Emotional Disorders Final
n contrast to most other forms of treatment targeting youths with conduct problems, multisystemic therapy, or MST, involves which of the following feature(s)
- it is intensive with meetings several times a week -it is done in home and community settings -it targets youth with severe conduct problems
In order to qualify to be diagnosed with ADHD
- symptoms must be cause impairment in functioning - be present in multiple settings -occur before the age of 7 and last for at least 2 months - the last symptoms is crucial because inattention/hyperactivity are the common symptoms for many other disorder and can be caused by common stress
What is true of ADHD symptoms among girls?
-less likely to be diagnosed -less likely to be aggressive and act out -less likely to have hyperactivity and impulsivity
How many subtypes of ADHD are there
4 Subtypes and 3 specific subtypes
How does biology influence ADHD
70 to 80% of variability in ADHD symptoms is due to heritable factors
Which subtype of ADHD includes children who demonstrate sluggish cognitive tempo and may be distinct from more common forms of the disorder?
ADHD - prediomantly inattentive (ADHD-PI)
Which form of ADHD Is also referred to as ADD
ADHD -C
which form of ADHD is most likely to exhibit the sluggish cognitive tempo which oftens refers to patterns of day dreaming , confusion, and low alertness
ADHD -PI
ADHD co‐occurs with a number of other disorders, including conduct disorder, oppositional defiant disorder, depression, and tic disorders. Why might one suspect that ADHD plays somewhat a causal role in the development of other disorders?
ADHD Symptoms tend to precede other symptoms in development
What is the most common form of ADHD is
ADHD combined type (ADHD-C these kids meet the criteria for both inattentive/hyperactive impulsive domains
Which form of ADHD only meets the requirement for inattentive
AHDHD( predominantly inattentive type (ADHD -PI)
ASPD is similar to what disorder
ASPD is a category similar to CD but applied to adults and generally involving criminal behavior
What to meds are non stimulants but used to treat ADHD
Atomexetine and Guanfoncine
What is not a specific deficit related to the attention problems demonstrated by children with ADHD?
Attentional Capacity
What is not a common element of anxiety treatments
Behavioral parent training
what is used to address the headaches and muscle tension that come with anxiety
Biofeedback involves teaching relaxation strategies while a person's heart rate, galvanic skin response, or brain activity is electronically monitored. I
Regarding the course OF ADHD it can best be described as ?
Chronic Neurological Condition
anxiety intervention for young kids
Coping Cat (or Coping Koala for the Australian version) and Trauma-Focused CBT (TF-CBT) are evidence-based treatment models that target broad-based anxiety among school-aged children and trauma-related anxiety among youths of all ages,
what treatment works well for OCD
Exposure and response prevention
What neurotransmitter is most closely associated with anxiety disorders?
GABA
Changes in diagnostic criteria from the DSM‐IV to DSM‐V are likely to have what consequence?
Increasing rates of ADHD diagnoses
OCD
Involves obsessive thinking and compulsive behaviors to deal with the obsessive thoughts
Disruptive behavior disorder (DBD)
Is frequently use d to denote acute (less than 6 months in duration). pattern of problematic behavior or emotional symptoms
ADHD -HI (hyperactive-impulsive type)
Kids only meet the criteria within the hyperactive impulsive domains
parents of kids with ADHD
Mothers more likely to be diagnosed with depressive symptoms and fathers more likely to substance use
What is true of the role of nature (i.e., inborn biological and genetic factors) versus nurture (i.e., environmental factors) in causing ADHD
Nature plays the bigger role (ADHD heritability is 70%)
Changes to the diagnostic criteria for conduct problems from the DSM‐IV to DSM‐V included what?
New diagnostic specifiers for severity
Antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), show their greatest benefits for which type of anxiety disorder?
OCD
What anxiety disorder is at least as common among boys as girls?
OCD
What feature differentiates anxiety from depression (i.e., is present with anxiety but not depression), according to the tripartite model?
Physical tension
What is among the changes in diagnostic criteria for mood disorders included in the DSM‐ V?
a new diagnostic based on irritable mood and behavior problems
selective attention
ability to focus on a specific
what does ASPD stand for
anti social personality disorder
Which statement does not reflect specific risks linked with antidepressants?
antidepressants can sometimes cause psychotic symptoms even when prescribed
crime
antisocial behavior that violates specific laws
what tends to cooccur with anxiety disorders
anxiety disorder cooccur at high rates
what are anti social behaviors
any behavior that violates social norms and expectations . These can vary in cultural context
What factor is related to the higher rate of completed suicides among males versus females?
choice of method ( male tend to use more violent quick methods like using a gun)
generalized anxiety disorder
chronic worry or tension focus on aside away of things rather than specific - high physical symptoms headaches and digestive problems - more common in women
By what process do the consequences of antisocial behavior add up over time and make it increasingly difficult to escape the pattern?
cumulative continuity
where are neuro deficits most evident in ADHD children
deficits are evident in the stratal circuitry This includes the prefrontal cortex of the basal ganglia . responsible for functions that include the ability to plan , organize responses , maintain attention or delay responses
which neurotransmitter is linked to ADHD
dopamine regulation is linked to the onset of addiction and frequent attention of reward responses. Which is why children with ADHD seek out frequent attention from others which is why stimulant med seem to be affective
Regarding bipolar disorder symptoms, when do most individuals experience their first manic episode?
during adolescence
ill in the blanks: Among children, girls are ____________ likely to exhibit depression compared to boys, but among adolescents, girls are ____________ likely to exhibit depression compared to boys.
equally, more
According to your textbook, having a depressed parent increases the likelihood that a child will develop depression but not other disorders. True or false?
false
Fear is a future‐oriented state based on anticipation of threats. True or false?
false
According to the textbook, what is a fear commonly expressed by teenagers?
fear of rejection
Social anxiety or social phobias
fears of social performances and evaluation. Tends to overlap with traits of shyness and introversion more common in girls
The DSM5 requires what for an adult to be diagnosed with ADHD
for later adolescence adulthood only 5 symptoms are needed within either or both inattention and hyperactivity impulsive domains rather than 6
Which statement reflects the relative role of genes (i.e., nature) in depressive versus bipolar disorders?
genetic plays a larger role in bipolar disorders versus depression
Based on the discussion in your book, why are conduct problems more common among boys than girls?
girls engage in more indirect aggression which is not included in the diagnostic criteria
what meds are used to treat anxiety disorders
here is substantial evidence that selective serotonin reuptake inhibitors (SSRIs) are effective in reducing symptoms. Likewise, antidepressant medications are frequently used to address broad-based anxiety concerns like GAD, social anxiety, and PTSD
Conduct children exhibit what type of behavior
hostile behaviors and more likely to assume that others are trying to attentional hurt and harm them
Common traits inherited by ADHD children are ?
impulsitivity and reward seeking
Stimulant medications used for children with ADHD have been shown to have the greatest effect on what symptom(s)?
inattention
Stimulants effectively treat which key domain of ADHD
inattention
What are the key things surrounding psychopathy
includes calleous, manipulative , and decietful behaviors as well as lack of remorse
Federal 504 plan
involves a daily report card of a child behavior
what are coericve parent child interactions
involves neagvtive reinforcement of child opositonal behavior of parental demands once the child escaltes to a certain point
panic disorder
involves recurrent , unexpected panic attacks or excessive attempts to avoid situations in which an attack might occur
conduct disorder (CD)
is more severe than ODD and involves at least 12 months one or more of behavioral symptoms involving violations of others rights or major rule violation or other. Aggression towards ppl or animals destruction of property, lying
Separation anxiety disorder
kids who remain upset for extremely long periods of time after being separated from their parents - kids report that they fear bad things will happen to them or their parents if they are sperated for too long
After years of witnessing crime in his neighborhood and seeing people drop out of high school and end up in jail, Jonathan has adopted the attitude that there's no point in going to school or working hard to get out. What does this attitude likely reflect?
learned helpness
Juanita, a 13‐year‐old girl, has been extremely sad and lethargic for the last month. She is normally a typical teenager who is generally happy but moody at times. Her parents are concerned by recent statements that she doesn't want to spend time with friends or care about school, and she has been talking a lot about death lately. Based on this description, what would be the most appropriate diagnosis for Juanita?
major depressive disorder
What is not a factor specifically associated with the life‐course persistent pathway of antisocial behavior?
maturity gap
4. Cognitive‐behavioral therapy (CBT) for depression would most likely focus on what?
modifying negative attributes thought patterns linked to depression
what is the cause of anxiety disorder
more nurture than nature. Dependent heavily on the enviroment
what is hyperactivity / impulsivity
most associated category with ADHD, this can include fidgeting , getting out of your seat. These behaviors are usually most evident in structured settings such a school.
What behavioral principle governs the relationship between anxiety and avoidance behavior?
negative reinforcement
what is the rate of ADHD in the US ?
occurring at a rate of 7% 2.5 boys are diagnosed for every one girl
biological factors influencing anti social kids
on a neurolgical level anti social children also tend to have higher responsitivy to rewards and low responsively to fear and stress
Tony is an 8‐year‐old boy with a history of arguing, irritable mood, and negative behavior since at least age 6. His parents report that he is often spiteful and refuses to do things they ask, even though they are reasonable requests for a child his age. He also argues with teachers and struggles to get along with other kids. Based on this description, what would be the most appropriate diagnosis for Tony?
oppositional deviant disorder
what age does a child must be to be prescribe meds
over the age of 6 -ADHD meds are over prescribed
Deviancy training, which involves laughing and encouragement between peers, represents a type of what for antisocial behavior?
positive reinforcement
Based on the textbook's discussion of treatments, what is a form of cognitive‐behavioral, child‐focused intervention?
problem solving skills
what is oppositional defiant disorder (ODD)
refer to age innapproiate symptoms of hostile , negative, and argumentative behavior among youths lasting at least six months in duration
what is anxiety
refers to a mood state involving strong negative emotions , physical tension. and acitipatory worry about future danger or problems
inattention
refers to the inability to maintain focus on a topiv or task
worry
refers to the thughts that go along with anxiety young children tend to self talk and adults tend intenalize these thoughts
what risk factors influence the development of ADHD
smoking, pre natal alcohol use
1. Alfonso, a 12‐year‐old boy, recently developed an extreme aversion to being in situations in which he might be embarrassed or have to be evaluated by others. Any time there is a school performance, he appears to develop stomachaches and refuses to go. Based on the information provided, which anxiety disorder diagnosis would best apply to Alfonso's symptoms?
social anxiety disorder
6. What behavioral principle governs the way that video games and other forms of media exert their influence on children's involvement in antisocial behavior?
social learning
deliquency
specific to children behaviors that are specific to juvenilles violation of child laws of conduct
what do the stimulants target in the brain
stimulants such as ritalin and adderol target the dopamine receptors in the brain and increase the frontalstraital circuity of the brain
what are the psychological approaches to treating anxiety disorder?
systematic desensitization exposure to the stimuli that is feared
Freedom from Distractibility
the ability to ignore info that is irrelevant to the task
sustained attention
the ability to maintain focus on a task over time
changes in the DSM-5 for anxiety disorders
the criterion requiring individuals to recognize the anxiety an unreasonable or excessive will no longer apply to them as adults if it did not apply to them as a child. Also, agorphia can occur without panic symptoms
What was a key result of the Multimodal Treatment of Children with ADHD Study (also known as the MTA Study)?
the effects of both medication and behavioral treatment are no longer evident several years after treatment has stopped
. Based on your textbook, approximately 50% youths with conduct problems are also diagnosed with depression or an anxiety disorder. Recent research suggests that this is due to what?
the overlapping negative effect for ODD/ Depression
What statement best represents the inheritance pattern for most forms of anxiety based on research in genetics?
there is often a predisposition for anxiety
What brain funcition is affected in anti social children
they have an overactive behavioral activation system (/BAS) and an under active behavioral inhibition system (BIS) . they have deficits in the frontal stratal circuity
Anti social behavior has deficits in the frontal stratal circuity
this is why anti social kids do not respond well to punishments but they do respond well to reward focused contingency systems
internalizing behavior
this refers to emotional concerns like depression and anxiety that are less generally obvious
is it possible to be diagnosed with more than anxiety disorder ?
true
true or false are kids with ADHD more likely to be diagnosed with a learning disability
true 25% are likely to be diagnosed with a learning disability also co - occurs with conduct problems , tic disorders, and depression
Specific Phobias
very specific involves excessive efforts to avoid the feared stimuli or enduring the feared stimuli with intense distress
Use of behaviorally based parent training methods is most appropriate for whom?
young children with ADHD and behavioral problems