chapter 15: behaviour/emotional disorders of children/adolescents Flashcards
division of mental disorders in childhood
- externalizing problems: undercontrolled behaviours, ADHD, ODD, CD
- internalizing problems: overcontrolled behaviours, SAD, mutism, RAD, anxiety, and mood disorders
homotypic and heterotypic continuity
homotypic: diagnosis predictive of same diagnosis in the future
heterotypic: diagnosis predictive of a diff diagnosis in the future
ADHD
- attention deficit/hyperactivity disorder
- symptoms in two categories: inattention (careless mistakes, distracted easily, messy) or hyperactivity and impulsivity (fidgeting, blurting, interrupting)
- 40-50% of adults have mood or anxiety disorders
- risk factors: brain structure/function, genetics, neurotransmitters, enviro factors
G X E
- gene-environment interactions
- any phenotypic event that is the result of an interaction between genes and the environment
diathesis stress perspective
- enviro stressors should exact their greatest toll on ppl who have underlying genetic vulnerability
ADHD treatment
- meds (psychostimulant/amphetamine/norepinephrine reuptake inhibitor)
- psychoeducational interventions (parent learning)
- academic skill facilitation (liasons)
- behavioural parent training
Conduct disorder
- used to predict ASPD
- hostile behaviour
- violates basic rights of others/societal norms
- four major groups: aggression directed towards ppl/animals, destruction of property, theft/deceitfulness, and serious violation of rules
ODD
- oppositional defiant disorder
- no responsibility taken for action, temper issues, spiteful
- 8 years old diagnosed
- three groups of symptoms: angry/irritable mood, argumentative/defiant behaviour, and vindictiveness
unemotional traits specifiers for ODD
- lack of remorse/guilt
- callous lack of empathy
- absence of concern abt performance
- shallow/deficient affect
The failure model vs acting out model
- failure: engaging in externalizing behaviour increases probability of experiencing social failure (ex rejection) and is related to the development of internalizing problems (ex depression)
- acting out: youth mask mood problems by acting out/behaving aggressively (internal and external and reciprocal)
DMDD
- disruptive mood dysregulation disorder
- chronic/severe irritability manifested clinically by frequent outbursts
diagnosis of ASPD needs a diagnosis of ____ by age ____
- Conduct disorder
- 15 y/o
youth with CD are more responsive to ____ and less responsive to _____
rewards/reinforcement, punishment
____ attachment styles are associated with CD and ODD symptoms
- insecure and disorganized
treatment for CD and ODD
- problem solving skills training
- pharmacological treatments (lithium, risperidone)
- parent training
- school/community based treatment (severe cases)
SAD (childhood)
- separation anxiety disorder
- excessive worry/fear
- fear of meeting new ppl
GAD (childhood)
- generalized anxiety disorder
- persistent and excessive worries abt life
- physical symptoms (restlessness, tired, tension) from difficulty controlling worries
_____ has shown effectiveness in reducing suicidal behaviour in youth by teaching emotion regulating skills
DBT
etiology of anxiety disorders
- temperament
- brain structure (amygdala)
- genetics
- prenatal risk (pregnant stress)
- psychosocial risk (parenting modal)
- G X E
treatment of anxiety disorders in children
- psychoeducation and behavioural assessment
- CBT
- Drugs (SSRI)
- Technology assisted therapy
risk of using SSRIs with children
- suicidal ideation