Class 6: ADHD Continued/Conduct Disorder Flashcards
ODD DSM Definition
Pattern of angry/irritable mood, argument/defiant behavior or vindictiveness
Assessment methods with little to no empirical evidence for ADHD
Intelligence tests
Achievement tests
Laboratory measures
Self-report (may be useful with adolescent)
What approach to assessment of ADHD is recommended?
Behavioral
4 Step Process to Assessment of ADHD
- Screening (Broadband and Narrowband)
- Multi-method Assessment (with varying reporters)
- Interpretation - look at # of symptoms, deviance from norms, chronicity etc.
- Treatment Plan - consider severity, functional analysis, response to prior treatment etc.
Etiology of ADHD
Presumed to have biological basis with multiple causality
Main issue with assessment for ADHD
Not typically done in naturalistic setting (Dr.’s office)
Treatments with little support for ADHD
Counseling/psychotherapy
“Special diets”
Treatments that work for ADHD
Stimulant Treatment
Parent Management Training
School-based antecedent and consequential strategies
Ex. of antecedent strategies for ADHD
Reduce workload & gradually increase expectations
Menu of choices
Peer tutoring/cooperative learning
Ex. of consequent strategies
Token economy
Hierarchy of mild aversive contingencies for off task behavior
Children with comorbid ADHD and Conduct disorder are at higher risk for criminality in adulthood and adolescence (True/False)
True
Those with ADHD alone are at an increased risk for adult criminality (True/False)
False
Conduct Disorder DSM-V criteria
Repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated (aggression to people/animals, destruction of property, deceitfulness/theft etc.)
ODD Prevalence
1-11%
Inherent similarity between ODD and CD
Non-compliance
General (non-contextual) factors for externalizing disorders
Genetic
Emotional/temperamental
Cognitive distortions
Biological correlates
Contextual risk factors to consider for externalizing behavior problems
Prenatal/early childhood factors
Neighborhood characteristics
Peer relationships
Familial factors (low involvement, parental warmth, monitoring etc.)
Antisocial behavior common course
Hyperactive-impulsive behavior in childhood
ODD at pre-school age
Childhood-onset cd
Substance-related disorders in adolescence
Antisocial personality disorder in adulthood
IDEA definition of emotional disturbance
Inability to learn not explained by other factors, build or maintain relationships, inappropriate behavior, pervasive moodiness & physical symptoms/fears
Most common (and mostly ineffective) interventions for externalizing behavior problems
Therapy, putative measures
Other ineffective treatments for externalizing behavior problems
Group treatment, play therapy, nature/military etc.
Effective treatments for externalizing behavior disorders
Parent training, cognitive problem-solving, wraparound services, behavioral interventions
