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CIDS Partial Exam > DSM Table > Flashcards

DSM Table Flashcards

1
Q

What chapter does Autism Spectrum go in? and what HiTOP table?

A

Neurodevelopmental & no HiTOP

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2
Q

What are the criteria A & B for Autism Spectrum Syndrome?

A

A. Persistent deficits in social communication and social interaction across multiple contexts, as shown by all of the following:
1. Deficits in social-emotional reciprocity (like abnormal conversation)
2. Deficits in nonverbal communicative behaviours used for social interaction (like eye contact, understanding gestures, showing facial expressions)
3. Deficits in developing, maintaing, and understanding relationships (like difficulty in play or making friends)
B. Restricted, repetitive patterns of behaviour, interests, or activities, as shown by min 2 of the following
1. Stereotyped/reptitive motor movements, use of objects, or speech (like echolalia, or lining up toys)
2. Insistence on sameness, inflexible adherence to routines, or ritualized patterns of (non)verbal behaviour (like extreme distress at small changes, greeting rituals)
3. Highly restricted, fixated interests that are abnormal in intensity or focus (like strong attachment to unusual objects)
4. Hyper or hyporeactivity to sensory input or unusual interest in sensory aspects of the environments (like indifference to pain/temperature, adverse to specific sounds/textures, excessive smelling/touching of objects)

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3
Q

What specifier is there for autism spectrum syndrome?

A

SPECIFY: Current severity based on social communication impairments & restricted, reptitive patterns of behaviour (level support needed)
- requiring very substantial support
- requiring substantial support
- requiring support

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4
Q

What are the 2 important neurodevelopmental syndromes?

A

Autism Spectrum
ADHD

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5
Q

Under what HiTOp spectrum & DSM chapter does ADHD fall?

A

DSM: neurodevelomental
HiTOP: Disinhibited Externalizing

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6
Q

What is criteria A for ADHD?

A

Persistent pattern of inattention and/or hyperactivity-impulsivity interfering w functioning/dev, shown by 1) and/or 2)
1) Inattention: min. 6 for min 6m to abnormal degree for age & interferes w activities: often
a. no close attention to details/makes careless mistakes
b. difficulty sustaining attention to task/play activities
c. x seem to listen when spoken to
d. x follow through on instructions & fails to finish work/chores/duties
e. difficulty organising tasks/activity
f. avoids/dislikes/reluctant to do tasks that require sustained mental effort
g. loses things necessary for tasks
h. easily distracted by extraneous stimuli
i. forgetful in daily activities
2) Hyperactivity & impulsivity: min. 6 for min 6m to abnormal degree for age & interferes w activities: often
a. fidgets with/taps hands feet/squirms in seat
b. leaves seat when remaining seated is expected
c. Runs about/climbs in inappropriate situations (restlessness in adults)
d. unable to play/engage in leisure activities quietly
e. on the go, acting as if driven by motor (unable to sit still, restless/difficult to keep up with)
f. talks excessively
g. blurts out answer before q is completed.
h. difficulty waiting on his/her turn
i. interrupts or intrudes on others

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7
Q

What disorders are under the psychotic chapter?

A
  • Delusional Disorder
  • Brief Psychotic Disorder
  • Schizopheniform Disorder
  • Schizophrenia
  • Schizoaffective Disorder
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8
Q

Where is deluisional disorder in the HiTOP model & DSM?

A

HiTOP: thought disorder
DSM: psychotic

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9
Q

Where is brief psychotic disorder in the HiTOP model & DSM?

A

HiTOP: thought disorder
DSM: psychotic

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10
Q

Where is schizophreniform disorder in the HiTOP model & DSM?

A

HiTOP: thought disorder
DSM: psychotic

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11
Q

Where is schizophrenia in the HiTOP model & DSM?

A

HiTOP: thought disorder
DSM: psychotic

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12
Q

Where is schizoaffective disorder in the HiTOP model & DSM?

A

HiTOP: thought disorder
DSM: psychotic

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13
Q

What is criteria A for delusional disorder?

A

A. The presence of one (or more) delusions with a duration of 1m or longer

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14
Q

What are criteria A and B for brief psychotic disorder?

A

A. Presence of 1 (or more) of the following symptoms. at least one of them must be 1,2, or 3
1. delusions
2. hallucinations
3. disorganized speech
4. grossly disorganized or catatonic behaviour
B. Duration of episode is min 1 day but less than 1m, with eventual full return to premorbid level of functioning

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15
Q

What are criteria A and B for schizophreniform disorder?

A

A. min 2, each present for significant portion of time during 1m period (or less if successfuly treated). min one of these is 1,2, or 3
1. delusions
2. hallucinations
3. disorganized speech
4. grossly disorganized / catatonic behaviour
5. negative symptoms
B. episode lasts min 1m but less than 6m

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16
Q

What are criteria A, B, and C for schizophrenia?

A

A. min 2 of following, each present for significant portion of time during 1m period (or less if successfully treated). min one must be 1, 2, or 3
1. delusions
2. hallucinations
3. disorganized speech
4. grossly disorganized/catatonic behaviour
5. neagtive symptoms
B. For significant portion of time since onset, level of functioning in min 1 area is way below level achieved prior to the onset
C. Continious signs of disturbance persist for min 6m. this 6m period must include min 1m of symptoms (or less if successfully treated) that meet criterion A (ie active phase symptoms) and may include periods of prodromal or residual symptoms. during these prodromal/residual periods, the signs of the disturbance may be manifested by only negative symptoms or by 2 or more symptoms listen in criterion A present in a reduced form (ie unusual perceptual experiences, odd beliefs)

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17
Q

What are criteria A, B, and C for schizoaffective disorder?

A

A. Uninterrupted period of illness during which theres a major mood episode (MD or manic) concurrent with criterion A of schizophrenia
B. delusions or hallucinations for 2 or more weeks int he absence of a major mood episode during the lifetime duration of the illness
C. Symptoms that meet criteria for a major mood episode are present for the majority of the total duration of the active and residual portions of the illness

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18
Q

what are criteria A, B, and C for a manic episode (ME) ?

A

A. period of abnormally & persistently elevated/expansive/irritable mood and abnormally & persistently increased activity/energy, lasting min 1w and present most of day, nearly every day (or any duration if hospitalization)
B. during this, min 3 of following (4 if mood is only irritable) to significant degree & represent noticeable change from usual
1. inflated self esteem/grandiosity
2. decreased need for sleep
3. more talkative than usual/pressure to keep talking
4. flight of ideas/subjective experience of thoughts racing
5. distractability as reported/observed
6. increased goal-directed activity/psychomotor agitation
7. excessive involvement in activities that have high potential for painful consequences (ie excessive shopping sprees, sexual indiscretions, foolish business investments)
C. disturbance causes marked impairment in social/occupational functioning or necessitates hospitalization to prevent harm to self/other, or there are psychotic features

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19
Q

What are criteria A, B, C, and D for a hypomanic episode (HE)?

A

A. distinct period of abnormally + persistently elevated/expansive/irritable mood and abnormally+ persistently increased activity/energy, for min 4 consecutive days and present most of day, nearly every day
B During thjs period , min 3 of following (4 if the mood is only irritable) have persisted, represent a noticeable change from usual, and have been present to significant degree
1. inflated self esteem / grandiosity
2. decreased need for sleep
3. more talkative than usual / pressure to keep talking
4. flight of ideas / subjective experience that thoughts are racing
5. distractability as reported/observed
6. increase in goal-directed activity / psychomotor agitation
C. episode is associated with unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic
D. disturbance in mood & change in fucntioning are observable by others

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20
Q

What is Criteria A for a Major Depressive episode (MDE)?

A

A. min 5 of following have been present during the same 2w period and represent a change from previous functioning; min 1 of symptoms is either 1 or 2
1. depressed mood (most of the day, nearly every day, as indicated by subjective report or observations by others
2. Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation)
3. significant weight loss when not dieting or weight gain or decrease or increase in appetite nearly every day
4. Insomnia or hyperinsomnia nearly every day
5. Psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down)
6. Fatigue or loss of energy nearly every day
7. Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self reproach or guilt about being sick)
8. Diminished ability to think or concentrate, or indecisiviness, nearly every day (subjective account & observation by others)
9. Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for commiting suicide

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21
Q

what disorders/episodes fall under the DSM bipolar chapter?

A
  • Manic episode
  • Hypomanic episode
  • Depressive episode
  • Bipolar I
  • Bipolar II
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22
Q

What DSM chapter & HiTOP dimension is manic episode in?

A

DSM: Bipolar
not in HiTOP
but an episode is not itself a syndrome in DSM but a criterion for a syndrome

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23
Q

What DSM chapter & HiTOP dimension is hypomanic episode in?

A

DSM: Bipolar
not in HiTOP
but an episode is not itself a syndrome in DSM but a criterion for a syndrome

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24
Q

What DSM chapter & HiTOP dimension is depressive episode in?

A

DSM: Bipolar
not in HiTOP
but an episode is not itself a syndrome in DSM but a criterion for a syndrome

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25
Q

What DSM chapter & HiTOP dimension is bipolar I in?

A

DSM: Bipolar
HiTOP: Internalizing & thought disorder
subfactor Mania

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26
Q

What DSM chapter & HiTOp dimension is bipolar II in?

A

DSM: Bipolar
HiTOP: Internalizing & thought disorder
subfactor Mania

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27
Q

What is criteria A for Bipolar I?

A

A. Criteria have been met for min 1 manic episode
so this disorder does not necessarily contain a depressive episode

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28
Q

What is criteria A for Bipolar II?

A

A. Criteria have been met for min 1 hypomanic episode & min 1 major depressive episode

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29
Q

What is an important specifier in bipolar I or depressive syndromes? where does it apply in the DSM & HiTOP? when do you give this specifier?

A

“with psychotic features”
DSM: depressive & bipolar chapters
HITOP: thought disorder
given when: delusions/hallucinations are present at any time in the current/most recent manic or MD episode in bipolar I or in the current/most recent MD in bipolar II

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30
Q

What are the syndromes to know in the DSM depressive disorders chapter?

A
  • depressive disorder
  • persistent depressive disorder
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31
Q

what DSM chapter & HiTOP dimension is depressive syndrome in?

A

DSM: depressive
HiTOP: internalizing subfactor distress

32
Q

What DSM & HiTOP dimension is persistent depressive syndrome in?

A

DSM: depressive
HiTOP: internalizing subfactor distress

33
Q

What is criteria A for depressive syndrome?

A

depressive episode criteria A

34
Q

What are criteria A and B for persistent depressive syndrome?

A

A. Depressed mood for most of the day, for more days than not, as indicated by either subjective account or observation by others, for min 2y
B. presence, while depressed, of min 2 of:
1. poor appetite or overeating
2. insomnia or hypersomnia
3. low energy or fatigue
4. low self esteem
5. poor concentration or difficulty making decisions
6. feelings of hopelessness

35
Q

What are the 4 specifiers for type of persistence for persistent depressive syndrome?

A

specify if, for most recent 2y of persistent depressive disorder
1. with pure dysthemic syndrome: full criteria for a MD episode have not been met in at least the preceding 2y
2. with persistent major depressive episode: full criteria for a major depressive episode have been met throughout the preceding 2y period
3. with intermittent major depressive episodes with current episode: full criteria for a major depressive episode are currently met, but there have been periods of min 8w in at least the last 2y with symptoms below the treshhold for a full major depressive episode)
4. with intermittent major depressive episodes, without current episode: full criteria for a MD episode are not currently met, but there has been one or more major depressive episodes in at least the last 2 preceding years

36
Q

What are criteria A, B, C, D, and E of specific phobia?

A

A. marked fear / anxiety about specific object / situation
B. phobic object/situation almost always provokes immediate fear / anxiety
C. phobic object/situation is actively avoided / endured with intense fear/anxiety
D. The fear/anxiety is out of proportion to actual danger posed by specific object / situation and to socio cultural context
E. for min 6m

37
Q

what DSM chapter & HiTOP dimension do anxiety disorders fit in?

A

DSM: anxiety
HiTOP: internalizing subfactor fear
except GAD: that is internalizing subfactor distress
specifiyer also doesnt go anywhere in HiTOp

38
Q

What are the main syndromes in the anxiety chapter in DSM?

A
  • specific phobia
  • social anxiety
  • panic disorder
  • agoraphobia
  • generalized anxiety
  • specifyer panick attack
39
Q

what are criteria A, B, C, D, E, and F of social anxiety disorder?

A

A. Marked fear/anxiety about min 1 social situations in which individual is exposed to possible scrutiny by others
B. individual fears that they will act in a way or show anxiety symptoms that will be negatively evaluated **
C. the social situations almost always provoke fear/anxiety
D. the social situations are avoided or endured w intense fear/anxiety**
E. the fear/anxiety is** out of proportion **to the actual threat posed by the social situation and to the sociocultural context
F. the fear, anxiety, or avoidance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning

40
Q

what are the criteria for the panick attack specifyier?

A

can be given w any other DSM syndrome
abrupt surge (can come from a calm / anxious state) of intense fear / intense discomfort that reaches peak within minutes, and during which times min 4:
1. palpitations, pounding heart, or accelerated heart rate
2. sweating
3. trembling / shaking
4. sensations of shortness of breath / smothering
5. feelings of choking
6. chest pain / discomfort
7. nausea / abdominal distress
8. feeling dizzy, unsteady, light headed, or faint
9. chills / heat sensations
10. paresthesias (numbness or tingling sensations)
11. derealization (feelings of unreality) or depersonalization (being detached from oneself)
12. fear of losing control or “going crazy”
13. fear of dying

41
Q

what are the criteria A and B for panic disorder?

A

A. recurrent unexpected panic attacks (see other flashcard for criteria of a panic attack)
B. min 1 one of the attacks has been followed by min 1m of one or both of:
1. persistent concern / worry about additional panic attacks / their consequences
2. significant maladaptive change in behaviour related to the attacks

42
Q

what are the criteria A, B, C, D, E, and F of agoraphobia?

A

A. marked **fear / anxiety about min 2 **of:
1. using public transport
2. being in open spaces
3. being in enclosed spaces
4. standing in line / being in a crowd
5. being outside of the home alone
B. fears / avoids these situations cus of thoughts that escape might be difficult / help might not be available in the event of developing panic like symptoms or other incapacitating or embarassing symptoms
C. agoraphobic situations almost always provoke fear / anxiety
D. agoraphobic situations are actively avoided, require the presence of a companion, or are endured with intense fear or anxiety
E. the fear of anxiety is out of proportion to the actual danger posed by the agoraphobic situations and to the sociocultural context
F. min 6m

43
Q

what are criteria A, B, and C of generalized anxiety disorder?

A

A. excessive anxiety and worry (apprehensive expectation), occuring more days than not for min 6m, about a nr of events or activities
B. individual finds it difficult to control the worry
C. the anxiety and worry are associated w min 3
- restlessness or feeling keyed up or on edge
- being easily fatigued
- difficulty concentrating or mind going blank
- irritability
- muscle tension
- sleep disturbance

44
Q

in what DSM chapter & HiTOP dimension is obsessive compulsive disorder?

A

DSM: obsessive compulsive
HiTOP: internalizing subfactor fear

45
Q

what are criteria A and B of obsessive compulsive disorder?

A

A. presence of obsessions, compulsions, or both (see criteria for those)
B. the obsessions or compulsions are time consuming or cause clinically significant distress or impairment in social, occupational, or other important areas of functioning

46
Q

how are obsessions defined by the DSM criteria?

A
  1. recurrent and persistent thoughts, urges, or images that are experienced at some time during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety or distruss
  2. the individual attempts to ignore or suppress these thoughts, urges, or images, or to neutralize them w some other thought or action (ie by performing a compulsion
47
Q

in what DSM chapter & HiTOP dimension is adjustment syndrome?

A

DSM: trauma related
HiTOP: not in there

48
Q

in what DSM chapter & HiTOP dimension is post traumatic stress syndrome?

A

DSM: trauma related
HiTOP: internalizing subfactor distress

49
Q

how are compulsions defined by the DSM criteria?

A
  1. repetitive behaviours / mental acts that individual feels driven to perform in response to an obsession / according to rules that must be applied rigidly
  2. behaviours / mental acts aimed at preventing / reducing anxiety or distress or preventing some dreaded event or situation; however they x connected in realistic way with what they are designed to neutralize or prevent, or are clearly excessive
50
Q

what are the main syndromes in the Trauma Related DSM chapter?

A
  • postraumatic stress syndrome
  • acute stress syndrome
  • adjustment syndrome
51
Q

in what DSM chapter & HiTOP dimension is acute stress syndrome?

A

DSM: trauma related
HiTOP: not in there

52
Q

what are criteria A, B, C, D, E, and F of posttraumatic stress syndrome?

A

A. Exposure to actual/threatened death/injury/sexual violence to you/witness/someone close to you
B. Presence of min 1 intrusion symptoms bc of trauma
C. persistent avoidence of ass stimuli, memories or external reminders
D. Negative alterations in mood beginning or worsening after trauma
E. Altered arousal & reactivity beginning or worsening after trauma
F. More than 1 month

53
Q

What are criteria A, B, and C of acute stress syndrome?

A

A. exposure to actual or threatened death/injury/sexual violence in min 1:
1. directly experiencing it
2. witnessing it
3. learning that it happened to someone close
4. experiencing repeated expsoure do details of trauma
B. Presence of min 9 of symptoms from any of the 5 categories:
1. Intrusion symptoms
2. Negative mood symptoms
3. Dissociative symptoms
4. Avoidance symptoms
5. Arousal symptoms
C. duration of this is 3 days -1m (if more -> ptsd)

54
Q

what are criteria A, B, and C of adjustment disorder?

A

A. dev of emotional/behavioural symptoms in response to identifiable stressor within 3m of its onset
B. clinically significant as shown by 1 or both of these
1. marked out of proportion distress
2. significant impairment in social/occuptional/other areas of functioning
C. stress related disturbance x meet criteria for any other DSM disorder

55
Q

what are the syndromes under the dissociative chapter of DSM?

A
  • dissociative identity syndrome
  • dissociative amnesia
  • depersonalization/derealization
56
Q

what HiTOP dimension do the dissociative disorders fit in?

A

none!

57
Q

what are criteria A and B for dissociative identity disorder?

A

A. Disruption of identity characterized by min 2 personality states. involves discontinuity in sense of self & agency, and related altered behavior, affect, consciousness, memory, perception, cognition and/or sensory-motor functioning. Observed by others or self.
B. Recurrent gaps in recall of everyday events/personal info/trauma events

58
Q

what is criteria A for dissociative amnesia?

A

A. inability to recall important autobio info usually of a traumatic/stressfull nature, inconsistent w ordinary forgetting

59
Q

what are criteria A and B for depersonalization/derealization disorder?

A

A. Presence of persistent/recurrent experience of depers and/or dereal
1. depers: experiences of unreality, detachment, being outside observer w respect to one’s thought/sensation
2. dereal: experiences of unreality w respect to surroundings (objects not real)
B. During these experiences, reality testing remains intact

60
Q

what are the syndromes in the somatic symptom chapter?

A
  • somatic symptom syndrome
  • illness anxiety syndrome
  • conversion syndrome
61
Q

what DSM chapter & HiTOP dimension is somatic symptom syndrome in?

A

DSM: somatic symptom
HiTOP: somatoform

62
Q

what DSM chapter & HiTOP dimension is illness anxiety syndrome in?

A

DSM: somatic symptom
HiTOP: somatoform

63
Q

what DSM chapter & HiTOP dimension is conversion syndrome in?

A

DSM: somatic symptom
HiTOP: none!

64
Q

what are criteria A and B of somatic symptom syndrome?

A

A. min 1 somatic symptom(s) that are distressing/result in significant daily life disruption
B. excessive thoughts, feelings, or behaviours related to the somatic symptoms or associated health concerns, as shown by min 1 of:
1. disproportionate & persistent thoughts about the seriousness of ones symptoms
2. persistently high level of anxiety about health or symptoms
3. excessive time and energy devoted to these symptoms or health concerns

65
Q

what are criteria A, B, C, and D of illness anxiety syndrome

A

A. preoccupation w having / acquiring a serious illness
B. somatic symptoms x present or, if present, are only mild in intensity. if another med condition is present or theres a high risk for developing a med condition, the preoccupation is clearly excessive/disproportionate
C. high level of anxiety about health, and is easily alarmed about personal health status
D. performs excessive health related beahviours (ex checks body repetitively) or exhibits maladaptive avoidance (ex avoids hosptials)

66
Q

what are criteria A and B for conversion disorder?

A

aka Functional Neurological Symptom Disorder in DSM
A. min 1 symptom of altered voluntary motor / sensory functions
B. clinical findings provide evidence of incompatibility between the symptom and recognized neuro / med condition

67
Q

what are the 2 eating syndromes?

A

anorexia & bulimia

68
Q

in what dsm chapter & HiTOP dimension do the eating syndromes fit?

A

DSM: eating & feeding disorders
HiTOP: internalizing, subfactor eating

69
Q

what are criteria A, B, and C of anorexia?

A

A. Restriction of energy intake leading to significantly low weight
B. Intense fear of gaining weight/becoming fat, or persistant behavior that interferes w weigth gain
C. Disturbance in body weight experienc, undue influence of body weight/shape on self evalution or lack of recognition of low weight

70
Q

what are criteria A, B, C, and D of bulimia?

A

A. Recurrent episodes of binge eating characterized by
1. eating in discrete period of time an amoutn of food that is + than what most ppl would eat in similar time in similar circumstances
2. sense of lack of control
B. Recurrent inapporopiate compensatory behaviors in order to prevent weight gain (self induced vomiting, laxatives, fasting, excessive exercising)
C. Binge eating and inapproprate compensatory occur at least 1ce a week for 3 mths
D. Self-evaluation is unduly influenced by body shape/weight

71
Q

what are the disrputive, impulse and control disorders? what DSM chapter & HiTOP dimension do they fit in?

A

Oppositional Defiant Disorder
Conduct Disorder
DSM: Disruptive, Impulse control, and Conduct Disorders
HiTOP: externalising (disinhibited & antagonistic) subfactor antisocial behaviour

72
Q

what is criteria A of oppositional defiant disorder?

A

A. Pattern of angry/irritable mood, arugmentative/defiant behavior, or vindictiveness lasting min 6m, min 4 symptoms from the following categories in interaction with min 1 indivi who isnt sibling:
Angry/Irritiable mood
1. often loses temper
2. is often touchy or easily annoyed
3. is often angry and resentful
Argumentative/Defiant behaviour
4. often argues w authority figures/adults (for children)
5. often actively defies or refuses to comply w requests from authority figures or with rules
6. often deliberately annoys others
7. often blames others for his/her mistakes/misbehaviour
Vindictivness
8. has been spiteful or vindictive at least twice in last 6m

73
Q

what is criteria A for conduct disorder?

A

A. Repetitive/persistant pattern of behavior in which basic rights of others are violated. min 3 criteria in 12m, min 1 in past 6 mnths
Aggession to people and animals
1. often bullies, threatens or intimidates others
2. often initiates physical fights
3. has used a weapon that can cause serious physical harm to others
4. has been physically cruel to ppl
5. has been physically cruel to animals
6. has stolen while confronting a victim
7. has forced someone into sexual activity
Destruction of property
8. has deliberately engaged in fire setting w the intention of causing serious damage
9. has delibarelty destroyed others property (w/o fire)
Deceitfulness or theft
10. has broken into someone else’s house, bulding, or car
11. often lies to obtain goods or favours or to avoid obligations
12. has stolen items of nontrivial value w/o confronting a victim (ex shoplifting)
Serious violations of rules
13. often stays out at night despite parental prohibitions, beginning pre age 13
14. has run away from home overnight min twice, or once w/o returning for long time
15. is often truant aka absent from school, beginning pre age 13

74
Q

what dsm chapter & HiTOP dimension does substance use syndrome fit in?

A

DSM: substance related
HiTOP: disinhibited externalising, subfactor substance abuse

75
Q

what is criteria A of alcohol use syndrome?

A

A. Problematic pattern of alcohol use leading to sign impairment/distress. Manifestsed by min 2 of the following within 12 m period
1. taken in Larger amounts or over longer period than intended
2. Persistent desire/unsucces to cut down
3. Lot of time spent to obtain aclohol
4. Craving to use
5. Recurrent use resulting in failure to fulfill obligations
6. Continued use despite problems
7. Important activities given up/reduced cus of use
8. Recurrent use in physically hazardous situations
9. Continued use despite awareness of problem
10. Tolerance increased: need for increased amounts & or diminished effect w same amount
11 withdrawal: characterstic withdrawal symptoms & or alcohol taken to reduce withdrawal symptoms

CIDS Partial Exam (3 decks)

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