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Eppp 1/19 > Dsm Factoids > Flashcards

Dsm Factoids Flashcards

0
Q

Male:female ratio in mental retardation

A

1.5 : 1

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1
Q

Comorbidity rate -mental retardation and mental disorders?

Most common dis?

A

3-4 times higher than general pop

ADHD, mood disorder, PDD, stereotypic movement

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2
Q

How many sd’s below mean indicates learning disorder?

A

2 (occasionally 1-2)

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3
Q

What percentage of children with autism have mental retardation?

Male : female ratio?

A

75%

4-5 : 1

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4
Q

How many months does ADHD dx require?

Sx before what age?

Impairment must be…

A

6 months

Age 7

Two settings with significant impairment

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5
Q

Tourette’s requires

Most common comorbid dx

A

Multiple motor, one or more vocal tic

ADHD

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6
Q

Delirium

A

Rapid onset

Fluctuating course

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7
Q

Dementia requires

Alzheimer’s type

Vascular type

HIV type

A

“Memory plus”

Insidious onset, progressively deteriorating course

Stepwise pattern of deterioration, patch distribution of deficits

Forgetfulness, impaired attention, psychomotor slowing, apathy/social withdrawal

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8
Q

Positive sx of schizo

A

Delusions, hallucinations, disorganized speech, disorganized or CATATONIC behavior

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9
Q

Negative sx of schizo

A

Restriction in range and intensity of emotions and other functions

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10
Q

Incidence rate for schizo

Concordance rates
ID twins
F twins
Sibs
Both parents schizo
A

Incidence rate for schizo 1%

Concordance rates
ID twins 50%
F twins 20%
Sibs 10%
Both parents schizo 50%
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11
Q

Schizophreniform duration

A

1 - 12mo

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12
Q 
Mood dx time durations
MDE
MANIC
HYPOMANIC
MIXED
A

2 wk
1 wk
4 day
1 wk

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13
Q

Sleep abnormalities / depression

A

40-60%
Reduced stage 3-4 sleep
Early onset of REM
Increased duration of REM early in night

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14
Q

MDD prevalence

A

Childhood, 1:1
Beginning in adolescence 2 females : 1 male

Lifetime prevalence women - 10-25%
Men -5-12%

Point prevalence
5-10% women
2-3% men

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15
Q

Depression concordance rates

A

ID twins 50%
F twins 20%

1.5-3 times more common in first degree biological relatives

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16
Q

Lewinsons theory of depression

A

Behavioral - low rates of reinforcement

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17
Q

Seligmans theory of depression

A

Learned helplessness

18
Q

Rehm’s theory of depression

A

Self control theory:
Self monitoring
Self evaluation
Self reinforcement

19
Q

Which is most effective for depression - cbt or pharmacotherapy ?

Which has lower risk of relapse

A

Both cbt and drugs are better than either alone

Cbt has lower risk of relapse- 30% are sx free (20% of drug = to placebo)

20
Q

Prevalence:

Bipolar 1
Bipolar 2

More common in male or females?

A

Bipolar 1- 1%
2 - .5%

Bp2 more common in females

21
Q

Duration dysthymia /cyclothymia

  • adults
  • children
A

2 yrs
1yr

Cannot meet criteria for MDE, cyclo must be HYPOMANIC

22
Q

What percent of ppl who commit sx have made a prior attempt?

What percent gave definite warning?

Rates in men v women - completion, attempt

Race

More common in single parent or dual parent households?

A 
60-80%
80%
Men 4-5 x more likely to complete
Women attempt 2-3 x more than men
Whites, young native Americans 
Single (ESP divorced and widowed)
More common in single parent households for girls and boys
23
Q

Prevalence rates for panic dx
What % have agoraphobia?
More common in males or females?

A

1-2 %
1/3-1/2 have agoraphobia
Panic more common in females
75% of agoraphobia are female

24
Q

Who do children have lower rates of panic than do adults?

A

Children have cognitive limitations that do not allow them to make catastrophic interpretations of bodily sx

25
Q

Comorbidity rates panic with/without agoraphobia

A

PDA higher comorbidity rates than without agoraphobia

PDA - 60% - MDD most common, then GAD then social/specific phobia

26
Q

Relapse rate for panic when drugs used alone

A

30-70%

27
Q

Specific phobia types - from most common?

A

Situational- most common

Animal/blood-injection /natural-environment / other

28
Q

OCD more common in males or females?

A

Equal in adults

Earlier onset for boys so more boys than girls

29
Q

PTSD vs ASD - time

A

ASD less than one month

PTSD more than one month

30
Q

GAD-
Time for dx
More common in men or women?

A

6 months

Slightly more common in women

31
Q

Basic criteria for somatization disorder

A

Multiple somatic complaints (pain, GI, sexual, pseudoneurological)

Persisted for several years

Began before age 30

32
Q

Conversation dx

A 
Primary gain (keep something out of consciousness) 
Secondary gain (avoid something or gain support)

NOT INTENTIONALLY FEIGNED

33
Q

Undifferentiated somatiform disorder vs somatiform disorder NOS
Pseudocyesis

A

Undifferentiated - more than 6 months
NOS - less than 6 months
False pregnancy

34
Q

Factitious disorder

Best approach to treatment?

A

Fake a sick role - intentionally

Establish good therapeutic relationship

35
Q

Malingering

A

Faking symptoms to obtain external reward

36
Q

Sex therapy most effective for

A 
Premature ejaculation (squeeze and stop-start techniques)
Vaginismus
37
Q

Gender identity disorder

A

Formerly transsexualism
Onset btw 2-4 yrs but often remits
75% of males ultimately identify as bi/homosexual

38
Q

Dyssomnias

A

Insomnia, hypersomnia, narcolepsy, apnea, circadian rhythm

39
Q

Narcolepsy

A

Intrusion of REM sleep

40
Q

Parasomnias

A

Sleep terror- stage 3 and 4

Sleepwalking - during NREM sleep

41
Q

Moffitt / conduct disorder

A

“Maturity gap”

42
Q

Comorbidity ADHD / learning disorder

A

20-25%

43
Q

Amnestic disorder always involves, and may involve…

A

Anterograde symptoms

Retrograde symptoms

Eppp 1/19 (8 decks)

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