Final Exam Study Guide Flashcards
What are the DSM-5 Neurodevelopmental Disorders?
1.) intellectual disability
2.) Communication disorders
3.) Autism spectrum disorders
4.) ADHD / Hyperactive disorder
5.) Specific learning disorder
6.) Motor disorders
What is the DSM-5 Anxiety disrorder?
Separation anxiety disorder
What are the DSM-5 Disruptive, impulse-control and conduct disorders?
1.) Oppositional defiant disorder
2.) Intermittent Explosive Disorder
3.) Conduct disorder
What are the 2 groupings for disorders?
1.) Disorders that are first diagnosed at an early age
2.) Disorders that can be diagnosed at any time
What is developmental psychopathology?
Subfield devoted to studying the origins and course of maladjustment in the context of normal growth processes
What are child vulnerabilities?
1.) less complex self; less self understanding
2.) More difficulty coping with stress
3.) Limited perspective
4.) more dependence on others
5.) lack of experience in dealing with adversity
What is ADHD?
Difficulties that interfere with effective task-oriented behaviors
-Impulsivity
-Excessive motor activity
-Difficulty concentrating
What is the DSM-5 Criteria for ADHD?
A.) Persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development, as characterized by (1) and/or (2)
Inattention: six (or more) of the following symptoms have persisted for at least 6 months to a degree that is inconsistent with developmental level and that negatively impacts directly on social and academic/occupational activities a.) often fails to give close attention to details or makes careless mistakes in schoolwork, at work or during other activities b.) often has difficulty sustaining attention in tasks or play activities c.) Often does not seem to listen when spoken to directly d.) Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace e.) often has difficulty organizing tasks and activities f.) often avoids, dislikes or is reluctant to engage in tasks that require sustained mental effort g.) often loses things necessary for tasks or activities h.) Is often easily distracted by extraneous stimuli i.) Is often forgetful in daily activities
What is the second part of the DSM-5 criteria for ADHD?
2.) Hyperactivity and impulsivity: six (or more) of the following symptoms have persistent for at least 6 months to a degree that is inconsistent with developmental level and that negatively impacts directly on social and academic/occupational activities
a.) often fidgets with or taps hands or feet or squirms in seat
b.) often leaves seat in situations where remaining in seat is expected
c.) often runs about or climbs in situations where it is inappropriate
d.) often unable to play or engage in leisure activities quietly
e.) is often “on the go” acting as if “driven by a motor”
f.) often talks excessively
g.) Often blurts out an answer before a question has been completed
h.) often has difficulty waiting his or her turn
i.) often interrupts or intrudes on others
B.) several inattentive or hyperactive-impulsive symptoms were present prior to age 12 years
C.) several inattentive or hyperactive-impulsive symptoms are present in two or more settings (e.g. at home, school, or work; with friends or relatives; in other activities)
D.) There is clear evidence that the symptoms interfere with, or reduce the quality of, social, academic, or occupational functioning
E.) The symptoms do not occur exclusively during the course of schizophrenia or another psychotic disorder and are not better explained by another mental disorder
Is it common to have interpersonal issues for children suffering with ADHD?
yes
What are the causal factors of ADHD?
1.) Genetics:
2.) Cortical Immaturity: tend to show smaller brain volumes especially in the frontal cortex, as individuals continue to grow the rates of diagnoses decline
3.) Low birth weight:
4.) Prenatal exposure: nicotine, alcohol
What are treatments for ADHD?
1.) Drugs (Ritalin, Adderall)
2.) Parent training and classroom management
3.) Family therapy
What is oppositional defiant disorder?
Recurrent pattern of negativistic, defiant and hostile behavior toward authority figures
What is the frontal Cortex associative with?
Planning type of behaviors and motor/impulsive behaviors
What is the DSM-5 Criteria for ODD?
A. A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months as evidenced by at least four symptoms from any of the following categories, and exhibited during interaction with at least one individual who is not a sibling.
Angry/Irritable Mood
1. Often loses temper.
2. Is often touchy or easily annoyed.
3. Is often angry and resentful.
Argumentative/Defiant Behavior
4. Often argues with authority figures or, for children and adolescents, with adults.
5. Often actively defies or refuses to comply with requests from authority figures or with rules.
6. Often deliberately annoys others.
7.) Often blames others for his or her mistakes or misbehavior.
Vindictiveness
8. Has been spiteful or vindictive at least twice within the last 6 months.
Note: The persistence and frequency of these behaviors should be used to distinguish a behavior that is within normal limits from a behavior that is symptomatic. For children younger than 5 years, the behavior should occur on most days for a period of at least 6 months unless otherwise noted. For individuals 5 years or older, the behavior should occur at least once per week for at least 6 months. While these frequency criteria provide guidance on a minimal level of frequency to define symptoms, other factors should also be considered, such as whether the frequency and intensity of the behaviors are outside a range that is normative for the individual’s developmental level, gender and culture.
В. The disturbance in behavior is associated with distress in the individual or others in his or her immediate social context, or it impacts negatively on social, educational, occupational or other important areas of functioning.
C. The behaviors do not occur exclusively during the course of a psychotic, substance use, depressive, or bipolar disorder.
What is conduct disorder?
Persistent pattern of behaviors involving the violation of societal rules and the indifference to the rights of others
-Hostility, disobedience, aggression
-Cruelty to animals, bullying, vandalism
-Lack of remorse
What is the DSM-5 Criteria of Conduct disordeR?
A. A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of at least three of the following 15 criteria in the past 12 months from any of the categories below, with at least one criterion present in the past 6 months:
Aggression 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.
Has been physically cruel to people.
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 with the intention of causing serious damage.
9. Has deliberately destroyed others’ property.
Deceitfulness or Theft
10. Has broken into someone else’s house, building or car.
11. Often lies to obtain goods or favors or to avoid obligations (i.e. cons others).
12. Has stolen items of nontrivial value without confronting a victim.
Serious Violation of Rules
13. Often stays out at night despite parental prohibitions, beginning before age 13.
14. Has run away from home overnight at least twice while living in the parental or parental surrogate home, or once without returning for a lengthy period.
15. Is often truant from school, beginning before age 13
B. The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.
C. If the individual is age 18 years or older, criteria are not met for antisocial personality disorder.
What are the risk factors of conduct disorder?
Low SES
Parental Stress
What are the conduct disorder causal factors?
Genetic predisposition
Psychosocial factors
-family environment
-peer rejection and affiliation
What are treatments for conduct disorder?
Modify Childs environment (parent training)
CBT
Prozac
What is a learning disability?
Problem in a specific learning area not due to intellectual disability or poor educational opportunities
What are the DSM-5 Specifiers for specific learning disorder?
1.) Mathematics Disorder (dyscalculia)
2.) Reading disorder (dyslexia)
3.) Disorder of written expression (dysgraphia)
What is the DSM-5 criteria for specific learning disorder?
A. Difficulties learning and using academic skills, as indicated by the presence of at least one of the following symptoms that have persisted for at least 6 months, despite the provision of interventions that target those difficulties:
1. Inaccurate or slow and effortful word reading (e.g., reads single words aloud incorrectly or slowly and hesitantly, frequently guesses words, has difficulty sounding out words).
2. Difficulty understanding the meaning of what is read (e.g., may read text accurately but not understand the sequence, relationships, inferences, or deeper meanings of what is read).
3.
4.|
Difficulties with spelling (eg., may add, omit or substitute vowels or consonants).
Difficulties with written expression (e.g., makes multiple grammatical or punctuation errors within sentences; employs poor paragraph organization; written expression of ideas lack clarity).
5. Difficulties mastering number sense, number facts, or calculation (e.g., has poor understanding of numbers, their magnitude, and relationships; counts on fingers to add single-digit numbers instead of recalling the math facts as peers do; gets lost in the midst of arithmetic computation and may switch procedures).
6. Difficulties with mathematical reasoning (e.g., has severe difficulty applying mathematical concepts, facts, or procedures to solve quantitative problems).
B.
The affected academic skills are substantially and quantifiably below those expected for the individual’s chronological age, and cause significant interference with academic or occupational performance, or with activities of daily living, as confirmed by individually administered standardized achievement measures and comprehensive clinical assessment.
For individuals age 17 years and older, a documented history of impairing learning difficulties may be substituted for the standardized assessment.
C.
The learning difficulties begin during school-age years but may not become fully manifest until the demands for those affected academic skills exceed the individual’s limited capacities (e.g., as in timed tests, reading or writing lengthy complex reports for a tight deadline, excessively heavy academic loads).
D.
The learning difficulties are not better accounted for by intellectual disabilities, uncorrected visual or auditory acuity, other mental or neurological disorders, psychosocial adversity, lack of proficiency
What are the causal factors of specific learning disorder (biological origin) ?
Genetic
Brain abnormalities affecting visual and auditory information processing
Low birth weight, prematurity
Prenatal nicotine exposure
What is the most researched of the specific learning disorders?
Dyslexia
What is autism spectrum disorder?
Developmental disorder involving wide range of problematic behaviors, including:
-Deficits in communication and social interaction
-Restricted and fixated interests
-Repetitive behaviors
What side of the brain do people with specific learning disorder have less activation in?
left hemisphere
What are the DSM-4 disorders with Autism?
1.) Autism
2.) asperger’s syndrome
3.) childhood disintegrative disorder
4.) pervasive developmental disorder
What are the symptoms and associated features of ASD?.
1.) Social deficit
2.) Language deficit
3.) Echolalia = parrot-like repetition
4.) Self-stimulation
5.) Preservation of sameness
6.) marked impairment in intellectual ability (most children will have below average IQ)
What plays a larger role in intellectual disorders?
alcohol
What are the DSM-5 Criteria for ASD?
A. Persistent deficits in social communication and social interaction across multiple contexts, as manifested by the following, currently or by history (examples are illustrative, not exhaustive; see text)
Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of normal back-and-forth conversation; to reduced sharing of interests, emotions or affect; to failure to initiate or respond to social interactions.
2i
3.
Deficits in nonverbal communicative behaviors used for social interaction, ranging, for example, from poorly integrated verbal and nonverbal communication; to abnormalities in eye contact and body language or deficits in understanding and use of gestures; to a total lack of facial expressions and nonverbal communication.
Deficits in developing, maintaining, and understanding relationships, ranging, for example, from difficulties adjusting behavior to suit various social contexts; to difficulties in sharing imaginative play or in making friends; to absence of interest in peers.
What is the treatment for specific learning disorders?
accommodations
What is the second part of the DSM-5 criteria for ASD?
B. Restricted, repetitive pattern of behavior, interests, or activities, as manifested by at least two of the following, currently or by history:
1. Stereotyped or repetitive motor movements, use of objects, or speech (e.g., simple motor stereotypies, lining up toys or flipping objects, echolalia, idiosyncratic phrases).
2. Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior (e.g., extreme distress at small changes, difficulties with transitions, rigid thinking patterns, greeting rituals, need to take same route or eat same food every day).
3. Highly restricted, fixated interests that are abnormal in intensity or focus (e.g., strong attachment to or preoccupation with unusual objects, excessively circumscribed or perseverative interests).
4. Hyper- or hypo-reactivity to sensory input or unusual interest in sensory aspects of the environment (e.g., apparent indifference to pain/temperature, adverse response to specific sounds or textures, excessive smelling or touching of objects, visual fascination with lights or movement).
C. Symptoms must be present in the early developmental period (but may not become fully manifest until social demands exceed limited capacities, or may be masked by learned strategies in later life).
D.
Symptoms cause clinically significant impairment in social, occupational or other important areas of current functioning
E.
These disturbances are not better explained by intellectual disability (intellectual developmental disorder) or global developmental delay. Intellectual disability and autism spectrum disorder frequently co-occur; to make comorbid diagnoses or autism spectrum disorder and intellectual disability, social communication should be below that expected for general developmental level
What are the causes of ASD?
1.) Genetic
2.) Damage/deficiency in CNS
What is an intellectual disability?
General deficits in intellectual abilities and adaptive functioning, beginning before the age of 18
What are the DSM-5 criteria for intellectual disabilities?
Intellectual disability (intellectual developmental disorder) is a disorder with onset during the development period that includes both intellectual and adaptive functioning deficits in conceptual, social and practical domains. The following three criteria must be met:
A.
Deficits in intellectual functions, such as reasoning, problem solving, planning, abstract thinking, judgment, academic learning, and learning from experience, confirmed by both clinical assessments and individualized, standardized intelligence testing.
B.
Deficits in adaptive functioning that result in failure to meet developmental and sociocultural standards for personal independence and social responsibility. Without ongoing support, the adaptive deficits limit functioning in one or more activities of daily life, such as communication, social participation, and independent living, across multiple environments, such as home, school, work and community.
C. Onset of intellectual and adaptive deficits during the developmental period.
What are the causes of ASD?
1.) Chromosomal and genetic disorders
-Down syndrome (trisomy 21)
-fragile X syndrome
-PKU
2.) Infectious diseases
3.) Prenatal alcohol exposure
4.) Environmental toxins
5.) Birth complications
6.) Psychosocial factors
Do people with autism like to be by themselves?
Girl duh
What is fragile X syndrome?
Are children with autism typically good babies?
yes
What is sevant syndrome?
Showing exceptional skill in some areas
What is personality?
Distinctive and stable pattern of behaviors, thoughts, and emotions and motives that characterize an individual