Autism Spectrum disorder Flashcards

1
Q

Autistic Disorder

A

Development of social interaction and communication is impaired.

  • inability to initiate or sustain conversation
  • lack of spoke language
  • repetitive speech/ echolalia
  • absence of pretend or spontaneous play

Symptoms before age 3

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2
Q

Asperger Syndrome

A

Delays in social interaction

Repetitive behaviors

NO DELAYS in language, speech, cognition or curiosity

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3
Q

PDD-NOS Pervasive Developmental Disorder - Not Otherwise Specified

A

Does not meet specific criteria for autism

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4
Q

Diagnostic criteria (3)

A

Delays or abnormal functioning in AT least 1 of the following areas with onset prior to age 3:

1 - Social interaction
2 - Language as used in social communication
3 - Symbolic or imaginative play

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5
Q

Rhett Disorder

A

Genetic

Females w typical development

Around 5 months start losing skills, brain growth decelerates

Stereotypical arm mvmts.

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6
Q

Childhood dis integrative disorder

A

Typical development

Sudden loss of language, bowel and bladder control after 2 years or older

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7
Q

Fragile X syndrome

A

Genetic
Male
Presentation very similar to ASD

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8
Q

ASD Autism Spectrum Disorder

A

Autism disorder

Aspergers Syndrome

PDD - NOS

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9
Q

SCD Social Communication Disorder

A

Limitations in the use of social language

Absence of restricted interests and repetitive behaviors

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10
Q

Screening tools

A

ADOS - Autism Disorder Observation Scale

M-CHAT - Modified Checklist for Autism in Toddlers

STAT - Screening Tool for Autism in Toddlers and Young Children

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11
Q

Age of Autism diagnosis

A

Early as 2 years

Typically closer to 4

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12
Q

More sever cases diagnosed earlier…what are the time periods for all 3?

A

ASD: 4 yrs

PDD-NOS: 4yrs 2mo

Aspergers: 6yrs 2mo

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13
Q

Signs parents may notice within the 1st yr

A

Vision and hearing
Social and Communication
Fine motor

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14
Q

Potential Risk Factors

A

Weak genetic link: 10%
Identical twins and siblings
46% children w ASD have above avg intelligence
Children born to older parents have higher risk
Exposure to prescription meds

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15
Q

Vaccination

A

No connection

Mercury no longer used to bind vaccinations

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16
Q

Chances

A

1 in 68

Boys: 1 in 42

Girls: 1 in 189

17
Q

Head circumference

A

Typical at birth
Increases in first 2 yrs

  • overgrowth followed by arrest in growth and degeneration
  • overgrowth in frontal, temp, amygdala
18
Q

Over connection

A

Short range

19
Q

Under connection

A

Long range

  • poor integration of areas
  • ability to complete simple tasks is uninhibited
20
Q

Cognitive

A

Attention

  • preoccupied
  • diff shifting focus
  • lack of or delayed response to name

Executive function

  • diff inhibiting repetitive movements
  • inflexibility in patterns
21
Q

Social/communication

A
Diff dev social relationships
Solitary play
Lack of eye contact
Language
-lack of language 
-echolalia
-pragmatic language
22
Q

Motor

A
Deficits in:
Arm movements
Bilateral coordination 
Gait and balance 
Praxis/Motor planning
23
Q

Stereotypical motor behavior

A

Repetitive behavior
Resistance to change, impulsive behavior
Excessive preoccupation

24
Q

Gait may appear ataxic: 3 other signs include:

A

Lack of alternate arm swing
Tow walking
Deficits in feedback (adaptation) and feed forward (anticipation and planning)

25
Q

Praxis and Imitation

A

Impaired ability to plan, coordinate and execute complex movement sequences

Able to perform simple motor tasks

May perform more complex tasks spontaneously

Poor imitation skills

26
Q

During the parent interview, ask them their child preferences for:

A

Activities
Textures
Routines

27
Q

Parent interview: Ask them about their child’s communication including:

A

Onset of speech

Means of communication

28
Q

Also ask parents during the interview about what 2 factors?

A

Behavior therapy

Interaction w peers

29
Q

Who else do we collaborate with?

A

Psych and special Ed: behavioral plan
Speech and language: comm strategies
Occupational therapists: sensory needs

30
Q

Standardize Assessment used:

A

M-ABC movement Assessment Battery for Children

31
Q

Most common behavioral therapy approach:

A

ABA - Applied Behavioral Analysis

Each skill broke. Down into diff parts

Need carryover to home!

32
Q

PECS

A

Picture Exchange Communication System

Child exchanges picture for desired object

Phases

33
Q

Developmental Individual Difference Relationship-Based Model

A

“Floor time”

Promotes social interaction
Adult follows child’s lead
Observe>Approach>Follow child’s lead>Child expresses ideas

34
Q

Tips for intervention

A
Consistent space
Limited toys
Sensory needs must be met!
Use schedule
Routine
Prepare for transitions
Allow child to take part in planning