Disorders of Childhood and Adolescence Flashcards Preview

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Flashcards in Disorders of Childhood and Adolescence Deck (96)
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1

What percent of adolescents consider suicide?

20%

2

Does depression self resolve?

It can

3

True or false: brain structures can change with prolonged depression

True

4

Do most schools have suicide prevention programs?

Not most, but getting better

5

True or false: irritability as a symptom of depression is much more common in children

True

6

True or false: inattentiveness is not a common manifestation of depression in children

False--must r/o depression prior to diagnosing ADHD

7

What must always be r/o with suspected depression in children?

Substance abuse or medical condition

8

Can schizophrenia appear similar to depression or bipolar mania?

Yes

9

What are the criteria for MDD in children? (9)

-Fatigue
-Concentration difficulties
-Guilt
-Recurrent thoughts of death
-Anhedonia
-depressed Mood
-Psychomotor agitation
-Appetite changed
-Sleep disturbance

(FC GRAMPAS)

10

How many criteria are needed to diagnose MDD in children? How long must s/sx last?

Five symptoms for 2 weeks

11

Which is more common in MDD: weight loss or gain?

Weight loss

12

Which is more common in MDD: hypersomnia or hyposomnia

Hypersomnia

13

True or false: to meet the criteria for MDD, children can have irritability instead of depressed mood

True

14

What are the mood differences from adult MDD?

More irritable and labile

15

True or false: anhedonia is not a key marker in childhood MDD

False

16

Do children often verbalize feelings of sadness?

no

17

True or false: somatic complaints are common in childhood MDD

True

18

True or false: kids with MDD have an increased sensitivity to criticism, and poor focus

True

19

Why can a learning disability cause MDD?

Major part of self-worth at this age

20

What is the average length of depression?

7-9 months

21

What percent of childhood MDD remit by 2 years?

90%

22

What is the chance of recurrence of MDD in children at 2 and 5 years?

40% by 2 years
60-70% by 5 years

23

True or false: depression caught early is usually more treatable

False--usually more of a chronic, recurrent issue

24

What percent of children with MDD have one or more comorbid psychiatric conditions?

40-70%

25

Substance abuse is preceded by MDD by how many years on average?

5 years

26

What are the major mental health issues with marijuana use?

More anhedonia, apathy

27

What is double depression?

Dysthymia + MDD

28

What is the comorbidity of MDD + dysthymia?

Increased suicidality
Worse social impact

29

PTSD in the pediatric population often mimics what other psychiatric condition

ADHD

30

What is the common manifestation of trauma in kids?

Reenact the trauma