ADHD Flashcards

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1
Q

ADHD

A

Attention Deficit Hyperactivity Disorder– Persistent, age innaproppriate symptoms of inattention, hyperactivity and impulsivity that cause impairment

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2
Q

1902

A

George Still said ADHD kids had inhibitory violition and defective moral control

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3
Q

1917- 1926

A

Brain injured child syndrome: kids who survive encephalitis or head injury show behaviour problems

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4
Q

1950s

A

Hyperkenesis: poor filtering of stimulus which was later called hyperactive child syndrome

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5
Q

1970s

A

Deficits in attention and impulse control were recognized

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6
Q

2 main characteristics

A

Inattention

Hyperactivity- impulsivity

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7
Q

Inattention

A

Difficulty to focus on one task or follow through with requests

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8
Q

Attentional Capacity

A

Amount of info we can remember and attend to in a short time

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9
Q

Selective attention

A

Concentrate on relevant stimuli without distraction

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10
Q

Distractibiltiy

A

Deficit in selective attention

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11
Q

Sustained Attention

A

Vigilence- Maintain persistent focus over time

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12
Q

Alerting

A

Initial reaction to stimulus

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13
Q

Impulsivity

A

Unable to control immediate reactions and thinking before acting

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14
Q

3 types of impulsivity

A

Cognitive
Behavioral
Emotional

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15
Q

3 subtypes

A

Predominantly inactive
Predominantly Hyperactive- impulsive
Combined

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16
Q

Which subtype is the rarest

A

Hyperactive- impulsive

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17
Q

Which sub group is most common

A

Combined type

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18
Q

6 DSM requirements

A
Prior to age 12
More often and severe than peers
More than 6 months
Occurs across all settings
Produce significant impairment
Not due to significant life stressor
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19
Q

2 DSM limitations

A

Developmental insensitive

Categorical view

20
Q

6 impaired executive functions

A
Organize, prioritize, activate
Focus, shift and sustain attention
Regulate alertness, effort and processing speed
Manage frustration and emotions
Working memory and recall
Monitor and regulate action
21
Q

ISIS

A

Initiate
Shift
Inhibit
Sustain

22
Q

Positive illusory bias

A

Exaggeration of one’s competence

23
Q

What percentage of kids also have speech and language impairments?

A

30- 60 %

24
Q

How many kids also have motor coordination problems?

A

30- 50%

25
Q

Developmental Coordination Disorder

A

Motor incoordination and delays in achieving motor milestones

26
Q

What percentage of kids also have tic disorders?

A

20%

27
Q

% with a co- occuring disorder

A

80

28
Q

% that meet criteria for ODD

A

50

29
Q

% that eventually develop conduct disorder

A

30- 50

30
Q

Gene implicated in ADHD, ODD, CD

A

COMT

31
Q

% experience severe anxiety

A

25

32
Q

% that will experience depression

A

20- 30

33
Q

Prevelence

A

6-7% in NA

5% worldwide

34
Q

% for boys and girls

A

2-4% girls

6-9% boys

35
Q

Where are rates highest and lowest

A

Highest in South america and africa

Lowest in japan and china

36
Q

% that suffer into adolescence

A

50%

37
Q

Amount of relatives that also have the disorder

A

1/3

38
Q

% that have a parent with ADHD

A

60%

39
Q

% heretitability

A

75%

40
Q

Gene involved in dopamine regulation

A

DRD4

41
Q

Frontostriatal Circuitry

A

Prefrontal cortex and basal ganglia

42
Q

Goodness of Fit

A

Match between temperament and parenting style

43
Q

When were stimulants introduced

A

1930s

44
Q

How many kids with ADHD recieve treatment

A

less than half

45
Q

3 components of the primary approach

A

Stimulants
Parent training
Educational intervention