Lecture 13: Health and Development Disorders Flashcards

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1
Q

motor skills

A

due to children playing outside less than they used to, they develop less motor skills
- however there are large individual differences

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2
Q

the thin ideal

A

the pressure to be abnormally thin
- means that many female teenages with a normal BMI still feel too fat
- even underweight girls sometimes want to lose weight

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3
Q

mother stress during pregnancy

A

if the mother experiences a lot of stress during pregnancy, the daugher is more likely to have problems with eating disorders
- testosterone seems to ensure that in boys the biological cause for the development of eating problems is less

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4
Q

anorexia nervosa

A

characterized by starvation, whereby one reaches or below 85% of one’s ideal body weight
- mainly in women and often occurs due to excessively low leptin levels
- can result of fertility and loss of menstruation
- can become life-threatening

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5
Q

bulimia nervosa

A

involves binge eating and then trying to get the food out of the body, also known as purging or fasting
- generally not life-threatening
- body weight often remains within the normal range
- however, purging can cause ofther physical problems such as mouth sores, ulcers in the oesophagus and loss of tooth enamel due to exposure to stomach acid

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6
Q

binge eating disorder

A

repeated excessive eating
- after a binge a person may feel very guilty and embarrased
- linked to obesity
- can be a health hazard

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7
Q

heredity component of eating disorders

A

internalizing problems such as stress, depression, and mood swings seem to play a role in development of EDs
- teenagers with EDs often have insecure attachments and an extreme need for approval
- these children are also often perfectionistic, have low self-esteem, and feel they have no control over their own lives

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8
Q

socio-economic status and life expectancy

A

people with a higher socio-economic status have a higher life expectancy than people with a low socio-economic status

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9
Q

socioeconomic health gap

A

wealthier people have a longer life expectancy than poor people
- starts before birth, as povery makes babies underweight
- can lead to heart disease and early death
- combined with poorer lifestyle (nutrition, medical care, etc)

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10
Q

gender and aging

A

women can live up to 10 years longer than men
- partly due to women having more social contacts
- mainly due to the extra X chromosome they have making women physically stronger at each stage

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11
Q

activities of daily living (ADL)

A

women often have ADL problems later in life
- the age at which one can live without ADL problems is called the health span
- more important to prolong healthspan than age at which one lives

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12
Q

major cognitive disorder (NCD) (dementia)

A

the label for any disease that causes severe, progressive cognitive loss, which affects a person’s independent life

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13
Q

mild vs major cognitive disorder

A
  • mild form experience thinking problems but still able to live independently
  • major form unable to live independently
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14
Q

deterioration progress

A

the deterioration progresses in different ways in different individuals
- these diseases are generally labelled as chronic
- on average one dies within 4 to 10 years
- these disorders typically occur in people who are well into old age

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15
Q

most common neurocognitive disorders

A

Alzheimer’s disease and vascular neurocognitive disorder or a combination of these 2

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16
Q

vascular neurocognitive disorder (commonly called vascular dementia)

A

refers to a deterioration in the vascular (blood) system or the network of arteries that feed the brain
- a person’s cognitive problems are caused by multiple small strokes

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17
Q

Alzheimer’s disease

A

directly affects the core structures of human consciousness, namely the neurons
- neurons die and are replaced by strange wavy structures called neurofibrillary tangles and by bullet-shaped proteins called senile plaques
- neural loss is compounded by vascular problems as these reduce blood flow to the brain

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18
Q

seven stages of Alzheimer’s disease

A
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19
Q

APOE-4 gene

A

the most important genetic factor in developing Alzheimer’s
- people having 2 copies of the APOE-4 gene have a 50% chance of developing the symptoms by the age of 68

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20
Q

focus on preventing Alzheimer’s

A

lies with a protein called amyloid
- a fatty substance that is the basic component of senile plaques
- accumulation of a toxic form of amyloid produces a compunt called tau (tau-p) that causes internal entanglement and neural decay

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21
Q

criteria for abnormal development

A
  • statistical deviance: is the behavior outside the normal range of behavior
  • mal-adaptiveness: does the behavior interfere with adaptation or pose a danger to oneself or others
  • personal distress: does the behavior cause discomfort to the person
22
Q

developmental psychopathology

A

the study of the origin and course of inappropriate behavior

23
Q

developmental pathways leading to typical and atypical developmental outcomes

A
  • continuity of maladaptation resulting in disorder
  • initial maladaptation followed by positive change -> resilience
  • continuous positive adjustment
  • initial positive adjustment followed by a negative change towards pathology
24
Q

typical vs atypical development

A

can be recognized by:
- social norms: expectations about how to behave within a particular social context
- age norms: expectations about what behavior is appropriate or typical for different ages
- nature-nurture: biological, psychological and social factors throughout the life course, as well as the impact of risk factors vs protective factors
- continuity-discontinuity: development/changes of psychpathology during the life span

25
Q

diathesis-stress model

A

shows that the interaction between nature and nurture is important

26
Q

developmental psychopathology through different life phases

A
27
Q

autism spectrum disorder (ASD)

A

characterized by social and communication problems, as well as limited interests and repetitive behavior
- starts in early childhood or present from birth
- diagnosis is often made as late as 4 years of age
- symptoms already noticeable at age 1

28
Q

autism and attachment

A

more than half of autistic children are securely attached
- higher than average number develop disorganized-disorganized attachments
- large variation in degree, nature, severity, and causes of symptoms

29
Q

reasons for increase in ASD prevalence

A
  • increased awareness
  • broader definition
  • increased diagnosis
30
Q

genetic and environmental influences on ASD

A

genes contribute significantly to the development of ASD; almost 19% of 3 year olds with older siblings with ASD also have it
- ASD most likely inherited from parents or a result of mutations
- environmental influences include viruses and chemicals (e.g. infections during pregnancy, prenatal exposure to rubella and exposure to alcohol)

31
Q

treatments of ASD

A

focuses on behavioral and social skills training
- small minority of cases outgrow the symptoms of ASD
- improvement in functioning as one gets older

32
Q

externalizing problems

A
  • lack of self-control
  • violations of social expectations
  • being aggressive
  • disobedient and disruptive
33
Q

internalizing problems

A
  • the child turns feelings of distress, sadness, or anger inward, bottling up emotions
  • may be related to anxiety disorders, phobias, severe shyness, or depression
34
Q

Attention Deficit Hyperactivity Disorder (ADHD)

A

characterized by one or both symptoms: inattention and hyperactivity/impulsiveness
- children with ADHD usually very active
- difficult temeprament and irregular eating/sleeping patterns

35
Q

possible causes of ADHD

A
  • deviated frontal cortex and problems with executive functions (especially inhibition)
  • lower levels of dopamine noradrenaline
  • frontal cortex matures more slowly
36
Q

ADHD treatment

A

can be treated with medication and behavioral threrapy
- pharmaceuticals: stimulant drugs (e.g. Ritalin and Adderall)
- behavioral therapy: learning to stay focused on tasks, control impulsivity and communicate socially
- medication > behavioral treatment, but combination is most effective

37
Q

cannabis/marihuana (CG)

A

early onset and long-term use can lead to problems with memory and executive functions
- in general associated with decreased intelligence, impaired memory, poorer attention, and lower verbal ability

38
Q

Dupperouzol et al. (2019)

A
  • lower decision-making and episodic memory are associated with higher CG
  • decision making ability predicted no change in CG
  • riskier decision-making was associated with a higher CG
  • increase in CG reduced memory performance for 1 year
39
Q

substance use disorders

A

occur when a person continues to use a substance despite adverse effects
- most commonly used substance is alcohol

40
Q

risk factors for depression

A
  • experience of abuse or neglect
  • depressed caregivers -> adopting the depressive interaction style of caregivers
  • disorganized attachment
41
Q

treatment of depression in children

A
  • cognitive behavioral therapy
  • parent-child interaction therapy for emotional development: teaching parents more effective parenting skills
  • antidepressants to correct levels of neurotransmitters (not as effective in children as they are in adults, and only prescribed in severe cases)
42
Q

transmission of depression

A

transmission from childhood is not as strong as from adolescence, but there is transmission from infancy to school age and then to adolescence
- half of children and adolescents with depression will have a new depressive episode in adulthood

43
Q

depression and puberty

A

before puberty, depression rates are similar between boys and girls
- during puberty, the rates for girls increase, which may be due to differences in coping

44
Q

different degrees of severity in Alzheimer’s disease

A
45
Q

diagnostic bio-markers for Alzheimer’s disease

A
  • mutation of genes such as the APOE-4
  • atrophy in the hippocampus
  • tempo-parietal cortical atrophy
46
Q

cholinesterase inhibitors

A

an anti-dementia drug which slow down the process that breaks down an important neurotransmitter

47
Q

memantine

A

an anti-dementia drug that is an NMDA (N-methyl-D-aspartate) receptor antagonist, which works by regulating the activity of glutamate, an important neurotransmitter in the brain involved in learning and memory

48
Q

antipsychotics and antidepressants

A

used as an anti-dementia drug, but also for other symptoms such as depression

49
Q

risk factors for Alzheimer’s disease

A
  • alcohol consumption
  • saturated fat
  • smoking
  • age
  • gender (women more likely to get Alzheimer’s than men)
  • genes (APOE-4, PS-1, PS-2, and APP)
  • physical conditions such as diabetes, traumatic brain injury and cardiovascular disease
50
Q

protective factors for Alzheimer’s disease

A
  • high level of education
  • high SES
  • rich social network and social commitment
  • physical activity
  • mediterranean diet
  • drinking coffee