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PSYCH > childhood psych disorders > Flashcards

childhood psych disorders Flashcards

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0
Q

how many children are receiving service?

A

1 in 4- most NOT in formal mental health settings

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1
Q

rates of mental illness in children

A

14-20%

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2
Q

suicide # leading cause of death in teens

A

3rd

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3
Q

most common mental health disorders

A

ADHD
depression
anxiety

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4
Q

risk factors for mental health issues

A 
chronic health issues
brain damage
temperament
genetics
family factors
psychosocial factors
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5
Q

comorbidies

A

rule rather than exception

about 1/3 of children with ADHD have ADHD alone

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6
Q

internalizing

A

affecting you

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7
Q

externalizing

A

affecting those around you

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8
Q

gender in childhood vs adult depression

A

childhood: males= females
adults: females 2:1 males

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9
Q

childhood depression more at risk for

A

substance abuse
anxiety disorders
adult depression
bipolar disorder

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10
Q

best evidence for depression treatment

A

cognitive behavioral therapy

–ssris?

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11
Q

adolescents with MDD

A

1 in 20

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12
Q

percent of adolescents that make suicide attempts each year

A

9%

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13
Q

suicides versus completion

A

rare event, but hard to predict

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14
Q

increased SSRi linked to

A

decrease suicide attempt

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15
Q

FDA lable for ped OCD

A

zoloft
luvox
prozax
anafranil

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16
Q

FDA label for Ped-MDD

A

prozac > 8 years

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17
Q

onset of action

A

6-12 weeks

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18
Q

trend in antidepressants

A

decline

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19
Q

best treatment for child MDD

A

floxtine + CBT

20
Q

TADS columbia study

A

gave antidepressants black box warning- use with caution!

21
Q

chilren with anxiety

A

look shut down, but physiologically very aroused

22
Q

anxiety risk factors

A 
temperament
genetics/epigenetics
attachment (anxious-resistant)
anxiety/depression in parent
anxious, hostile parenting style
trauma/environmental stress
23
Q

what are the worst type of anxious parenting styles?

A

randomly/inconsistently hostile

24
Q

on their own, stressful life events

A

do not provide a full explanation for the development of anxiety disorders

25
Q

percentage of US children with anxiety

A

10-20%

26
Q

most common childhod psych disorder

A

anxiety

27
Q

anxiety and comorbidies

A

has a high rate

28
Q

normal dev fears birth-6 months

A

loud noises
loss of physical support
rapid position changes
rapidly approaching/unfamiliar objects

29
Q

7-12 months

A 
strangers
looming objects
sudden confrontaton
unexpected objects
unfamilar people
30
Q

1-5 years fears

A 
strangers
storms
animals
dark
separation from parents
machines
objects
loud noises
toilet
monsters
ghosts insections
bodily harm
31
Q

6-12 years fears

A 
supernatural beings
bodily injury 
disease (AIDS, cancer)
burglars
staying alone
failure
criticism
puihsment
32
Q

12-18 years fears

A 
tests
bodily injury
scrutiny
appearance
body image
performance
33
Q

abnormal anxiety is more

A

frequency and intensity than content

34
Q

pathology categorized by

A

pervasiveness
intensity
time consuming
debility

35
Q

placebos nad children

A

very responsive to

36
Q

combined therapy is best in

A

moderate-severe anxiety

37
Q

majority of primary anxiety disorders in children

A

remit over time
greater than 1/3 develop new disorders
GAD-greatest risk

38
Q

3 types of child ADHD

A

inattentive
hyperactive/impulsive
combined

39
Q

percentage of childhood adhd that continues into adulthood

A

60%

40
Q

adhd brain

A

dysregulation of Ne and DA in frontal striatl systems

temporalar insular cortex to feed up- much less efficient

41
Q

pleasurable, on

A

positive reinforcement

42
Q

pleasurable, off

A

extinction

43
Q

averse, on

A

punishment

44
Q

averse, off

A

negative reingorcement

45
Q

punishment vs extinction

A

punishment is faster but extinction re-establishes neural networks to change behavior is long-term

46
Q

side effects of meds for adhd

A

insomnia
tics
appetite suppresion/decreased growth

47
Q

OCD in children

A

1-2% of population

PSYCH (25 decks)

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