Intellectual disability Flashcards
intellectual disability is characterized by significant limitations in which areas
intellectual functioning
adaptive behavior
what 3 domains must be assessed for a dx of intellectual disability
conceptual (academic)
social (relationships)
practical (personal hygeine)
what is encompassed by the conceptual domain
competence in memory, language, reading, writing, math, acquisition of practical knowledge, problem solving, and judgment
what is encompassed by the social domain
awareness of other’s feelings, thoughts, and experiences, empathy, interpersonal skills, friendship ability, and social judgments
what is encompassed by the practical domain
learning and self-management
what are the 3 diagnostic criteria for intellectual disability
-deficits confirmed by clinical assessment and standardized intelligence tests
-adaptive functioning deficits that cause failure in meeting developmental/cultural standards for independence and social responsibility
-onset during early developmental period
IQ score in mild intellectual disability
50-70
IQ score for moderate intellectual disability
35-50
IQ score for severe intellectual disability
20-35
IQ score for profound intellectual disability
<20
what is severity in intellectual disability based on
level of adaptive functioning
alexia
failure to read
agraphia
failure to write
aphasia
failure to communicate
which antipsychotic is frequently used to control anger and aggression in intellectual disability
risperidone
second most common cause of intellectual disability
Fragile X syndrome
Prader-Willi syndrome is almost always associated with what
compulsive eating
hyperphagia
obesity
phenylketonuria (PKU)
inborn error of metabolism
intellectual disability in Down’s syndrome
typically mild - moderate
intellectual disability in fragile x syndrome
mild - severe
often meet criteria for autism and avoidant personality disorder
intellectual disability in cats cry syndrome
severe
intellectual disability in PKU
severe
what other disorders are frequently comorbid with fragile x syndrome
autism
avoidant personality disorder
rett syndrome
degenerative form of autism that only affects females
what characterizes neurofibromatosis
cafe’-au-lait spots on skin and neurofibromas
what characterizes childhood disintegrative disorder
regression in several areas of functioning after at least 2 years of normal development
what causes lesch nyhan syndrome
deficiency of an enzyme involved in purine metabolism
severe, compulsive behavior in lesch nyhan syndrome
compulsive self-mutilation by biting mouth/fingers
there are high rates of what 3 things in infants born to alcohol consuming mothers
ADHD
learning disorders
intellectual disability
infant withdrawal symptoms
irritability
hypertonia
tremor
vomiting
high-pitched cry
abnormal sleep pattern