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Developmental & Cognitive Disorders
4th powerpoint
153
Psychology
Not Applicable
12/11/2010

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Cards

Term
Developmental psychopathology is the study of how disorders ________ & ________ within time.
Definition
arise; change
Term
Disruption of early ______ can affect later development.
Definition
skills
Term
When are the 3 times that developmental disorders are diagnosed?
Definition

1. infancy

2. childhood

3. adolescence

Term
What are 4 examples of developmental disorders?
Definition
  1. Attention Deficit Hyperactivity Disorder
  2. Autism
  3. Learning disorders
  4. Mental retardation
Term
What are the 3 central features of ADHD?
Definition

1. Inattention

2. Overactivity

3. Impulsivity

Term
ADHD is associated with what main 4 impairments?
Definition

1. Behavioral

2. Cognitive

3. Social problems

4. Academic problems

Term
What are the 3 DSM-IV-TR symptom types?
Definition

1. Inattentive type

2. Hyperactive type

3. Impusive type

Term
ADHD occurs in about ___% of schoolage children
Definition
6
Term
The symptoms of ADHD are usually present around age ___ or ___.
Definition
3, 4
Term
___% of children with ADHD have problems as adults.
Definition
68
Term
What is the boy to girl ratio of ADHD?
Definition
4:1
Term
The probability of ADHD diagnosis is the greatest in the _______________.
Definition
United States
Term
ADHD seems to run in _________.
Definition
Families
Term
What are 3 neurobiological contributions of ADHD?
Definition

1. Smaller brain volume

2. Inactivity of the frontal cortex & basal ganglia

3. Abnoraml frontal lobe development & functioning

Term
There is no evidence that _______ or _________ cause ADHD.
Definition
allergens; food additives
Term
What is one known risk factor for developing ADHD?
Definition
maternal smoking
Term
Psychosocial factors can influence the ________ of ADHD.
Definition
nature
Term
ADHD children are often viewed _________ by others.
Definition
negatively
Term
ADHD children often receive constant ______________ from adults and peers.
Definition
negative feedback
Term
ADHD often suffer from peer rejection and resulting social isolation which fosters a low ________________.
Definition
self-esteem
Term
The goal of biological treatment of ADHD is to reduce __________ & _________ and to improve attention.
Definition
impulsivity, hyperactivity
Term
Stimulant medications reduced core symptoms of ADHD in ___% of cases.
Definition
70
Term
What are 2 examples of stimulant medications used to treat ADHD?
Definition
Ritalin; Dexedrine
Term
____________ medications are also used to treat ADHD.
Definition
nonstimulant
Term
"Other medications" such as ________ & ________ have a limited efficacy in treated ADHD.
Definition
imipramine & clonidine
Term
The benefits of ADHD medication are not __________ following discontinuation.
Definition
lasting
Term
ADHD medications do not affect __________ & _________ performance.
Definition
learning; academic
Term
What are 2 positive effects of ADHD medications?
Definition
  1. improve compliance
  2. clonidine (antihypertensive)
Term
Behavioral treatment for ADHD includes __________ programs as well as ________ training.
Definition
reinforcement; parent
Term
Reinforcement programs are used to increase _________ behaviors and decrease ________ behaviors.
Definition
appropriate; inappropriate
Term
Combined bio-psycho-social treatments for ADHD are highly recommened because they are superior to _________ or ____________ treatments alone.
Definition
medication; behavioral
Term
The scope of learning disorders includes academic problems in _________, _________, & _________ as well as performance substantially below expected levels
Definition
reading; mathematics; writing
Term
What are 3 characteristics of a reading disorder?
Definition

1. Discrepancy between actual & expected achievement

2. Performance signficantly belwo age or grade level

3. Cannot be caused by sensory deficits

Term
What is the defining characteristic of a mathematics disorder?
Definition
Achievement below expected performance
Term
What is the defining characteristic of a disorder of written expression?
Definition
achievement below expected performance in writing
Term
The prevalence of learning disorders in the United States is ___ to ___%.
Definition
5-10
Term
The prevalence of learning disorders is highest in _______ regions of the United States.
Definition
wealthier
Term
About ___% of children with learning disorders end up dropping out of school.
Definition
32%
Term
What is the prevalence for reading difficulties in the United States?
Definition
5-15%
Term
The school experience for children with learning disabilites tends to be ________.
Definition
negative
Term
Reading disorders run in ________.
Definition
families
Term
There is a ____% concordance rate for learning disorders in identical twins.
Definition
100
Term
Evidence for sublte forms of brain damage is ________ in children with learning dsiorders.
Definition

inconclusive

 

**contributions are UNCLEAR

Term
Data _________ behavioral eductional interventions in children with learning disabilites.
Definition
supports
Term
What are the 3 targets of treatment for learning disorders?
Definition

1. Remediation of basic processing problems

2. Improvement of cognitive skills

3. Targeting skills to compensate for problem areas

Term
_______ problems span many life areas.
Definition
Pervasive
Term
What are 2 examples of pervasive developmental disorders?
Definition

1. Autisitc disorder

2. Asperger's syndrome

Term
In pervasive developmental disorders problems occur in _______, _______, & ________.
Definition
language; socialization; cognition
Term
A developmental disorder characterized by impaired social interactions and communication as well as restrictive patterns of behavior, interest, & activities
Definition
Autism
Term
Many children with Autisim engage in __________ behaviors.
Definition
repetitive
Term
What are the 3 central DSM-IV-TR features of autism?
Definition

1. Qualitative impairment of social interaction

2. Problems in communication

3. Restrictive patterns of behavior, interests, and activities

Term
___% of autistic children never aquire speech.
Definition
50
Term
The prevalence of Autism is about 1 in every _____ births.
Definition
500
Term
Autism is more prevalent in femalse with IQs below ____.
Definition
35
Term
Autism is more prevalent in males with ______ IQs.
Definition
higher
Term
Autism symptoms usually develop before ____ months of age.
Definition
36
Term
___% of Autistic children have IQs in the severe-to-profound range.
Definition
50
Term
___% of autistic children have IQs in the mild-to-moderate range.
Definition
25
Term
___% of autistic children test in the boderline-to-average IQ range.
Definition
25
Term
What are the 2 reliable indicators of good prognosis for children with autism?
Definition

1. language ability

2. IQ

Term
What are the 3 historical contribution views in Autism?
Definition

1. Bad parenting (controlling)

2. Unusual speech patterns (lack or self awareness)

3. Echolalia

Term
An infants repetition of sounds uttered by others.
Definition
echolalia
Term
_________ conditions are not always related to autisim.
Definition
Medical
Term
The ______ components of Autism is largely unclear.
Definition
genetic
Term
There is neurobiological evidence of brain damage in Autistic children.  They seem to have a substantially reduced _________ size.
Definition
cerebellum
Term
What are the 5 main characteristics of Asperger's disorder?
Definition

1. Significant social impairments

2. Restricted & repetitive stereotyped behaviors

3. Clumsy

4. Quite verbal

5. No severe language/cognitive delays

Term
Asperger's disorder is often ________ diagnosed.
Definition
under
Term
Asperger's disorder affects about __ to __ persons per 10,000 people.
Definition
1-36
Term
The causes of Asperger's disorder are somewhat _______.
Definition
unclear
Term
______ is a huge problem in people with Asperger's.
Definition
Anxiety
Term
What are the 4 different focuses of psychosocial "behavioral" treatments for Autism?
Definition

1. Skill building

2. Reduction of problem behaviors

3. Target communication & language problems

4. Adress social deficits

Term
Early intervention in _______ treatment is absolutely critical.
Definition
Autism
Term
________ & _______ treatments for Autism are unavailable.
Definition
biological; medical
Term
What is the preferred treatment model for Autism?
Definition
Integrated treatments
Term
The integrated model of treatment for Autism focuses on children, their ______, _______, & ______.
Definition
familes; school; home
Term
The focus of the integrative model treatment approach for Autism is building appropirate ________ & _______ support.
Definition
community; social
Term
Mental retardation is a disorder of ________.
Definition
childhood
Term
A childhood disorder characterized by below-average intellectual & adaptive functioning and a range of impairment that varies greatly across persons.
Definition
Mental Retardation
Term
IQ score between 50 or 55 and 70
Definition
Mild MR
Term
IQ score between 35-40 and 50-55
Definition
Moderate MR
Term
IQ score between 20-25 up to 35-40
Definition
Severe MR
Term
IQ scores below 20-25
Definition
Profound MR
Term
The American Association of Mental Retardation (AAMR) defines MR based on levels of ________________.
Definition
assistance required
Term
What are the 4 levels of assistance required for MR?
Definition
  1. Intermittent
  2. Limited
  3. Extensive
  4. Pervasive
Term
What are the 3 classifications of MR in educaitonal systems?
Definition
  1. Educable (IQ of 50 to 70-75)
  2. Trainable (IQ of 30-50)
  3. Severe (IQ below 30)
Term
Which classification of MR puts the individual at a disadvantage?
Definition

The one used in the educational system

 

**NOT in use

Term
The prevalence of MR is about __ to __% in the general population.
Definition
1-3
Term
___% of those considered mentally retarded are labeled with mild mental retardation
Definition
90
Term
MR occurs more often in _____.
Definition
males
Term
What is the male to female ratio of MR?
Definition
1:6:1
Term
MR tends to be chronic and the prognosis _______.
Definition

varies

 

**From person to person**

Term
What are 4 known caues of MR?
Definition

1. Environmental (deprivation, abuse)

2. Prental (exposure to disease/toxins)

3. Perinatal (birthing trauma)

4. Postnatal (head injury)

Term
Genetic research on MR shows that _____ genese are involved.
Definition
multiple (30 so far)
Term
What are 2 known chormosomal abnormalities that cause MR?
Definition

1. Down syndrome

2. Fragile X syndrome

Term
Although there are many known causes for MR, nearly ___% of cases are unknown.
Definition
75
Term
The treatment of MR parallels the treatment of _____________________.
Definition
pervasive developmental disorder
Term
What are the 6 goals of the treatment of MR?
Definition

1. Foster productivity

2. Foster independence

3. Educational management

4. Behavioral management

5. Living & self-care skills via task analysis

6. Communication training (MOST CHALLENGING)

Term
What are the 3 deficits in children with ADHD?
Definition

1. attention

2. hyperactivity

3. impulsivity

Term
Learning disorders are marked by deficits in performance ______________.
Definition
below expectations
Term
Pervasive developmental disorders all share deficits in _______, _______, & ________.
Definition
language; socialization; cognition
Term
________ & ________ are critical in developmental disorders.
Definition
prevention; early intervention
Term
The onset of MR is before the age of ___.
Definition
18
Term
MR is characterized by a _______ IQ and deficits in _______ functioning.
Definition
subaverage; adapting
Term
Most cognitive disorders develop when?
Definition
later in life
Term
Cognitive disorders affect _______, ________, & _________.
Definition
memory; learning; consciousness
Term
What are the 3 classifications of cognitive disorders?
Definition

1. delirium

2. dementia

3. amnestic disorders

Term
Which cognitive disorder is associated with trauam?
Definition
Amnestic disorder
Term
Cognitive disorder associated with temporary confusion and disorientation.
Definition
Delirium
Term
Cognitive disorder marked by broad cognitive deterioration.
Definition
dementia
Term
Cognitive disorder associated with memory dysfunciton.
Definition
amnestic disorder
Term
The DSM perspective on cognitive disorders shifted from ______ mental disorders to cognitive disorders.
Definition
"organic"
Term
Cognitive disorders are marked by _________ impairments in cognitive function.
Definition
broad
Term
There are profound changes in ________ & ________ in individuals with cognitive disorders.
Definition
behavior; personality
Term
What are the 2 central features of delirium?
Definition

1. Impaired consciousness

2. Impaired cognition

Term
Delirium develops ______.
Definition

rapidly

 

*over several hours or days

Term
There are marked ______ & language deficits in individuals experiencing delirium.
Definition
memory
Term
Individuals experiencing delirium appear ________, ________, & _________.
Definition

1. confused

2. disoriented

3. inattentive

Term
Delirium affects __ to __% of persons in acute care facilites.
Definition
10-30
Term
_____ recovery from delirium often occurs within several weeks.
Definition
Full
Term
Delirium is prevalent in _________.
Definition
older adults
Term
Delirium is prevalent in those undergoing ________________, those with brain injuries, ______ patients, & cancer patients.
Definition
medical procedures; AIDS
Term
What are the 4 DSM-IV-TR subtypes of delirium?
Definition
  1. Due to a medical condition
  2. Substance-induced
  3. Due to multiple etiologies
  4. Not otherwise specified
Term
What are 8 medical conditions associated with delirium?
Definition

1. Drug intoxication

2. Poisons

3. Withdrawl from drugs

4. Infections

5. Head injury

6. Sleep deprivation

7. Immobility

8. Excessive stress

Term
What are 2 ways to prevent delirium?
Definition

1. Address proper medical care for illness

2. Address proper use & adherence to therapeutic drugs

Term
What are the 2 focuses of treatment of delirium?
Definition

1. Attention to precipitating medical problems

2. Psychosocial interventions --reassurance

*memory books

**inclusion of patients in treatment decisions

Term
The nature of dementia is ________.
Definition
gradual (deterioration of brain functioning)
Term
__________ is marked by deterioration in judgement, memory, language, and advanced cognitive processes.
Definition
Dementia
Term
Dementia has many causes and may be ________.
Definition
irreversible
Term
Inability to recognize and name objects
Definition
agnosia
Term
Inability to recognie familiar faces
Definition
facial agnosia
Term
What are 8 characteristics of the intial stages of Dementia?
Definition

1. Memory & visuospatial skills impairments

2. Agnosia

3. Facial agnosia

4. Delusions

5. Apathy

6. Depression

7. Agitation

8. Aggression

Term
What are the 3 characteristics of the later stages of dementia?
Definition
  1. Cognitive functioning continues to deteriorate
  2. Total support is needed to carry out day-to-day activities
  3. Death due to inactivity & onset of other illnesses
Term
Dementia can occur at any age but is most common in the ________.
Definition
elderly
Term
Dementia affects __% of those between 65-74 years of age.
Definition
1
Term
Dementia affects __% of persons 85 years and older.
Definition
10
Term
Who is affected more by dementia? Men or women?
Definition
equally
Term
Dementia occurs equally across ________ levels and _________.
Definition
educational; social classes
Term
What are 6 DSM-IV-TR classes of Dementia?
Definition

1. Dementia of the Alzheimer's type

2. Vascular dementia

3. Due to other general medical conditions

4. Substance-induced persisting dementia

5. Due to multiple etiologies

6. Not otherwise specified

Term
About __ million Americans and many more worldwide are affected of Alzheimer's disease.
Definition
4 million
Term
The prevalence of Alzheimer's Disease is greater in ____________ persons and females.
Definition
poorly educated
Term
The onset of Alzheimer's Disease usually occurs in the ___s or ___s.
Definition
60; 70
Term
The average survival time of Alzheimer's Disease is about __ years.
Definition
8
Term
Deterioration is rapid during the _____ stages of Alzheimer's Disease.
Definition
middle
Term
Deterioration is slow during the _____ & _____ stages of Alzheimer's Disease.
Definition
early; later
Term
Difficulty with language
Definition
aphasia
Term
Impaired motor functioning
Definition
apraxia
Term
Failure to recognize objects
Definition
agnosia
Term
Alzheimer's Disease has a negative impact on ________ & _______ functioning.
Definition
social; occupational
Term
People with Alzheimer's Disease have difficulties with what 4 tasks?
Definition
  1. Planning
  2. Organizing
  3. Sequencing
  4. Abstract information
Term
What are 3 main cognitive difficulties experienced by patients with Alzheimer's Disease?
Definition
  1. Aphasia
  2. Apraxia
  3. Agnosia
Term
A syndrome associated with Dementia of the Alzheimer's type involving the occurrence or increase in one or more abnormal behaviors in a crcadian rhythm
Definition
Sundowner syndrome
Term
What are 5 symptoms of Alzheimer's Dementia?
Definition
  1. Agitation
  2. Confusion
  3. Combativeness
  4. Depression
  5. Anxiety
Term
What are the 4 deficits seen in Alzheimer's Dementia?
Definition
  1. Memory
  2. Orientation
  3. Judgement
  4. Reasoning
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