Exam 3 Flashcards
ADHD DSM criteria
A. inattention and/or hyperactivity each with 6 or more symptoms persisting for 6 months inconsistent with developmental level and negatively impacting social and academic/occupational activities
B. symptoms present prior to age 12
C. symptoms are present in to or more settings
inattention
- can’t focus consistently (sustained attention)
-child could play video games for hours
difficult tasks increase problems - trouble managing simultaneous stimuli or switching from one task to another
hyperactivity and impulsivity
- problematic activity level may be a larger problem in the afternoon
- stop-signal tasks used to measure impulsivity
secondary features of ADHD
- motor skills (clumsiness)
- intelligence and academic achievement
- executive functions (difficulties with processes needed for goal-directed behavior, planning, organizing, and self-regulating)
- adaptive behavior deficits
- social behavior and relationships
- peer and teacher relationships
- health (accident risk)
- sleep
subtype of ADHD
- ADHD-I (inattentive) type may be missed
- sometimes characterized by “sluggish cognitive tempo”
- can be lethargic, prone to daydreams, confused, socially withdrawn
ADHD in infancy and preschool
- difficult temperament
- activity level
- less cooperative/manageable
- poor emotional regulation
ADHD in childhood
- most diagnosed in elementary school
- self-regulation and organization deficits
- peer rejection, poor academic achievement
- ODD, CD, internalizing symptoms
ADHD in adolescence and adulthood
- symptoms may diminish/change
- can have academic, social, CD, substance abuse, other problems
- longer term problems may be associated with co-occurring diagnoses
assessment of ADHD
- interview
- rating scales
- direct observations
- others (medical, intelligence, achievement)
DSM criteria of learning disabilities
A. difficulties learning and using academic skills with at least one symptom for 6 months despite interventions
B. affected academic skills are substantially below expected ranges for age and cause significant interference in academic or occupational performance, or with daily living
C. difficulties begin during school-age years
D. not better accounted for by intellectual disability
aphasia
loss of ability to understand or express speech
language impairment theories
- limited information-processing capacity
- deficits in auditory processing
- deficits in verbal short-term and working memory
reading pathways
- consistently poor reading
- fluctuating abilities
- late emerging
epidemiology of reading disorder
- more prevalent in boys
- tends to persist into adolescence and adulthood
- Matthew Effect: over time the gap between high performing readers and low performing readers widen because it only get harder and harder
- co-occurs with conduct disorder especially in boys
prevention of learning disabilities
- monitoring and early diagnosis
- response to intervention (RTI)
- tier 1: universal (school curriculum)
- tier 2: selected (those struggling are put in remedial classes)
- tier 3: intensive (students not responding to remedial classes would be given more intense intervention)