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Lecture

PSYCH 2AP3 – (2) Neurodevelopmental Disorders.docx

23 Pages
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Department
Psychology
Course Code
PSYCH 2AP3
Professor
Richard B Day

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Description
PSYCH2AP3AbnormalPsychologyNeurodevelopmentalDisordersADHDDisordersdiagnosedinchildhoodandinfancyiswhatitusedtobecalledinDSMIVIssuesinthedevelopmentinthebrainandneuronsThetwoformsofADHDarediagnosedatdifferentagesNootherspecifiedleavingmanyotherdisordersnotspecifiedOnlytalkingaboutAutismSpectrumDisorderandHistoryofADHDFirstdescribedin1902byDrGeorgeStillEnglishPhysicanMostresearchedofallchildhooddisordersmaypassontoautismsoonNamechangesovertheyearso1960sminimalbraindysfunctionMBDo1970sAttentionDeficitDisorderADDHorHwithorwithouthyperactivityo1980sADDplusAttentionDeficitHyperactivityDisorderADHDforthosewithhyperactivityDSMIV1994andDSM5useADHDforallcases3subtypesDSM5ADHDSpecificersADHDPredominantlyInattentiveAHDHPIdominancesymptompatternsareinattentiveADHDPredominantlyHyperactiveandImpulsiveADHDPHIpredominantelyhyperactiveandimpulsiveADHDCombinedTypeADHDCleastfrequentDSM5CriteriaforADHDPIknowgeneralideaofsymptomsPrimarilyinattentivedominantsymptomsindifficultymaintainingattentionDontneedtoknowtheentirelistknowagenerallistofsymptomAtleast6ofthefollowing9symptomspresentforatleast6monthschose6monthsoftenoOftenfailstogivecloseattentiontodetailsormakescarelessmistakesoOftenhasdifficultlysustainingattentioninworkorplayoOftendoesnotseemtolistenwhenspokentodirectlyoOftendoesnotfollowthroughoninstructionsfailstofinishworkoOftenhasdifficultyorganizingtasksoractivitiesoOfteneasilydistractedbyextrastimulioOftendislikesoravoidstasksrequiringsustainedmentaleffortoOftenlosesthingsnecessaryfortasksoractivitiesoOftenforgetfulindailyactivitiesOftenissubjectiveandinformationcouldcomefromeitherparentsorteachersUsuallykidsdothesethingsDiagnosedinmiddleschoolandhighschoolwhereinattentionisflaggedhereNotlikelyinprimaryschoolbckidsareinattentiveanywaysDSM5CriteriaforADHDPHIAtleast6outof9foratleast6monthsoftenoFidgetsortapshandsorfeetandsquirmsinseatsleavesseatwhennotsupposedtooRunsaboutorclimbswheninappropriateoActsifdrivenbyamotoroUnabletoplayorengageinleisureactivitiesquietlyoTalksexcessivelyoBlurtsoutanswersoDifficultyawaitingtheirturnoInterruptsorintrudesonothersOftenistoooftenHowoftenisabnormalAlmostalloftheseactivitiesareprimarilyintheschoolsettingandnotathomeDiagnosedinkindergartenpreschoolearlygradesofprimaryschoolPrimarydiagnosedinboyshyperactivityandimpulsiveistypicalofboysatthatageTypicalofyoungboysundertheageof7malebehaviourMuchmoremalesarediagnosedThesesymptomsmustappearinatleasttwodifferentlifesituationsinschoolandatworkorhomeCannotjustbeatschoolMostlygiventoyoungkidsOccursineveryDSMcategorymustbeclearevidencethatthesesymptomscausedysfunctionanddisabilityAlotofsubjectivityinthiscategoryOtherNonDiagnosticCharacteristicsGeneralSocialClumsinessoEgocentricunawareofhowothersseethemSeeonlyformtheirperspectiveInsensitivetoconventionsocialexpectationDifficultyreadingfacialexpressionAggressivetendenciesoverlyassertivePoorunderstandingofgroupdynamicslackofsocialjudgmentmuchmoretypicalofautisticcommontoschizophreniatoobutmoredramaticPeoplegrowoutofthisstuffandcreatestrategiesofdealingwithitMostcommonlydiagnosedinchildrenEpidemiologyIncidenceandPrevalenceAnnualIncidenceIncidencehowmanyNEWcasesthatdevelopinsometimeperiodex1yearDoesnotincludepreviouscasesOnlyNEWcaseswithinthelastyearPrevalencehowmanyexistingcasesinsometimeperiodoPointprevalencehowmanycasesnowAtTHISPOINTintimewhatproportionofpopoAnnualprevalencehowmanycasesinpastyearHowmanypeoplefirstreceivedthediagnosiseitherforthefirsttimeorwerecontinuingtoshowthesymptomsIfyouhavehadthesymptomsatanytimein12monthsAlmostalwayslargerthanannualincidenceoLifetimeprevalenceprobabilitywillatsometimeintheirlivesshowthesymptomsofthedisorderThiswillalwaysbethehighestnumberforprevalenceAssessingIncidenceandPrevalenceEitherasaaspopulationornumberofcasesper10000ofpopulationCasesper100populationWhatpercentofpeoplehavehadthisdisorderEasytounderstandintuitiveoProblemnotgoodforlowfrequencydisorders110doesntmeanasmuchwhenitsafractionpercentSousedper10000Casesper10000populationUsedforlowfrequenciesoProblemnotgoodforhighfrequencydisorders
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