atypical development Flashcards

1
Q

define developmental psychology

A

the study of change and stability over lifespan

specifically: physically, cognitively, behaviourally, and socially

due to: biological, individual, and environmental differences

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2
Q

language used describing people

A

lots of language is negative (impairment, deficit) - use condition/difference instead

no “othering” - listen to those with lived experience - research led by those with condition

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3
Q

person first vs identity first language

A

person-first language e.g. person with autism

identity first language e.g. autistic person

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4
Q

reasons for atypical development (4)

A

pre-natal effects (e.g. exposure to teratogen)
- fetal alcohol spectrum disorder (FASD)

environmental effects (e.g. birth complications)
- cerebral palsy

genetic effects
- hereditary
- spontaneous mutations (copy number variants)

unknown (multifaceted)
- autism spectrum conditions
- ADHD
- intellectual disability

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5
Q

3 developmental conditions with known genetic causes

A

william’s syndrome
down’s syndrome
16p.11.2 (CNV)

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6
Q

genetics - 4 levels

A

DNA
genes (21,000 types)
chromosome
cell (23 pairs)

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7
Q

labelling parts of the chromosome

A

chromosome arm

  • each has a short arm (p)
  • and a long arm (q)

chromosome region

  • small sections along the arm
  • labelled with numbers
  • lower numbers = closer to the centre
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8
Q

chromosomal abnormalities (2 ways)

A

too many or too few occurrences of particular genes

e.g. extra copy of chromosome 21 in Down’s syndrome

or parts of chromosomes (genes) that are either duplicated or deleted - CNVs = copy number variants

duplication = 16p11.2
deletion = William’s syndrome

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9
Q

16p11.2

A

CNVs related to ADHD, autism, intellectual disability, anxiety, OCD

deletion and duplication are both correlated

region on the short arm of chromosome 16

only detected when children are tested for developmental delay or autism

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10
Q

William’s syndrome
- cause
- symptoms
- incidence

A

spontaneous deletion at chromosome 7q11.2

distinct facial appearance, cardiac anomalies, highly sociable, atypical cognition (strong verbal IQ, weak performance/visuospatial IQ) connective tissue abnormalities

1/10,000 people

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11
Q

Down’s syndrome - cause

A

duplication of chromosome 21 - so have 3 copies of it rather than 2

can be full or partial copies with one of the arms

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12
Q

Down’s syndrome - physical characteristics (6)

A
  • Decreased or poor muscle tone
  • Shorter neck
  • Flattened facial profile and nose
  • Upward slanting eyes
  • Wide, short hands with short fingers
  • A single, deep, crease across the palm of the hand
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13
Q

Down’s syndrome - cognitive characteristics (5)

A
  • Short attention span
  • Impulsive behavior
  • Slow learning
  • Delayed language and speech development
  • Variable IQ (average between 30 -70)
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14
Q

what is a teratogen

A

agent that causes change in an embryo

e.g. alcohol

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15
Q

FASD cause

A

fetal alcohol syndrome disorder

unclear how much alcohol needed to lead to FASD - depends on when during gestation it in consumed

binge drinking (4 drinks in 2 hours) leads to more severe symptoms

ethanol is thought to alter DNA and protein synthesis and inhibit cell migration - leads to physical and cognitive changes

estimated 2-3% children in Ontario have FASD

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16
Q

FASD facial characteristics

A

low nasal bridge
minor ear abnormal ears
thin upper lip
flat midface
short nose
epicanthal folds
micrognathia

17
Q

FASD diagnostic criteria

A

FASD is a diagnostic term for range of effects of prenatal alcohol exposure

Abnormal facial features, such as a smooth ridge between the nose and upper lip.
Small head size (microcephaly)
Shorter-than-average height
Low body weight
Poor coordination
Hyperactive behaviour
Difficulty with attention
Poor memory
Difficulty in school
Learning disabilities
Speech and language delays
Intellectual disability or low IQ
Poor reasoning and judgment skills
Sleep and sucking problems as a baby
Vision or hearing problems
Problems with the heart, kidneys, or bones

18
Q

FASD and ADHD shared impairments

A

inhibition
impulsivity
EF
psychiatric disorders
organization
hyperactivity
adaptive function
verbal recall
reading

19
Q

intellectual disability

A

own diagnosis, but often co-occurs with other neurodevelopmental conditions e.g. autism, FASD, genetic conditios

affects 1.4% –> 10.4/1000

diagnosis based on IQ and investigation of adaptive behaviour

20
Q

intellectual disability - classification levels (4)

A

profound = <19 IQ
severe = 20-35 IQ
moderate = 36-51 IQ
mild = 52-69 IQ

also measure based on conceptual, social, and practical domains

(average neurotypical = 100IQ)

21
Q

ADHD and autism - cause and diagnosis

A

no clear cause - likely multifaceted
no genetic test

diagnose with behavioural observation using DSM-V criteria

22
Q

main characteristics of ADHD and autism

A

ADHD:
inattention
hyperactivity and impulsivity

autism:
social communication and interaction deficits
restricted and repetitive behaviours, interests and activities