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Psychosocial > Chapter 16 > Flashcards

Chapter 16 Flashcards

1
Q

What is the diagnostic criteria of ODD?

A
  • pattern of angry irritable mood with argumentative, defiant or vindictive behavior
  • angry/ irritable mood
  • argumentative/ defiant disorder
  • vindictiveness
  • distress on individual and others
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2
Q

How long does ODD need to occur for?

A

6 months

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3
Q

What is the differential diagnosis for ODD?

A

Angry Demon

  • ADHD
  • Developmental disorder
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4
Q

What is the comorbidities for ODD?

A

Angry Demon

  • ADHD
  • Developmental disorder
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5
Q

What are the genetic/ behavioral etiology for ODD?

A
  • reduced cortisol reactivity to stress
  • reduced amygdala reactivity to negative stimuli
  • altered seretonin and nonadrenaline neurotransmission
  • abnormalities in amygdala and frontal cortex
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6
Q

What are the environmental etiology for ODD?

A
  • prenatal maternal smoking, alcohol use or illness
  • maternal stress and anxiety
  • low birth weight
  • early neonatal complications
  • parental stress
  • dysfunctional parents
  • adoption
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7
Q

What is ODD a strong predictor of as an adult?

A

antisocial personality disorder

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8
Q

What is ODD a strong predictor of?

A

conduct disorder and depression

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9
Q

Is the prognosis worse of early onset?

A

yes

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10
Q

What are the implications for function of ODD?

A
  • negatively affects fam, school, social, work performance
  • difficulties in interpersonal skills and emotional regulation
  • difficulty associating with - or + consequences
  • decreased problem solving, attention, decision making
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11
Q

What is the treatment for ODD?

A
  • develop skills in problem solving, flexibility, frustration tolerance
  • interventions on social learning
  • CBT, parent training, family therapy
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12
Q

What are the implications for OT for ODD?

A
  • parent training
  • behavioral interventions
  • teach problem solving, decision making and train frustration tolerance and attention
  • consistent with rules
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13
Q

What is the diagnostic criteria for conduct disorder?

A
  • persistent pattern of behavior w/ serious violations of rights of others or rules
  • aggression to people and animals
  • destruction of property
  • deceitfulness or theft
  • stays out late
  • truant in school
  • cause dysfunction
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14
Q

How often does it need to occur for conduct disorder?

A

3 episodes in 1 year

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15
Q

What are the comorbidities of conduct disorder?

A

SAIL

  • Substance use disorder
  • ADHD
  • Intellectual disabilities
  • Learning disabilities
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16
Q

What is the etiology of conduct disorder?

A
  • Subtle neurological deficits like poor verbal abilities and inhibitory control
  • Gray matter volume reductions in the areas that process socioemotional stimuli
  • Family histories of antisocial behavior and either harsh or inconsistent parenting
  • Adolescent form less severe
17
Q

What is the prognosis of conduct disorder?

A

Poor with associated alcohol or substance abuse

18
Q

With conduct disorder what do you have a high probabilty of developing in adulthood?

A

antisocial or borderline personality disorders and encountering financial and legal difficulties

19
Q

What predicts a worse outcome with conduct disorder?

A
  • Early onset
  • high potential for violence and criminal behavior over time
  • Worst with callous/unemotional traits
20
Q

What is the treatment for conduct disorder?

A
  • Preventive interventions attempted with early signs
  • Parent training- positive child-parent interaction, consistency in discipline
  • Behavioral interventions reinforcing prosocial behavior
21
Q

What is the implication for function for conduct disorder?

A
  • Negatively affects school, social, and work performance
  • Difficulty in areas of interpersonal skills, emotional regulation
  • Difficulty transitioning to adult roles- work & family life
  • Can contribute to legal difficulties which further affect performance
22
Q

What are the implications of OT for conduct disorder?

A
  • Channel energy to more appropriate activities
  • Reinforcement for acceptable behavior
  • Consistent expectations
  • Engagement in recreation- provide experience of success
  • Opportunities for appropriate expression of emotion (movement, music, art, play; build self-concept)
  • Anger management, coping strategies
  • Parent training for the above
  • Treatment of ADHD and other co-existing conditions

Psychosocial (9 decks)

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