Test 4 - Childhood Disorders

Question 1

classification of disruptive behavior disorders

Answer 1

external

internal

Question 2

which type of childhood behavior d.o gets more attention

Answer 2

external

Question 3

components of development of trust

Answer 3

rage

helplessness/hopelessness

(cause/effect problems)

(abuse, neglect illness)

trust

satisfaction

expression

need

Question 4

sx of conduct d.o (10)

Answer 4

lack of conscience

superficially engaging or charming

destructive to others and material things

cruelty to animals

may pose danger to others

poor peer relationships

self destructive/accident prone

seductive/problems w. sexual aggression

not affectionate on parents terms

preoccupation w. fire

Question 5

dsm definition of conduct d.o

Answer 5

repetitive pattern of behavior in which the basic rights of others or societal norms are violated

Question 6

for dx of conduct d.o, child must have __ or more criteria

in the last __ months,

with at least on criteria in the last __ months

Answer 6

3 or more criteria

12 months

6 months

Question 7

dsm criteria for conduct d.o (4)

Answer 7

aggression to other ppl or animals

destruction of property

deceitfulness or theft

serious violations of rules

Question 8

sx of conduct d.o must present by __ yo for dx

Answer 8

15

Question 9

ex of aggression to people/animals (3)

Answer 9

bullies/fight

cruel to people/animals

forced sexual activity

Question 10

ex of destruction of property

Answer 10

fire setting

Question 11

ex of serious violations of rules

Answer 11

truant

runaway

breaking curfew

Question 12

predisposing factors for conduct disorder

Answer 12

parental rejection/neglect

inconsistent child rearing w. harsh discipline

physical/sexual abuse

frequent change of caregivers

early institutional living

Question 13

dsm definition of oppositional defiant d.o

Answer 13

pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness

Question 14

for dx of oppositional defiant d.o, pt must have at least __ symptoms from any category

lasting at least __ months

exhibited during interaction with __

Answer 14

4 symptoms

6 months

1 individual who is not a sibling

Question 15

categories of symptoms in oppositional defiant d.o (3)

Answer 15

angry/irritable mood

argumentative/defiant behavior

vindictiveness

Question 16

angry/irritable sx for odd (3)

Answer 16

often loses temper

touchy/easily annoyed

often angry/resentful

Question 17

argumentative/defiant behavior for odd (4)

Answer 17

often argues w. authority figures/adults

often actively defies/refuses to comply w. requests from authority figures or w. rules

deliberately annoys others

often blames others for his/her mistake or misbehavior

Question 18

criteria for vindictiveness in odd

Answer 18

spiteful or vindictive at least twice w.in past 6 mo

Question 19

odd is directed towards __,

is not always apparent __,

is more apparent w.

Answer 19

authority figure

in school/community

familiar adults/peers

Question 20

characteristics of pre school kids w. odd

Answer 20

highly reactive and not easily soothed

Question 21

how do kids w. odd see themselves

Answer 21

as responding reasonably to unreasonable demands

Question 22

sex difference in disruptive behavior d.o’s do not emerge prior to __ yo

Answer 22

6

Question 23

after 6 yo, is disruptive behavior mc in m or f

Answer 23

males

Question 24

⅔ of all peds mental health referrals are for

Answer 24

odd

cd

Question 25

one major distinction btw cd and odd

Answer 25

kids w. odd are not grossly violating/hurting other people

Question 26

mc comorbidity w. odd and cd

Answer 26

ADHD

Question 27

2 other common comorbidities w. odd/cd

Answer 27

depressive d.o anxiety d.o

Question 28

marker of better prognosis for cd

Answer 28

developing d.o later in childhood

Question 29

major predictor for seriousness of antisocial behavior

Answer 29

severity and variety of early antisocial behavior

Question 30

worse prognosis for cd

Answer 30

comorbidities

Question 31

possible causes for cd

Answer 31

genetic basis → high concordance in twins

Question 31

possible causes for cd

Answer 31

genetic basis → high concordance in twins

Question 32

there is high heritable vulnerability to externalizing d.o's, including (4)

Answer 32

conduct d.o antisocial pd etoh dependence drug dependence

Question 33

one theory for antisocial pd

Answer 33

unresponsive nervous system → chronic under arousal leads pt w. asp to seek out dangerous/risky situations to stimulate arousal

Question 34

50% of boys w. cd develop

Answer 34

antisocial pd

Question 35

boys w. cd or cd + adhd have shown to be less sensitive to

Answer 35

negative pictures/images

Question 36

med to decrease aggression in cd

Answer 36

risperidone

Question 37

med for short-term tx of aggression

Answer 37

lithium

Question 38

tx strategies for childhood d.o

Answer 38

consider attachment problem identify precipitating events consider parents perception of the problem help parents understand child explore support system available to parents

Question 39

how should parents handle rules for kid w. childhood d.o

Answer 39

highly consistent logical/enforceable consequences for breaking rules reward appropriate behavior

Question 40

never try to control

Answer 40

child's biology *ex: must be in bed by 9pm, not asleep by 9pm*

Question 41

dsm for adhd

Answer 41

6 or more sx - manifested often

Question 42

categories for adhd sx

Answer 42

impulsivity hyperactivity inattention

Question 43

impulsive adhd sx (3)

Answer 43

blurts out answer before question is finished difficulty awaiting urn interrupts/intrudes on others

Question 44

hyperactivity adhd sx (6)

Answer 44

fidgets unable to stay seated inappropriate running/climbing difficulty engaging in leisure activity quietly on the go talks excessively

Question 45

inattention sx in adhd

Answer 45

inattention to details/makes careless mistakes difficulty sustaining attention seems not to listen fails to finish tasks difficulty organizing avoids tasks requiring sustained attention loses things easily distracted forgetful

Question 46

mc behavioral d.o of childhood

Answer 46

adhd

Question 47

is adhd mc in m or f

Answer 47

m *first born boys*

Question 48

comorbidities associated w. adhd

Answer 48

depressive d.o cycylothymia bipolar anxiety d.o ocd learning d.o odd cd antisocial d.o substance use tourettes

Question 49

what dramatically reduces substance abuse in adhd kids

Answer 49

medication

Question 50

how do stimulants affect the brain

Answer 50

stimulate the frontal lobe

Question 51

tx considerations for adhd w. comorbidities

Answer 51

combo of counseling PLUS meds

Question 52

3 major types of adhd

Answer 52

inattentive hyperactive impulsive

Question 53

for adhd, first sx must appear by __ yo

Answer 53

12