AB CHILD PSYCH EXAM 4 REVIEW

• dyssomnias


  disturbances in the amount, timing, or quality of sleep
• dyssomnias are quite common in ____ and ______ with the exception of ______

  childhood; adolescence; narcolepsy
• insomnia disorder


  difficulty initiating or maintaining sleep, or sleep that is not restorative; infants: repetitive night waking and inability to fall asleep
• Hypersomnolence Disorder


  excessive sleepiness that is displayed as either prolonged sleep episodes or daytime sleep episodes; extreme exhaustion throughout the day
• narcolepsy


  irresistible attacks of refreshing sleep occurring daily, accompanied by brief episodes of loss of muscle tone (cataplexy)
• narcolepsy treatment

  structure, support, psychostimulants, antidepressants
• breathing-related sleep disorders


  Sleep disruption leading to excessive sleepiness or insomnia, caused by a breathing problem such as interrupted (sleep apnea) or labored (hypoventilation) breathing.
• breathing-related sleep disorders treatment

  removal of tonsils and adenoids
• circadian rhythm sleep disorder


  Persistent or recurrent sleep disruption leading to excessive sleepiness or insomnia due to a mismatch between the sleep-wake schedule required by a person's environment and his or her internal sleep cycle (circadian rhythm); late sleep onset (after midnight), difficulty awakening in morning, sleeping in on weekends, resistance to change
• circadian rhythm sleep disorder treatment

  Behavioral treatment, chronotherapy
• parasomnias


  disorders in which behavioral or physiological events intrube on ongoing sleep
• parasomnias include ______ or ________ arousal at inappropriate times during sleep-wake cycles

  physiological, cognitive
• nightmare disorder


  Repeated awakenings with detailed recall of extended and extremely frightening dreams, usually involving threats to survival, security, or self-esteem; generally occurs during the second half of the sleep period
• nightmare disorder is common between ages ____ to ____

  3;8
• nightmare disorder treatment

  provide comfort and reduce stress
• sleep terrors


  Recurrent episodes of abrupt terror arousals from sleep, usually occurring during the first third of the major sleep episode and beginning with a panicky scream. There is intense fear and signs of autonomic arousal, such as mydriasis, tachycardia, rapid breathing, and sweating, during each episode; difficult to arouse, inconsolable, disoriented; no memory of episode in the morning
• sleep terrors occur within ___% of children ages ____ months to ___ years

  3;18;6
• sleep terrors treatment

  Reduce stress and fatigue; add late afternoon nap
• sleepwalking


  repeated episodes of arising from bed during sleep and walking around, usually during the first third of the major sleep episode; poorly coordinated, difficult to arouse, disoriented; no memory of episode in morning
• sleepwalking occurs at least once in ____% of children

  15
• ____ to ___% of children have four sleep walking attacks per week

  1-6
• sleepwalking treatment

  take safety precautions, reduce stress and fatigue, add late afternoon nap
• encopresis


  the passage of feces in inappropriate places
• primary encopresis


  child has reached age 4 without establishing fecal continence
• secondary encopresis


  current episode preceded by period of continence (most common type)
• encopresis causes including _______, _______, and not ________ signs when it is time for bowel movement

  avoiding, suppressing, recognizing
• abnormal defecation dynamics ________ risk for chronic constipation leading to the development of _______

  increases, encopresis
• encopresis treatment includes combined _______ (laxatives) and _______ interventions

  medical, behavioral
• pediatric psychology video

  psychologists in primary

  practice

  integration of behavioral health and mental health to offer more seemless service to have physicians in the office while providing mental care

  
  

  integrated care model can have an intervention done right away if needed

  
  

  all medical notes and info is right there
• adolescent substance use disorders (SUDS):

  problematic use of substance resulting in 2 of the following:

  -larger amounts or for longer than intended-desire or failed effort to cut down or control-obtaining, using, recovering takes a lot of time-craving, desire, urge to use-impairment at work, school, home-continued use despite interpersonal problems-social, occupational, recreational activities reduced-physically hazardous situations (Driving)-use despite physical or psychological problems-tolerance: need more, less effect-withdrawal syndrome, avoidance through related drug
• early remission SUD


  within 1 year a patient has not had any symptoms of dependence for at least 3 months
• sustained remission SUD


  Sustained remission means that within a year a patient has not had any symptoms except craving symptom
• controlled environment SUD


  the individual is in an environment where access to alcohol and controlled substances is restricted and no criteria for Dependence or Abuse have been met for at least the past month.
• mild SUD


  2-3 sx
• moderate SUD


  4-5 sx
• severe SUD


  6 or more sx
• critical risk factor for SUD is _____ of first use

  age
• the odds of developing alcohol dependence decreases by ___% for each year that onset of drinking is delayed

  9
• alcohol use before age of ____ is strong predictor of later ______ ____/____

  14, alcohol-use/dependence
• interpersonal theory of suicide


  A theory that asserts that people with perceived burdensomeness, thwarted belongingness, and a psychological capability to carry out suicide are the most likely to attempt suicide