psych disorders in children Flashcards
Kaufman Assessment Battery for Children
intelligence test for ages 2-12
Wechsler intelligence scale for children-revised
determines IQ for ages 6-16
mental retardation (intellectual disability) definition
IQ less than 70; deficits in adaptive skills approp for age; onset must be before age 18
MR is more common in males than females
right
mild, moderate, severe, profound MR cutoffs
mild is 55-70; moderate is 40-55; severe is 25-40; profound is less than 25
genetic causes of MR
Down syndrome, fragile X syndrome; PKU, prader-willi, williams syndrome, angelman syndrome, tuberous sclerosis
prenatal causes of MR
Torch infections (toxo, other, rubeella, CMV, herpes)
def of learning disorder
achievement in reading, math or writing that is signif lower than expected; cannot be explained by sens deficits, poor teaching, or cultural factors; often due to deficits in cognitive processing
oppositional defiant disorder
at least 6 mos of negativistic, hostile, and defiant behavior during which at least 4 of the criteria have been present
criteria for oppositional defiant disorder
freq loss of temper; arguments with adults; defying adults rules; deliberately annoying people; easily annoyed; anger and resentment; spitefulness; blaming others for mistakes or misbehaviors
when does oppositional disorder usually present?
can begin as early as age 3, but usually around age 8
prognosis of oppositional conduct disorder
twenty five percent of kids will grow out of it; in persistent cases, may progress to conduct disorder
treatment for oppositional defiant disorder
pychotherapy; parent management skills training
conduct disorder def
most serious; basic rights of others or social norms are violated, as evidenced by at least 3 of 15 described behaviors during the past year;
behaviors of conduct disorder grouped into four categories
aggresion toward people and animals; destruction of property; decietfulness or theft; serious violations of rules
epi of conduct disorder
many times more common in boys
risk factors for conduct disorder
punitive parenting; psychosocial adversity; hx of being abused; biological predisposition
prognosis for conduct disorder
up to forty percent will go on to develop antisocial personality disorder in adulthood
treatment for conduct disorder
consistent rules and consequences; family involvement; meds can be useful adjunct inf aggression is present (antipsychotics, mood stabilizers, SSRIs)
three subcategories of ADHD
predominently inattentive type, predominantly hyperactive-impulsive type, and combined type
diagnosis of ADHD
at least six sx of either inattentiveness, hyperacitivity, or both that have persisted for at least 6 mos, present at a degree that is maladaptive, onset before age 7
prognosis of ADHD
up to 60% will have sx into adulthood (more impulsiveness than hyperactivity)
neurochemical factors that may contribute to ADHD
dysregulation of noradrenergic systems
neuropsych factors that can be demonstrated inADHD
certain patients with abnormal EEG patterns or PET
pharmacologic treatements of ADHD
CNS stimulants are first line (methylphenidate, dextroamphetamine, and amphetamine salts; atomoxetine is nonstim that works too; alpha 2 ags
alpha 2 ags for ADHD
can be used if stimulants cannot be tolerated due to side effects; clonidine, guanfacine
nonpharm treatments for ADHD
psychotherapy; parent education; educational interventions
pervasive developmental disorders
disorders that involve problems with social skills, language, and behaviors; impairment is noticeable at an early age of life and involves multiple areas of development
examples of pervasive developmental disorders
autistic disorder, asperger disorder, Rett disorder, childhood disintegrative disorder; PDD NOS
definition of Autistic disorder
at least six sx must be present by age 3, with at least two from category 1 and at least one from categories 2 and 3
category 1 problems in autistic disorder
problems with social interaction