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29 Cards in this Set

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What three behaviors/problems are necessary to diagnose autism?

Repetitive or restricted behaviors




Deficits in social interaction




Language delays

What is Rett's disorder?

Genetic disorder characterized by sudden loss of motor and social skills around 6-18 months of age

What is the key diagnostic feature of Rett's?

Loss of purposeful HAND MOVEMENTS

What is Childhood disintegrative disorder?

Disorder of sudden loss of social and communicative abilities after 2 years of normal development.




Not in DSM 5

What is the most consistent structural finding in Autism?

INCREASED BRAIN size in younger ages

What are other structural findings in Autism?


Undersized corpus callosum



Enlarged ventricles



Cerebellum, limbic system, basal ganglia, thalamus, and white matter may also be involved.

What neurotransmitter is most often abnormal in autism?

Serotonin with HYPERSEROTONEMIA

How are GABA and Glutamate affected in Autism?

Decreased activation

What overall abilities are thought to be impaired in autism?


1. HIGHER ORDER GOAL ORIENTED executive functioning (e.g., self-monitoring, memory, planning)




2. Tendency to focus on parts and not the whole (i.e., missing the forest for the trees). WEAK CENTRAL COHERENCE




3. DEFICITS IN ORIENTING TO SOCIAL STIMULI, derailing normal development

Is the heritability of autism high?

Yes.

What is the male to female ratio of moderate to severe autism?

2:1

Who tends to have lower verbal or nonverbal IQs in Autism, boys or girls?

Girls

What percentage of Autism patients have ADHD?

55%

What percentage of Autism patients have an intellectual disability?

40-69%

Are seizure disorders common in Autism?


RELATIVELY. 11-39%


At what age can Autism be reliably diagnosed?

Age 2

What are main language symptoms of Autism?


ECHOLALIA



Unusual PROSODY



Delayed COMPREHENSION


What are non-language related signs of Autism?


REPETITIVE GESTURES



Limited imaginative play



Preoccupation with parts of objects



Limited range of facial expressions



Reduced frequency of pointing

What percent of autistic adults have poor outcomes?

50%

What are the key signs of the 4 stages of Rett's?

1. Head growth deceleration and hand mannerisms and unusual eye contact (6-12 months)




2. AUTISM, MOTOR DECLINE, DEMENTIA




3. Seizure onset, Motor declines, REDUCTION in autism and cognitive problems




4. Wheelchair bound

What is the VIQ/PRI pattern in Autism vs. Asperger's?

PRI STRONGER in Autism




VCI STRONGER in Aspergers

What is unique about attention in Autism?

Good for personally relevant stimuli




Bad for complex and working memory

On what tasks is processing speed impaired in autism?

Verbally loaded tasks




May be NORMAL on non-verbal tasks





What one visual task do autistics perform poorly on?

Facial recognition.



Usually VISUAL TASKS ARE A STRENGTH

What language abilities are most impaired in autism?

HIGH LEVEL




Comprehension




Producing narratives




Prosody/Nonverbals

What language abilities are RELATIVE (not key) strengths in Autism?


Phonology



Articulation



Single word expression and comprehension


What types of memory are impaired in autism?


Emotional and Declarative


Describe motor skills in autism.

1. Imitation difficulties



2. Clumsy



3. Abnormal tone or gait sometimes


What is the Key sensory finding in Autism.

Susceptible to OVERSTIMULATION