mental health and intellectual disability Flashcards

1
Q

what does scores of 2 SDs mean?

A

1.psychometrically valid comprehensive
2. culturally appropriate tests of intelligence <70

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2
Q

what are examples of deficit in intellectual function ?

A

1.reasoning
2.problem solving
3.planning
4.abstract thinking
5.judgment
6. academic learning
7. learning from experience

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3
Q

what are examples adaptive functioning ?

A

1.sociocultural standards for independence
2. responsibility
3. Without support
4. function is limited in communication
5. participation or independent living across environments

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4
Q

what 3 things can be used to measure adaptive measuring

A

1.Clinical evaluation
2.culturally appropriate 3.psychometrically sound measures

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5
Q

what are examples of onset in developmental period?

A

deficits present during childhood or adolescence

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6
Q

what are 3 deficits in DSM-5?

A

1.deifcit in intellectual function
2.deficit in adaptive functioning
3.onset in developmental period

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6
Q

what are 3 levels of intellectual disability in DSM 5?

A

1.mild
2.moderate
3.sever

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7
Q

4 levels of intellectual disability according to ICD-11?

A
  1. Mild 2-3 SDs
  2. Moderate 3-4 SDs
  3. Severe = 4SDs
  4. Profound = 4SDs
    These are differentiated by adaptive behaviour
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8
Q
A
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9
Q

what are the 3 things in aetiology of intellectual disability in ICD-11?

A

1.Prenatal
Chromosomal disorders (e.g. Down syndrome, Prader-Willi syndrome)
Gene disorders (e.g. Fragile X Syndrome)
Non-genetic causes (infection, toxins, therapeutic medications)
2.Perinatal
Prematurity, birth injury
3.Postnatal
Infections, TBI, seizure disorders, cerebrovascular disorders, brain tumors, poisons & environmental toxins, malnutrition

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10
Q

what is anxiety ?

A

what we feel when we are worried, tense or afraid, particularly about things that are about to happen, or which we think could happen in the future. Anxiety is a natural human response when we perceive that we are under threat. It can be experienced through our thoughts, feelings and physical sensations.

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11
Q

what are the 3 potential difficulties in identifying prevalence of anxiety in people with intellectual disability?

A

1.Reliability
2.Validity
3.Utility

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12
Q

what is generalised anxiety disorder according to DSM-5?

A

Excessive anxiety and worry (apprehensive expectation)
-can be about events such as work or school performance
-person finds it hard to control the worry

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13
Q

what impairment can generalised anxiety cause?

A

in social, occupational, or other important areas of functioning

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14
Q

4 ways anxiety can be diagnosed

A

1.Clinical interviews
2. rating scales, questionnaires
Requires an individual to identify internal states, label them and communicate them
3.Mild communication difficulties: physical symptoms
4.Non-verbal or minimally verbal people: we have to rely on what we can observe

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15
Q

how is alexithymia in autism measured ?

A

difficulty understanding and expressing emotions

16
Q

4 things seen in social anxiety

A

1.reduced eye contact with others
2.reduced length of speech or vocalisations
3.signs of physical discomfort freezing
4 clinging to a familiar person

17
Q

4 things Atypical anxiety shows?

A

1.Anxiety around routine, novelty and restricted interests
2.Unusual specific fears (radio jingle, happy birthday song
3.Social fearfulness
4.Compulsive/ritualistic behaviour

18
Q

what are the 2 measurements of Autism with atypical anxiety?

A

1.ASC-ASD – Rodgers et al. 2016 (not ID, yet)
2.ClASP-ID (in development

19
Q

what does heightened anxiety require?

A

generation’ of speech
Global social impairment versus situation-dependent

20
Q

what 3 mechanisms can lead to anxiety?

A

1.phenotypic characteristics in Williams syndrome: heightened sensitivity to auditory stimuli (hyperacusis) may lead to fears of loud noises
2.Frequent hospitalisations/health problems may lead to fears of blood/injury/needles
3.Cornelia de Lange syndrome: Executive function impairments in ‘generation of responses’ leads to reduced verbalisation. Heightened anxiety in social situations requiring initiation of verbal interaction.

21
Q

what are is a causal modal for the general population?

A

1.genetic
2.biological
3.cognitive
4.behavioural factors

22
Q

what 2 things does the casual modal in autism?

A

1.intolerance
2.uncertanity

23
Q

what does the casual modal show in genetic syndromes?

A

1.physiological hyperarousal, 2.emotion dysregulation, 3.sensory differences 4.executive function
5. sleep

24
Q

2 ways why mechanisms matter for someone with autism?

A

1.management strategies
2.Attention switching, change of routine and visual schedules