• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/15

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

15 Cards in this Set

  • Front
  • Back

What is comorbid psychopathology?

"The occurrence of two or more forms of psychopathology in the same person"




When an individual has more than one disorder e.g. having autism as well as anxiety and depression

Non-ASD conditions can be mistaken for an ASD if someone presents with:

• Aatypical communication.


• Social difficulties.


• Odd behaviours.




Individuals with ASD have other symptoms that may or may not be related to their condition

What is behaviour a result of?

An interaction between one's genetic endowment and the environment

What is a Global Developmental Delay (GDD)?

• Significant delay (2 SDs) in two or more developmental domains.


- Motor, speech & language, adaptive, social, cognition


• < 5 years


• A comorbid condition with ASD

What is Intellectual Disability (ID)?

• Deficits in Intellectual Functioning


- IQ =< 70; WISC, Stanford Binet (SB5), DAS


• Deficits in Adaptive Functioning


- Communication, social, daily living skills


• Onset during development (not an acquired brain injury)




Mild: IQ 50-70; 85% of individuals w/ ID.


Moderate: IQ 35-49; 10% of individuals w/ ID.Severe: IQ 20-34; 3-4% of individuals w/ ID.Profound: IQ < 20; 1-2% of individuals w/ ID.




ASD overlap with ID is 20%-70%

What are some common features between ASD, ID and GDD?

• Cognitive delays.


• Language impairments.


• Difficulty regulating behaviour.


• Dysregulation, aggression, self-injurious behaviour.


• Difficulties with attention & sustaining interaction.


• Over-estimating true ability can lead to interventions aimed too high (or low!).


- Frustration & Behaviour Dysregulation.


- Expectations unobtainable for individual.

What are some differences between ASD, ID and GDD?

• Distribution of skills: there is scatter in ASD vs even distribution in ID and GDD


Language delay & atypical language in ASD, whereas just a language delay in ID and GDD.


• Communication: compensate for verbal difficulties through gestures, facial expressions + eye contact VS limited compensation in ASD.


• Social skills: commensurate w/ mental age VS lower than expected based on mental age in ASD.


• Adaptive skills: similar or above mental age VS lower than mental age in ASD (socialization).


• Report of skill regression → consider ASD

What is a Language Disorder?

• Marked delay in receptive and/or expressive language skills in absence of additional developmental issues.


- Grammatical, semantic (meaning), social and non-verbal (pragmatics).


- Expressive, Receptive, Expressive + Receptive.


- Can affect spoken, written, sign, speech production.

What is Hyperlexia?

• High level of word decoding/early readers.


• Discrepancy between single word reading level and comprehension (Newman et al., 2007).


• High comorbidity in ASD (5-10%) & may be associated with obsessive behaviour (over practicing)/general language/communication difficulties.

What does a communication impairment look like in ASD?

• Difficulties using spoken & nonverbal language socially.


• Individuals with LD have difficulties using & understanding language, but will not demonstrate primary deficits in social communication characteristic of ASD.


• However, children with LD may appear shy, avoid eye-contact, fail to follow instructions due to comprehension difficulties, but does not mean ASD.

What are some other medical conditions that are comorbid with ASD?

- Seizures (~25% in ASD cases)


- Insomnia & abnormal sleep patterns (present in ~60% of children with ASD)


- Gastrointestinal symptoms (9-91% reported)


- Genetic syndromes (e.g. Fragile X syndrome, FMR1 mutations, Down Syndrome, Turner Syndrome

What is Rett Syndrome?

Caused by mutation in the methyl CpGbinding protein 2 (MECP2gene).




• Almost exclusively in females.


• Early development maybe normal.


• Abnormalities in early infancy can include loss of muscle tone (hypotonia), difficulty feeding, jerkiness in limb movements.


• Development slowing, loss of purposeful use of the hands, distinctive hand movements, slowed brain and head growth, problems with walking, seizures, and intellectual disability.


• Autistic features, toe walking, sleep problems, a wide-based gait, teeth grinding and difficulty chewing, slowed growth, seizures, cognitive disabilities, and breathing difficulties while awake such as hyperventilation, apnea (breath holding), and air swallowing.

What is Angelman Syndrome?

Complex genetic disorder: Loss of function of UBE3Agene, chromosome 15 partly deleted (15%), mutation in maternal copy (11%).


• 1 in 12,000-20,000 people.


• Delayed development (6-12 m), ID, speech impairment, ataxia (problems with movement & balance).


• Seizures/epilepsy, EEG abnormalities.


• Microcephaly (abnormal smallness of the head, associated with incomplete brain development).


• Happy demeanor, smiling, laughter, hand flapping, short attention span, hyperactivity, fascination with water.


• Distinctive facial features, flattened back of the head, deep-set eyes, wide, ever-smiling mouth, prominent jaw and widely spaced teeth, lightly pigmented hair, skin and eyes.


• Sleep difficulties.


• Can be mistaken for ASD due to common symptoms, but typically highly sociable.

What is ADHD?

• Neurodevelopmental disorder affecting both children and adults


• Persistent or on-going pattern of inattention and/or hyperactivity-impulsivity that interferes with daily life or typical development.


• Can affects attention, executive function, working memory.

What are Tic Disorders?

• Presence of motor or vocal tics (Tourette's syndrome has both).


• Differential diagnosis with ASD based on difference between stereotypical motor mannerisms and tics.


• In ASD, more prevalent when overstimulated, excited, overwhelmed, absence of structure.


• Unlike tics, are more under control of individual (although CBT can be effective for treating tics).