Atypical Development and Neurodevelopmental Disorders Flashcards

1
Q

what is a neurodevelopmental disorder?

A

apparent early in childhood; affect all major developmental systems; development of CNS atypical; causes can differ

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2
Q

what can cause neurodevelopmental disorders?

A

genetic disorders; toxic environmental factors; severe deprivation; congenital injury

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3
Q

give some examples of neurodevelopmental disorders

A

autism; ADHD; intellectual disability; fetal alcohol spectrum disorder; cerebral palsy; genetic disorders associated with intellectual disability eg. down syndrome, fragile x

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4
Q

what IQ score is associated with a mild intellectual disability?

A

50-70

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5
Q

what IQ score is associated with a moderate intellectual disability?

A

35-49

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6
Q

what IQ score is associated with a severe intellectual disability?

A

20-34

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7
Q

what IQ score is associated with a profound intellectual disability?

A

<20

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8
Q

what is the prevalence of autism?

A

1% of general pop, more common in males

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9
Q

what are the social-communication skills influenced by autism?

A

building friendships; reciprocity; initiating and maintaining; emotions; poorly integrated verbal and nonverbal communication; eye contact; gestures; facial expressions

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10
Q

what are some examples of repetitive behaviours and restricted interests in autism?

A

repetitive motor movements insistence on sameness; restrictive interests; repetitive speech; compulsive behaviours

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11
Q

when is autism usually present from?

A

childhood - but not always diagnosed at this time

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12
Q

what are other factors influencing autism?

A

temperament; environment; cognition

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13
Q

what is the prevalence of tuberous sclerosis?

A

1: 6,000 - 11,400

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14
Q

for tuberous sclerosis, where is the gene mutation?

A

TSC1 gene (chromosome 9) 15-20; or TSC2 gene (chromosome 16) 60-70%

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15
Q

what is the percentage of epilepsy in individuals with tuberous sclerosis?

A

80-90%

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16
Q

what is the percentage of intellectual disability in individuals with tuberous sclerosis?

A

40-65%

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17
Q

what is the prevalence (word-wise) of autism in individuals with tuberous sclerosis?

A

high

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18
Q

describe the verbal comprehension in Neurofibromatosis1

A

generally preserved

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19
Q

describe the non-verbal, working memory and processing-speed abilities in Neurofibromatosis1

A

lower than TD norms

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20
Q

describe the relationship between global IQ and cognitive phenotype of Neurofibromatosis1

A

global IQ is inadequate for describing the cognitive phenotype

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21
Q

define attentional control

A

individual’s capacity to choose what they pay attention to and what they ignore: attention shifting and inhibition

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22
Q

in typically developing children, at what age can attention shifting and focusing be observed?

A

six to nine months

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23
Q

in what two neurodevelopmental disorders is attention shifting characteristically impaired?

A

fragile X syndrome and Prader Willi syndrome

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24
Q

what is the prevalence of Fragile X syndrome?

A

1:4,000 - 1:6,000

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25
Q

what is the mutation for Fragile X syndrome?

A

X chromosome: FMR1 gene, CGG repeat expansion

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26
Q

what is the intellectual disability for fragile X syndrome?

A

moderate to severe

27
Q

what are some characteristics of Fragile X syndrome?

A

autism characteristics, averted eye gaze, repetitive behaviour

28
Q

what is the earliest and most impairing feature of Fragile X syndrome, and when do they present?

A

attention problems, presenting in early infancy and toddlerhood

29
Q

what percentage of males with Fragile X syndrome meet behavioural ADHD diagnostic criteria, and what percentage receive attention-related diagnoses or treatment ?

A

54-74%, with over 80% receiving attention related diagnoses/treatment

30
Q

what do studies of Fragile X syndrome report impairment tin?

A

inhibition and visual attention switching

31
Q

what is the prevalence of Prader-Willi syndrome?

A

1:10,000 - 1:15,000

32
Q

what is the mutation for Prader-Willi syndrome?

A

chromosome 15,q11-q13. paternal deletion (70%); maternal unipaternal disomy (25%); imparting abnormality (2.5%)

33
Q

what is the intellectual disability for Prader-Willi syndrome?

A

shift in IQ distribution by approx. 40 points

34
Q

what are some characteristics of Prader-Willi syndrome?

A

physical phenotype; hyperphagia; temper outbursts; repetitive behaviour; deficits in inhibition

35
Q

describe the Simon Task

A

participants press the left button when they see a blue circle and the right button when they see a green circle. location of the stimulus presents an interference to correct response

36
Q

what were the results on the Simon task for children with PWS and FXS compared to TD children?

A

PWS and FXS showed greater costs of attention switching especially on congruent trials

37
Q

in the Simon task, longer reacion time in an attention switching paradigm was positively correlated with what?

A

repetitive questioning and adherence to routine but not other repetitive behaviours

38
Q

what is social attention?

A

cognitive process that underlies gazing at or with another person

39
Q

what is social orienting?

A

preference for social vs non-social info

40
Q

what is emotion recognition and interpretation:

A

recognise and understand facial expressions of emotion

41
Q

what is theory of mind?

A

ability to understand other’s thoughts and desires

42
Q

what is the mutation causing Williams syndrome?

A

micro deletion of 26-28 genes on chromosome 7q11.23

43
Q

what is the prevalence of Williams syndrome?

A

1:7,500

44
Q

what is the intellectual disability in Williams syndrome?

A

mild-moderate

45
Q

what are some physical characteristics of Williams syndrome?

A

distinguishing facial features; short stature

46
Q

what are some health and sensory issues that come with Williams syndrome?

A

heart problems; hyperacusis

47
Q

what are some behavioural features of Williams syndrome?

A

hypersociability; hyperactivity; impulsivity; anxiety

48
Q

what does Williams syndrome impair?

A

social reciprocity, skills and understanding and often experience social isolation and difficulties maintain friendships. limited awareness of danger - vulnerability

49
Q

how do autistic individuals view and process social info different to neurotypical individuals?

A

preference for information; discriminate emotional face expressions; location of social information/cues (eyes vs mouth)

50
Q

what do the differences in processing of social info between autistic and neurotypical individual result in differences in?

A

social input; social-communicative leaning; understanding and interpretation of the social world

51
Q

what do autistic individuals tend to show when viewing naturalistic social situations in terms of eye tracking?

A

different eye gaze patterns; reduced looking towards the eyes and increased looking toward mouths, bodies and objects but not on eyes social abilities

52
Q

what is the definition of sociability?

A

an umbrella term encompassing various aspects of social functioning: social interaction skills; social enjoyment; social motivation

53
Q

what implications can a deficit in the different aspects of social functioning lead to?

A

employment; friendships; quality of life

54
Q

what is the prevalence of Angolan Syndrome?

A

1:10,000 - 1:40,000

55
Q

what is the cause of Angelman Syndrome?

A

loss of genetic info at maternal chromosome 15q11-13. four genetic mechanisms involving the UBE3A gene: deletion (70-75%); mutation (5%); uniparetnal disomy (2%); imparting defect (2%)

56
Q

what are some characteristics some of Angelman Syndrome?

A

seizures, atavic gait

57
Q

in what percentage of cases of Angelman Syndrome is sociability noted?

A

88%

58
Q

what is social anxiety?

A

long lasting and overwhelming fear of social situations or performance situations. exposure to the feared situation provokes anxiety. feared situations are avoided or endured with intense anxiety and/or distress. interfere with every day functioning

59
Q

what is the prevalence of Cornelia de Lange syndrome?

A

1:10,000 - 1:40,000

60
Q

what is the cause of Cornelia de Lange syndrome?

A

deletions on chromosomes 5,10 and X

61
Q

what are the main features of Cornelia de Lange syndrome?

A

mild/moderate to severe ID; small stature; upper limb abnormalities; distinctive facial features; gastroesophageal reflux; limited speech; hirsute; SIB

62
Q

what is emotional regulation?

A

automatic or intentional modification of person’s emotional state that promotes adaptive or goal-directed behaviour

63
Q

what are some problems with emotional regulation?

A

difficulty using adaptive/appropriate emotion regulation strategies. react impulsively to emotional stimuli (tempter outburst, aggression or self injury). often interpreted as deliberate or defiant but may be due to inadequate management of emotion