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23 Cards in this Set

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Autism spectrum disorder

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1.) Impaired social emotional reciprocity


2.) impaired nonverbal communication


3.) failure to develop or maintain appropriate peer relationships

DSM 5 diagnostic criteria (all three of the following must be present)

1.) Impaired social emotional reciprocity


2.) impaired nonverbal communication


3.) failure to develop or maintain appropriate peer relationships

Restricted, repetitive patterns of behavior and interest (at least two of the following must be present)

Repetitive behaviors or speech


Insistence on sameness


Unusual preoccupations or interests


Sensory interests

Retts disorder

Affects one in 10,000–15,000


Occurs primarily in females


MePC2 gene implicated


Typical development up until 6–18 months


Most notable loss of purposeful hand movements


Poor prognosis


Known for hand wringing or hand washing

Childhood disintegrative disorder

Significant loss of social and communication abilities after two years of age


Symptoms of ASD develop with poor prognosis indicated


1.7 per 100,000 births

Stop

Stop

Incidence rates

1 in 110 individuals are affected by ASD


6.7 per 1000 children in the US


Prevalence rate of 1 in 88


Male to female ratio of 4:1


Reduced mortality rate

Comorbidity

ID (4069%)


Anxiety (7 - 84%)


Depression (4 - 58%)


Tic disorder (6%)


Seizure disorder (11 - 39%)


ADHD (55%)

Common assessment tools in ASD

ADI R


ADOS


CARS


MCHAT

First year of life

Diagnosed 18-24 months


Between 6-12 months symptoms may be apparent


Physical manifestations include increased head growth, microcephalic, enlarged brain volume

Second year symptoms

Delayed speech;


Limited use nonverbal communication;


Black interesting peers; limited imitation of others; lower rates of joint attention; restricted range of functional and imaginative play; repetitive movements

Regressive onset

Between 20-47% children with ASD exhibit few symptoms until they experience loss of language and/or socialization between 1524 months

Middle childhood

Approximately 5–20% of individuals with ASD can lose all symptoms of autism

Seizures in ASD

Typically occur in either infancy or adolescence


Affects 11–39% of individuals

Conditions that can mimic autism:

Landau Kleffners syndrome;


Fragile X syndrome;


Hellers syndrome;


Klinefelter's syndrome

Executive functioning

Generally diffuse impairment… however, if intact performance on testing, typically display impairment in cognitive and behavioral inhibition

Considerations with ASD

Early intervention, intensive applied behavioral analysis

Considerations with ASD

Early intervention, intensive applied behavioral analysis

ASD continued

These folks often have trouble with the big picture;


Semantic and pragmatic language skills should be emphasized early;


The use of a picture exchange communication system and sign language are recommended for young children

Idiosyncratic speech

The use of words in an inappropriate way to form meaningful but unusual Frases

Picture exchange communication system

And augmentative communication system used to aid children who have difficulty with spoken language. The systems most commonly employ the use of small pictures, which represent objects, actions, or words, that a child can select and present to communicate with others

Restricted and repetitive behaviors (RRBs)

Include repetitive stereotypic motor behaviors, ritualistic behaviors, and insistence of sameness.


Most noted during the second year of life with increase during the first five years of life

Self injurious behavior

Behaviors that inflict injury on the individual; these include headbanging and biting oneself