adolescence development and mental disorders Flashcards

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1
Q

state key developmental experiences in preparation for adulthood.

A
  • physical maturation
  • cognitive abilities
  • moral reasoning
  • identity formation
  • coping strategies
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2
Q

describe neurobiological sensivity

A
  • pruning of PFC from 11-13 years
  • loss of up to 40% of neural branches
  • limbic system responsible for control of emotions
  • limbic system sensitive to hormonal fluctuations
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3
Q

imbalance of the LS and PFC means…

A

emotional centres of brain may exert stronger influence on behaviour.

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4
Q

name social challenges for adolescence.

A
  • social norms and expectations
  • desire for independence
  • identity development vs role confusion
  • increased academic demands, peer pressure, RTB
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5
Q

interactions between … and … in regulating social, cultural and biological changes of adolescence dev with a range of outcomes.

A

top-down executive function and bottom up impulsive and emotional processes.

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6
Q

how many adolescence in the world, and how many live in low-middle class countries?

A

1.2 billion aged 10-19 year olds, 90% live in LCIM.

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7
Q

true or false: only adolescence in vulnerable countries suffer from mental disorders

A

false - for your people growing up in poverty, residency in a high-income country may matter far less than intermediate social contexts.

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8
Q

give examples of prevalence of mental disorders.

A

anxiety - 6.5%
depressive - 2.6%
behavioural - 5.7%
any mental disorder - 13.4%

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9
Q

what is the onset age for ill mental health?

A

70% of mental disorders onset prior to 25 years.

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10
Q

what are interventions to poor mental health?

A
  • address common stressors and stress reactions ‘tenision’
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11
Q

state implications for mental health interventions.

A
  • high rates of chronicity and relapse
  • 30% of an adolescence with emotional disorders remain symptomatic after three years, 60% show reoccurrence within 12 years.
  • long-term and cost implications.
  • longer duration of disorder increases risk of social maladjustment and poor health.
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12
Q

what has research prioritised?

A

mental health promotion and at risk samples in conflict-affected areas.

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13
Q

describe new directions for research.

A
  • more evidence-based psychological interventions in high-income countries.
  • elements approach
  • transdiagnostic approaches
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14
Q

define the developmental uniformity myth.

A
  • interventions for adolescence develop through downward adaption of adult interventions and upward adaption of child interventions.
  • rests on a number of assumptions about generalisably f outcomes and corresponding theories of change.
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15
Q

is parent involvement needed?

A
  • study found parent involvement was not associated with differential effectiveness.
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16
Q

what schools were involved in the ‘PRIDE’ study.

A

Delhi and Goa

17
Q

state the steps in the ‘PRIDE’ study.

A

step 1 - low intensity problem-solving

step 2 - higher intensity modular CBT

18
Q

describe post pilot changes in step 1 in the PRIDE study.

A
  • guided self-help to face-to-face with counsellor

- workbook / app to comic book

19
Q

state improvements made post-pilot in the PRIDE study.

A
  • students more likely to use app/ comic booklet than workbook as less context, more fun
  • frequent counselling sessions worked better
  • less remissions at 6 weeks