Common Child Psychiatric Disorders

Question 1

How many % of 11-13 year olds report hearing voices?

Answer 1

20%

Question 2

How many % of GP consultations involve children?

Answer 2

20-30%

Question 3

How many of people with lifetime mental health problems had difficulties since before age 14?

Answer 3

Half

Question 4

What is the prevalence of childhood psychiatric conditions in 7-12 year olds?

Answer 4

1 in 4

Question 5

What is the prevalence of childhood psychiatric conditions in 13-16 year olds?

Answer 5

4 in 10

Question 6

Aetiology - what are the risk factors to do with the child? (6)

Answer 6

Boys
Low intelligence
Difficult temperament
Physical illness
Developmental delay
Genetic factors

Question 7

Aetiology - what are the risk factors to do with the environment? (3)

Answer 7

Peer relationship problems
Social deprivation
School factors

Question 8

Aetiology - what are the risk factors to do with the family? (6)

Answer 8

Traumatic stress
Parenting issues
Marital disharmony
Maternal ill-health
Parental psychiatric disturbance/ substance misuse issues
Abuse

Question 9

What are the following types of?

Habit problems e.g. toileting
Failure to develop routines (sleep and feeding)
Temper Tantrums
Attachment Difficulties 
Autism/Social Communication Problems
ADHD
Anxiety (e.g. separation anxiety)
Abuse (consequences of)

Answer 9

Pre-school behaviour problems

Question 10

Conduct disorders are disorders of behaviour characterised by repetitive and persistent pattern of _______, _______ or ______ conduct. This is more severe than ordinary childish mischief/rebelliousness.

Answer 10

dissocial, aggressive or defiant

Question 11

When do conduct disorders present?

Answer 11

Behaviours present >6 months

Question 12

What are the risk factors for conduct disorders?

Answer 12

Boys
Inner cities
Socio-economic disadvantage
Family conflict and poor communication in the family
'Looked after' children
“Difficult” temperament
Specific reading disability

Question 13

What are the emotional symptoms of emotional disorders? (6)

Answer 13

Fears/phobias and anxiety
Lack of pleasure
Loss of interest
Hopelessness/despair
Depression
Lack of energy

Question 14

An emotional disorder - disturbances of mood, persistent and not in response to….?

Answer 14

A single identified stressor

Question 15

What are the physical symptoms of emotional disorders?

Answer 15

Abdominal pain and headaches

Question 16

Are emotional disorders more common in boys or girls?

Answer 16

Equal

Question 17

Emotional disorders are not linked to gender of socioeconomic status. What ARE some risk factors? (3)

Answer 17

Overprotection by family
Parental anxiety
Quiet, compliant temperament

Question 18

What is an adjustment disorder?

Answer 18

Distress and emotional disturbance arising in a period of adaptation to a significant life change/stressful life event.

Question 19

What are the 3 main symptoms of ADHD?

Answer 19

Hyperactivity
Impulsivity
Inattention

Question 20

Is ADHD more common in boys or girls? By how much?

Answer 20

Boys (4:1)

Question 21

Name some other risk factors for ADHD apart from gender. (4)

Answer 21

Genetic factors
Neuro-developmental abnormalities
Maternal depression
Smoking during pregnancy

Question 22

What two different types of speech and language difficulties are there?

Answer 22

Receptive and expressive

Question 23

Failure of normal development of motor function is called…?

Answer 23

Dyspraxia

Question 24

Enuresis/encopresis - what do these terms mean?

Answer 24

Peeing/pooing yourself

Question 25

Attachment disorders - marked distress and social impairment as a result of an extremely abnormal ____ _ ________, typically due …. in early childhood?

Answer 25

Pattern of attachment

Repeated changes of care-giver in early childhood

Question 26

Name two types of attachment disorder.

Answer 26

Reactive

Disinhibited