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25 Cards in this Set

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What two behavioral dimensions characterize ADHD?
Inattention and Hyperactive-Impulsive behavior
How prevalent is ADHD?
4.2-6.3% of the population
What is the male to female ratio of people diagnosed with ADHD?
about 3:1
How is ADHD prevalence affected by socioeconomic differences?
It isn't, after controlling for disruptive behavior problems
Name three etiological factors in ADHD
1. Neurological
2. Genetic - possibly related to prefrontal-striatal-cerebellar network
3. Pre and perinatal insult or neurological disease
What type of symptoms are most common in pre-schoolers with ADHD?
Hyperactive impulsive behavior - often joined by attentional symptoms during elementary school years
What percentage of children diagnosed with ADHD will still have the disorder in adolescence?
50-80% of clinic-referred cases
Name 4 kinds of disorders that are frequently co-morbid with ADHD
1. Conduct/Antisocial
2. Substance Use d/o
3. Anxiety and Mood d/o
4. Tic d/o, Tourette's
Name 8 impairments commonly associated with a dx of ADHD
1. Cognitive 2. Language
3. Motor Dev. 4. Emotion
5. School performance
6. Task performance
7. Health risks 8. Social prob.
What type of problems are responsible for the highest rates of youth mental health referrals?
Agressive, acting out, and disruptive behavior patterns
What is Oppositional Defiant d/o?
* age inappropriate and persistent display of angry, defiant, irritable, oppositional behaviors
* lasts more than 6 months
* no violation of basic rights of others or major rules and social norms
How common is ODD?
Huge range of estimates, median is 3%
What is the gender ratio of individuals dx with ODD?
equal in early childhood, but more males by late preschool and elementary school
How is ODD distinguished from normal childhood defiance, etc.?
Most oppositional defiant behavior gets better in middle childhood; in ODD, behavior does not subside, or gets worse
True or False: Most children with ODD will eventually meet criteria for Conduct Disorder
False
What disorders are frequently co-morbid with ODD?
ADHD, Academic/Learning d/o,
Internalizing d/o, PTSD
How common is ADHD among people dx with ODD?
about 50% comorbidity
What type of antisocial activity best predicts chronic antisocial functioning in adulthood?
Diverse forms of antisocial activity, rather than any one kind
Which behavior disorder involves violations of other people's basic rights and/or major societal norms and rules?
Conduct Disorder
How common is conduct disorder in males? In females?
M: 6-16%
F: 2-9%
What is the average age of onset for Conduct Disorder?
9 years
What is the relationship between ODD, CD, and ASPD?
ODD can be an earlier variant of CD, and CD can be an earlier variant of ASPD, BUT only a minority of people with CD go on to develop ASPD
What is the cutoff age for early onset vs adolescent onset CD?
10 yrs
What is the definition of substance dependence?
Maladaptive pattern of substance use that continues for at least 12 months; clinically sig. distress, impairment
What is the definition of Substance Abuse?
One or more harmful and repeated negative consequences of substance use during a 12 month period