuroimaging

17
Q

role of the prefrontal cortex (damage causes…)

A
distractibility 
forgetfulness 
impulsivity 
poor planning 
hyperactivity
18
Q

what are the symptoms of ADHD similar to?

A

those produced by damage to the prefrontal cortex

19
Q

what do those with ADHD have consistent functional abnormalities in?

A

brain areas related to inhibition and attention

20
Q

brain areas related to inhibition

A

inferior frontal cortex

supplementary motor area

anterior cingulate cortex

21
Q

area of the brain related to attention

A

dorsolateral prefrontal cortex

parietal

cerebellar areas

22
Q

role of corpus a callosum in ADHD

A

consistent evidence it is involved

consistently indicated those with ADHD have a smaller corpus callosum

others suggest the corpus callosum is still implicated but volume is similar to those without ADHD, rather the white matter integrity is compromised

23
Q

dopaminergic transmission in ADHD

A

underactivity of dopaminergic transmission has been implicated

24
Q

evidence for dopaminergic transmission decrease in ADHD

A

dopamine agonists (methylphenidate) alleviate ADHD symptoms

striatal dopamine plays an important role in the abnormal cognitive-task related processing in ADHD

genetic studies have implicated dopamine receptor genes in the aetiology of ADHD

low levels of dopamine receptor stimulation impairs the functioning of the prefrontal cortex

25
Q

most common ADHD treatment?

A

methylphenidate (ritalin)

26
Q

what does methylphenidate do? (Ritalin)

A

inhibits the reuptake of dopamine

lends additional support for a role of dopamine transmission in ADHD

27
Q

why is dosage of Ritalin important?

A

too low: no effect

too high: increased activity levels disrupting child’s attention and cognition