Child and Adolescents (387)

Question 1

List issues that could be present during childhood/adolescence (9)

Answer 1

1. Attachment: Bowlby’s theory
2. Abuse or witnessing abuse
3. Alcohol/ Substance abuse
4. Loss/grief
5. Psych illness (depression or anxiety)
6. Conduct disorder
7. Oppositional Defiant Disorder
8. ADHD
9. Asperger’s syndrome

Question 2

What is the difference between Conduct Disorder and Oppositional Defiant Disorder?

Answer 2

Conduct is illegal activity, Oppositional is not illegal but defiant behaviour

Question 3

What are Risk Factors for childhood emotional disorders? (8)

Answer 3

Poverty
Minority Status
Homelessness
Significant caregiver conflicts or divorce
Caregiver’s psychological problems or substance abuse
Physical/sexual abuse
Chronic illness or disability of caregivers

Question 4

Anorexia Nervosa: What does restrictive eating cause?

Answer 4

• Emaciation
• Amenorrhea
• Altered body image
• Extensive fear of becoming obese

Question 5

At what age is anorexia nervosa most prominent?

Answer 5

Varies from preadolescence to early adulthood

Peaks at 12-13 and 17

Question 6

What are S/S of anorexia?

Answer 6

Deliberate weight loss
Dieting or vomiting/purging
Hypotension, bradycardia and hypothermia

Question 7

What are physical changes caused by anorexia?

Answer 7

Ventricular dilatation
Dry skin, lanugo
Constipation (due to slowed gastric peristalsis)
Dehydration (may cause renal failure)
Osteopenia/porosis (due to amenorrhea)

Question 8

What is the etiology for anorexian

Answer 8

• Considered multifactorial
• Sociocultural
• western society’s preoccupation with thinness and ‘ideal’ body types
• Familial factors
• Cognitive/Behavioral
• Psychodynamic

*family’s that are controlling of children (“enmeshed”)