Test 4 - Childhood Disorders Flashcards
classification of disruptive behavior disorders
external
internal
which type of childhood behavior d.o gets more attention
external
components of development of trust
rage
helplessness/hopelessness
(cause/effect problems)
(abuse, neglect illness)
trust
satisfaction
expression
need
sx of conduct d.o (10)
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
dsm definition of conduct d.o
repetitive pattern of behavior in which the basic rights of others or societal norms are violated
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
3 or more criteria
12 months
6 months
dsm criteria for conduct d.o (4)
aggression to other ppl or animals
destruction of property
deceitfulness or theft
serious violations of rules
sx of conduct d.o must present by __ yo for dx
15
ex of aggression to people/animals (3)
bullies/fight
cruel to people/animals
forced sexual activity
ex of destruction of property
fire setting
ex of serious violations of rules
truant
runaway
breaking curfew
predisposing factors for conduct disorder
parental rejection/neglect
inconsistent child rearing w. harsh discipline
physical/sexual abuse
frequent change of caregivers
early institutional living
dsm definition of oppositional defiant d.o
pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness
for dx of oppositional defiant d.o, pt must have at least __ symptoms from any category
lasting at least __ months
exhibited during interaction with __
4 symptoms
6 months
1 individual who is not a sibling
categories of symptoms in oppositional defiant d.o (3)
angry/irritable mood
argumentative/defiant behavior
vindictiveness
angry/irritable sx for odd (3)
often loses temper
touchy/easily annoyed
often angry/resentful
argumentative/defiant behavior for odd (4)
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
criteria for vindictiveness in odd
spiteful or vindictive at least twice w.in past 6 mo
odd is directed towards __,
is not always apparent __,
is more apparent w.
authority figure
in school/community
familiar adults/peers
characteristics of pre school kids w. odd
highly reactive and not easily soothed
how do kids w. odd see themselves
as responding reasonably to unreasonable demands
sex difference in disruptive behavior d.o’s do not emerge prior to __ yo
6
after 6 yo, is disruptive behavior mc in m or f
males
⅔ of all peds mental health referrals are for
odd
cd
one major distinction btw cd and odd
kids w. odd are not grossly violating/hurting other people
mc comorbidity w. odd and cd
ADHD
2 other common comorbidities w. odd/cd
depressive d.o
anxiety d.o
marker of better prognosis for cd
developing d.o later in childhood
major predictor for seriousness of antisocial behavior
severity and variety of early antisocial behavior
worse prognosis for cd
comorbidities
possible causes for cd
genetic basis → high concordance in twins
possible causes for cd
genetic basis → high concordance in twins
there is high heritable vulnerability to externalizing d.o’s, including (4)
conduct d.o
antisocial pd
etoh dependence
drug dependence
one theory for antisocial pd
unresponsive nervous system → chronic under arousal leads pt w. asp to seek out dangerous/risky situations to stimulate arousal
50% of boys w. cd develop
antisocial pd
boys w. cd or cd + adhd have shown to be less sensitive to
negative pictures/images
med to decrease aggression in cd
risperidone
med for short-term tx of aggression
lithium
tx strategies for childhood d.o
consider attachment problem
identify precipitating events
consider parents perception of the problem
help parents understand child
explore support system available to parents
how should parents handle rules for kid w. childhood d.o
highly consistent
logical/enforceable
consequences for breaking rules
reward appropriate behavior
never try to control
child’s biology
ex: must be in bed by 9pm, not asleep by 9pm
dsm for adhd
6 or more sx - manifested often
categories for adhd sx
impulsivity
hyperactivity
inattention
impulsive adhd sx (3)
blurts out answer before question is finished
difficulty awaiting urn
interrupts/intrudes on others
hyperactivity adhd sx (6)
fidgets
unable to stay seated
inappropriate running/climbing
difficulty engaging in leisure activity quietly
on the go
talks excessively
inattention sx in adhd
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
mc behavioral d.o of childhood
adhd
is adhd mc in m or f
m
first born boys
comorbidities associated w. adhd
depressive d.o
cycylothymia
bipolar
anxiety d.o
ocd
learning d.o
odd
cd
antisocial d.o
substance use
tourettes
what dramatically reduces substance abuse in adhd kids
medication
how do stimulants affect the brain
stimulate the frontal lobe
tx considerations for adhd w. comorbidities
combo of counseling PLUS meds
3 major types of adhd
inattentive
hyperactive
impulsive
for adhd, first sx must appear by __ yo
12
