CAMHS Flashcards
Effects of maternal depression antenatally
poor nutrition
increased preterm birth
LBWB
pre-eclampsia
Effects of maternal depression on infant
anger and protective style of coping
passivity and withdrawal
reduced attention
lower IQ
Effects of maternal depression on toddler
Passive non-compliance
reduced expression of autonomy
internalising/ externalising problems
reduced social interaction
Effects of maternal depression on adolescents
affective disorders
anxiety/phobic/panic disorders
conduct disorders
substance use
Effects of sexual abuse on development
depression, PTSD, conduct disorders, somatisation, suicidal behaviour
Signs of emotional abuse
low self-esteem, speech disorder, rocking, head-banging, self-mutilation
Signs of sexual abuse
reduced trust/ over-familiarity social isolation/withdrawal sleep disturbance interest in genitals odd expression of affection developmental regression bruises/scratches vaginal/penile/rectal problems
Heritability of ADHD
80%
Siblings at 2-3x baseline risk
Difference between CD and ODD
ODD doesn’t defy age-appropriate societal norms
Prevalence of conduct disorder
5-7%
Percentage of children with CD that develop adult ASPD
<50%
Prevalence of ODD
2-5%
Prevalence of depression in children pre-puberty
1%
Prevalence of depression in children post-puberty
3%
Rate of co-morbid anxiety in depression in children
50-80%
Rate of co-morbid OCD and depression in children
15%
Rate of co-morbid CD in depression in children
25%
Rate of co-morbid eating disorders and depression in children
5%
Prevalence of bipolar disorder in adolescents
1%
Prevalence of anxiety in children
5-15%
Prevalence of OCD in childhood
0.5%
Prevalence of ADHD in childhood
5%
Average age of onset of puberty
Girls - 11
Boys - 12
Criteria for reactive attachment disorder
Ambivalence towards care-givers, hyper-vigilant, unresponsive to comforting
Criteria for disinhibited attachment disorder
Clinging, attention seeking and indiscriminately friendly behaviour
Relative risk of ASD in siblings
2-8%
3rd sibling 25-30%
Proportion of children with tics that outgrow them before adulthood
80%
Age of children affected by Munchausen’s by proxy
Average 4yrs
50% under 2 years
75% under 6 yrs
Top 5 problems reported in Munchausen’s by proxy
apnoea (26.8% of cases) anorexia / feeding problems (24.6%) diarrhoea (20%) seizures (17.5%) cyanosis (11.7%)
Prevalence of ASD
1%
Prevalence of encopresis
3% 4yr olds
1.6% 10yr olds
Prevalence of nocturnal eneuresis
15% of 5 year olds
7% of 7 year olds
5% of 10 year olds
2% of 15 year olds
