chapter 15: behaviour/emotional disorders of children/adolescents Flashcards

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1
Q

division of mental disorders in childhood

A
  • externalizing problems: undercontrolled behaviours, ADHD, ODD, CD
  • internalizing problems: overcontrolled behaviours, SAD, mutism, RAD, anxiety, and mood disorders
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2
Q

homotypic and heterotypic continuity

A

homotypic: diagnosis predictive of same diagnosis in the future
heterotypic: diagnosis predictive of a diff diagnosis in the future

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3
Q

ADHD

A
  • 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
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4
Q

G X E

A
  • gene-environment interactions
  • any phenotypic event that is the result of an interaction between genes and the environment
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5
Q

diathesis stress perspective

A
  • enviro stressors should exact their greatest toll on ppl who have underlying genetic vulnerability
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6
Q

ADHD treatment

A
  • meds (psychostimulant/amphetamine/norepinephrine reuptake inhibitor)
  • psychoeducational interventions (parent learning)
  • academic skill facilitation (liasons)
  • behavioural parent training
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7
Q

Conduct disorder

A
  • 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
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8
Q

ODD

A
  • 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
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9
Q

unemotional traits specifiers for ODD

A
  • lack of remorse/guilt
  • callous lack of empathy
  • absence of concern abt performance
  • shallow/deficient affect
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10
Q

The failure model vs acting out model

A
  • 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)
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11
Q

DMDD

A
  • disruptive mood dysregulation disorder
  • chronic/severe irritability manifested clinically by frequent outbursts
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12
Q

diagnosis of ASPD needs a diagnosis of ____ by age ____

A
  • Conduct disorder
  • 15 y/o
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13
Q

youth with CD are more responsive to ____ and less responsive to _____

A

rewards/reinforcement, punishment

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14
Q

____ attachment styles are associated with CD and ODD symptoms

A
  • insecure and disorganized
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15
Q

treatment for CD and ODD

A
  • problem solving skills training
  • pharmacological treatments (lithium, risperidone)
  • parent training
  • school/community based treatment (severe cases)
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16
Q

SAD (childhood)

A
  • separation anxiety disorder
  • excessive worry/fear
  • fear of meeting new ppl
17
Q

GAD (childhood)

A
  • generalized anxiety disorder
  • persistent and excessive worries abt life
  • physical symptoms (restlessness, tired, tension) from difficulty controlling worries
18
Q

_____ has shown effectiveness in reducing suicidal behaviour in youth by teaching emotion regulating skills

A

DBT

19
Q

etiology of anxiety disorders

A
  • temperament
  • brain structure (amygdala)
  • genetics
  • prenatal risk (pregnant stress)
  • psychosocial risk (parenting modal)
  • G X E
20
Q

treatment of anxiety disorders in children

A
  • psychoeducation and behavioural assessment
  • CBT
  • Drugs (SSRI)
  • Technology assisted therapy
21
Q

risk of using SSRIs with children

A
  • suicidal ideation