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Lecture

CHYS 2P35 - October 31

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Department
Child and Youth Studies
Course
CHYS 2P35
Professor
Ayda Tekok- Kilic
Semester
Fall

Description
October 31, 2013 LECTURE 7 (Continuation of last week’s lecture on mood disorders)  Bipolar Disorder (BD) 1­ Definition • Recurrent episodes of depression, mania and/or mixed symptom states • BD is difficult to recognize and diagnose in youth ­symptom criteria established for adults ­symptoms can resemble or co­occur with those of other common childhood onset ­symptoms may be instantly mistaken for normal emotions and behaviours of  children and adolescents 2­ Manic Symptoms: • Severe change in mood • Overly inflated self­esteem ­grandiosity ­hallucinations ­delusions • Increased energy, decreased need for sleep • Increased talking • Distractibility • Increased goal­directed activity or physical agitation • Disregard of risk 3­ Symptoms of mania and depression in children manifest themselves through  a variety of different behaviours (Early vs. late onset) ­irritable ­prone to destructive outbursts rather than elated or euphoric ­BP may be at least as … Early Onset: • Severe, worst prognosis • Continuous, rapid cycling, irritable mixed symptom state • May co­occur with disruptive behaviour disorders (ADHD, CD) Late Onset: • Begin suddenly • Often with a classic manic episode • More episodic pattern with relatively stable periods between episodes • Less co­occurring ADHD or CD This Weeks Lecture: Conduct Disorders 1­ Some numbers • Documental in many cultures and countries • Prevalence • Community samples 2­16% • Clinical samples 28­65% 2­ Characteristics of Externalizing Disorders Oppositional Defiant: • Loses temper • Argues with adults • Actively defines or refuses to comply with adult request or rules • Deliberately annoys others • Blames others for own mistakes or misbehavior • Easily annoyed • Angry and resentful • Vindictive Conduct Disorder: • Aggression toward people and animals • Destructive of the property • Deceitfulness or theft • Serious violations of rules 3­ Dimensional Approach Three dimensions of oppositionality  in children (Stringaris & Goodman, 2009) 18.415 (5­16 years) priori dimensions:  Irritability Loses temper, angry resentful, touchy or easily annoyed Headstrong Argumentative, noncompliant, annoys Being hurtful Callous, premeditated, aggressive Overall Result: • The three dimensions of oppositionality irritable • Headstrong and hurtful, differ in their associations with categorical and  continuous measures of psychopathology 4­ Results of Stingaris & Goodman, 2009 General Results:  1. Associations with Categories: • ADHD with headstrong • Depression with irritability • Cold, callous emotions with hurtful 2. Associations with Conduct Disorder: • Headstrong ­status violence and non­aggressive offenses • Hurtful ­non­aggressive and aggressive • Irritability ­aggressive offenses and status violations 5­ Age of Onset and Symptom Clusters (CD) Childhood onset (before 10 years): • Family adversely (ex. Parental) • Genetic instability • Lower intellectual functioning • Academic problems (cognitive problems) • Multiple comorbidity • Lower adult outcomes (family, health, socio­emotional) Adolescent onset (after 10 years): • Association with delinquent peers, social status
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