Child Psychiatry Flashcards
Prevalence of autism spectrum disorder?
1 in 88 children
Do more males or females have autism spectrum disorder?
More males have autism spectrum disorder. M:F = 4:1
How many criteria are there for autism spectrum disorder?
4: A,B,C,D
What is criteria A of autism spectrum disorder?
Criteria A: persistent deficits in social communication and interaction exemplified by deficits in ALL 3 OF THE FOLLOWING:
- social-emotional reciprocity
- nonverbal communication
- relationship development and verbal communication.
What is criteria B of autism spectrum disorder?
Criteria B: restricted, repetitive patterns of behavior, interests, or activities as manifested by >=2 of the following:
- stereotyped or repetitive speech, motor movements, or use of objects
- excessive adherence to routines, ritualized patterns of behavior, excessive resistance to hang
- Highly restricted, fixated interests that are abnormal in intensity or focus (ex: memorize the entire subway map)
- hypo- or hyper-reactivity to sensory input (ex: hate clothing, only eat 1 type of pasta)
What is criteria C of autism spectrum disorder?
symptoms present in early childhood
What is criteria D of autism spectrum disorder?
clinically significant impairment
What are the criteria for separation anxiety disorder?
- Lasts > 4 weeks
- impairment, not due to other diagnoses
- > = 3 symptoms of:
- recurrent excessive distress with real or anticipated separation from attachment figure
- Persistent/excessive worry over separation/loss
- persistent reluctance to go to school/elsewhere d/t fear of separation
- persistent reluctance to be alone
- persistent reluctance to fall asleep alone or away
- recurrent nightmares
- somatic complaints when separated
What is the prevalence of separation anxiety disorder?
3-8%
Impairing and pervasive (a problem at school and home) condition with symptoms of inattention, impulsivity, and hyperactivity at an age < 12 years old
Attention Deficit Hyperactivity Disorder (ADHD)
What are the different types of ADHD?
Combined Type
Predominantly Inattentive Type
Predominantly hyperactive-impulsive type
What are the criteria for predominantly inattentive type of ADHD?
> = 6 of the following persistent symptoms, present from < 12 years old:
- poor attention to detail, careless errors
- cannot sustain attention in work or plan
- appear not to listen
- poor follow through/incompletes
- impaired organizational skills
- avoids tasks requiring attention
- loses needed items
- easily distracted
- forgetful
What are the criteria for predominantly hyperactive-impulsive type of ADHD?
> = 6 of the following persistent symptoms, present from < 12 years old:
- hyperactivity: fidgety, cannot remain seated, climbing/running, cannot play quietly, driven, talks excessively
- impulsivity: blurts out answers, cannot wait turn, interrupts, intrudes
prevalence of ADHD?
7.8%
Who gets ADHD more commonly- males or females?
Males get ADHD more commonly. Male: female = 2:1