Module 26: Neurodevelopmental Disorders Flashcards

1
Q

What are the different neurodevelopmental disorders?

A
  1. Intellectual Developmental Disorder
  2. Global Developmental Delay
  3. Language Disorder
  4. Speech Sound Disorder
  5. Childhood-Onset Fluency Disorder (stuttering)
  6. Social (Pragmatic) Communication Disorder
  7. Autism Spectrum Disorder
  8. Attention-Deficit/Hyperactivity Disorder
  9. Specific Learning Disorder
  10. Developmental Coordination Disorder
  11. Stereotypic Movement Disorder
  12. Tic Disorders
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2
Q

Intellectual Developmental Disorder

A

+ includes both intellectual and adaptive functioning deficits in conceptual, social, and practical domains
+ difficulties with day-to-day activities to an extent that reflects both severity of their cognitive deficits and the type and amount of assistance their receive
+ difficulties in conceptual, social, and judgement
+ generally nonprogressive, there are period of worsening, then stabilization, and in others progressive of intellectual function in varying degrees

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3
Q

What are the possible causes of Intellectual Developmental Disorder?

A

causes: deprivation, abuse, neglect, exposure to disease or drugs during prenatal, difficulties during labor and delivery, infections, and head injury

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4
Q

How long does Intellectual Developmental Disorder last?

A

lifelong

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5
Q

What disorders are comorbid with neurodevelopmental disorders?

A

most common co-occurring neurodevelopmental and other mental disorders are ADHD, Depressive and Bipolar disorder, anxiety disorders, ASD, stereotypic movement disorder, impulse-control disorders, and major neurocog. disorders

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6
Q

Components of Intellectual Functioning

A
  1. Verbal Comprehension
  2. Working Memory
  3. Perceptual Reasoning
  4. Quantitative Reasoning
  5. Abstract Thought
  6. Cognitive Efficacy
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7
Q

DSM-IV Criteria Intellectual Disability Severity

A
  1. IQ 50-69 Mild – can live independently;
    intermittent support needed
  2. IQ 36-64 Moderate – moderate levels of support; limited support needed in daily situations
  3. IQ 20-35 Severe – requires daily assistance; extensive support needed
  4. IQ <20 Profound – requires 24-hour care; pervasive support needed for every aspect; often have congenital syndrome
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8
Q

What does it mean when someone’s IQ is 50-69?

A

Mild – can live independently;
intermittent support needed

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9
Q

What does it mean when someone’s IQ is 36-64?

A

Moderate – moderate levels of support;
limited support needed in daily situations

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10
Q

What does it mean when someone’s IQ is 20-35?

A

Severe – requires daily assistance; extensive support needed

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11
Q

What does it mean when someone’s IQ is <20?

A

Profound – requires 24-hour care; pervasive support needed for every aspect; often have congenital syndrome

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12
Q

Global Developmental Delay

A

for children under 5 years old when they fail to meet expected developmental milestone in several areas of functioning

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13
Q

Language Disorder

A

+ difficulties in acquisition and use of language modalities due to DEFICITS in comprehension and production
+ reduced vocab, limited sentence structure, impairments in discourse
+ can be adept at accommodating to their limited language
+ shy or reticent to talk

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14
Q

What factors must be considered before an individual is diagnosed with language disorder?

A

regional, social, or cultural/ethnic variations must be considered when an individual is being assessed - declines in critical social communication behavior

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15
Q

What disorder should not be confused with learning disorder and what are the differences between the two?

A

declines in critical social communication behavior during the first two years of life are evident in most children with ASD, thus, it must be not confused with LD

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16
Q

What is learning disorder associated with?

A

associated with SLD, IDD, ADHD, ASD, and DCD

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17
Q

Speech Sound Disorder

A

+ difficulty in speech sound production
+ continuous use of immature phonological simplification processes when the child has already passed the age wherein most of them can now produce words clearly

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18
Q

What is true about children mastering speech sound production?

A

children’s progression in mastering speech sound production should result in most intelligible speech by 3 years old

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19
Q

When does speech sound disorder have poorer prognosis?

A

when LD is present, Speech Sound Disorder has poorer prognosis

20
Q

What disorder may develop from speech sound disorder?

A

selective mutism may develop

21
Q

What can be comorbid with speech sound disorder?

A

co-occur with language disorder

22
Q

Childhood-Onset Fluency Disorder (stuttering)

A

+ disturbances in normal fluency and time patterning of speech that are inappropriate for the individual’s age and language skills
+ can be insidious or more sudden

23
Q

Social (Pragmatic) Communication Disorder

A

+ difficulties in the social use of verbal and nonverbal communication
+ deficits in using communication for social purposes in a manner that is appropriate for the social context
+ difficulties in following the rules of conversating and do not understand metaphors, etc.

24
Q

Is Social (Pragmatic) Communication Disorder associated with ASD?

A

current symptoms or developmental history fails to reveal evidence that could meet the restrictive/repetitive patterns of behavior, interests, or activities of ASD

25
Q

Autism Spectrum Disorder

A

+ deficient Communication, Restrictive/Repetitive Actions/Behaviors, Impaired Social Interaction
+ failure to develop age-appropriate social relationships, social reciprocity, nonverbal comms, and initiating and maintaining social relationships
+ inability to engage in joint attention
+ maintenance of sameness
+ Clear genetic component
+ Evidence of brain damage combined with
psychosocial influences

26
Q

What helps in differentiating ASD from ADHD

A

The developmental course and absence of restrictive, repetitive behaviors and unusual interests in ADHD help in differentiating ASD and ADHD

27
Q

When is ASD evident?

A

evident in early childhood

28
Q

When should a diagnosis of ADHD be made?

A

A concurrent diagnosis of ADHD should be considered when attentional difficulties or hyperactivity exceeds that typically seen in individuals of comparable mental age

29
Q

What is one of the most common comorbidities of ASD?

A

ADHD is one of the most common comorbidities in ASD

30
Q

When can a diagnosis of ASD be made with an individual who has IDD?

A

A diagnosis of ASD in individual with IDD is appropriate when social communication and interaction are significantly impaired relative to the developmental level of the Individual’s nonverbal skills

31
Q

When can a diagnosis of IDD be made with an individual who has ASD?

A

IDD is appropriate diagnosis when there is no apparent discrepancy between the level of social communicative skills and other intellectual skills

32
Q

When should a diagnosis of ASD be made instead of social communication disorder?

A

The diagnosis of ASD supersedes that of social communication disorder whenever the criteria for ASD are met, and care should be taken to enquire carefully regarding past or current restricted/repetitive behavior

33
Q

Rett Disorder

A

genetic condition that affects mostly females and is characterized by hand wringing and poor coordination

34
Q

Attention-Deficit/Hyperactivity Disorder

A

+ pattern of inattention and/or hyperactivity-impulsivity that interferes functioning for at least 6 months
+ dislikes organization, focused work
+ often losses things, forgets daily activities, and easily distracted
+ fidgets a lot, stands up when seating is expected, always “on the go”
+ present in two or more settings
+ difficulty sustaining their attention on task or activity

35
Q

What is the main manifestation of ADHD in pre-school?

A

in pre-school, main manifestation is hyperactivity

36
Q

How are the symptoms of fidgetiness and restlessness described in ADHD?

A

Fidgetiness and restlessness in ADHD are typically generalized and not characterized by repetitive stereotypic movements

37
Q

When can ADHD be diagnosed in an individual with IDD?

A

A diagnosis of ADHD in IDD requires that
inattention or hyperactivity be excessive for mental age

38
Q

Specific Learning Disorder

A

+ difficulties learning and using academic skills for at least 6 months, despite interventions
+ academic skills are substantially and quantifiably below those expected for the individual’s chronological age, IQ, and education

39
Q

Developmental Coordination Disorder

A

+ acquisition and execution of coordinated motor skills are below expected given the chronological age
+ clumsiness, slowness, and inaccuracy of
performance of motor skills

40
Q

Stereotypic Movement Disorder

A

repetitive, seemingly driven, and apparently purposeless motor behavior

41
Q

What may stereotypic movement disorder result in?

A

may result in self-injury

42
Q

Types of Tic Disorders

A
  1. Tourette’s
  2. Persistent
  3. Provisional
43
Q

Tourette’s (Tic Disorders)

A

both motor and one or more vocal tics for more than 1 year

44
Q

Persistent (Tic Disorders)

A

single or multiple motor or vocal tics, but NOT BOTH for more than 1 year

45
Q

Provisional (Tic Disorders)

A

single or multiple more and/or vocal tics for less than 1 year since the first onset

46
Q

Tic Disorder

A

Motor Stereotypies are defined as involuntary rhythmic, repetitive, predictable movements that appear purposeful but serve no obvious adaptive function; often self-soothing or pleasurable and stop with distraction