Dsm Factoids Flashcards
Male:female ratio in mental retardation
1.5 : 1
Comorbidity rate -mental retardation and mental disorders?
Most common dis?
3-4 times higher than general pop
ADHD, mood disorder, PDD, stereotypic movement
How many sd’s below mean indicates learning disorder?
2 (occasionally 1-2)
What percentage of children with autism have mental retardation?
Male : female ratio?
75%
4-5 : 1
How many months does ADHD dx require?
Sx before what age?
Impairment must be…
6 months
Age 7
Two settings with significant impairment
Tourette’s requires
Most common comorbid dx
Multiple motor, one or more vocal tic
ADHD
Delirium
Rapid onset
Fluctuating course
Dementia requires
Alzheimer’s type
Vascular type
HIV type
“Memory plus”
Insidious onset, progressively deteriorating course
Stepwise pattern of deterioration, patch distribution of deficits
Forgetfulness, impaired attention, psychomotor slowing, apathy/social withdrawal
Positive sx of schizo
Delusions, hallucinations, disorganized speech, disorganized or CATATONIC behavior
Negative sx of schizo
Restriction in range and intensity of emotions and other functions
Incidence rate for schizo
Concordance rates ID twins F twins Sibs Both parents schizo
Incidence rate for schizo 1%
Concordance rates ID twins 50% F twins 20% Sibs 10% Both parents schizo 50%
Schizophreniform duration
1 - 12mo
Mood dx time durations MDE MANIC HYPOMANIC MIXED
2 wk
1 wk
4 day
1 wk
Sleep abnormalities / depression
40-60%
Reduced stage 3-4 sleep
Early onset of REM
Increased duration of REM early in night
MDD prevalence
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
Depression concordance rates
ID twins 50%
F twins 20%
1.5-3 times more common in first degree biological relatives
Lewinsons theory of depression
Behavioral - low rates of reinforcement
Seligmans theory of depression
Learned helplessness
Rehm’s theory of depression
Self control theory:
Self monitoring
Self evaluation
Self reinforcement
Which is most effective for depression - cbt or pharmacotherapy ?
Which has lower risk of relapse
Both cbt and drugs are better than either alone
Cbt has lower risk of relapse- 30% are sx free (20% of drug = to placebo)
Prevalence:
Bipolar 1
Bipolar 2
More common in male or females?
Bipolar 1- 1%
2 - .5%
Bp2 more common in females
Duration dysthymia /cyclothymia
- adults
- children
2 yrs
1yr
Cannot meet criteria for MDE, cyclo must be HYPOMANIC
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?
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
Prevalence rates for panic dx
What % have agoraphobia?
More common in males or females?
1-2 %
1/3-1/2 have agoraphobia
Panic more common in females
75% of agoraphobia are female
