Lecture 7

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ADHD

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similar, 5

The prevalence of ADHD is _______ worldwide but the use of mediation to treat ADHD is ___ times higher in North America than the rest of the world

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  • impairment

  • peers

  • School

  • Mortality

The presence of ADHD is associated with:

  • Marked _______

  • Problems with ______

  • ______ failure

  • ______

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categorical

→ dimensional

DSM treats ADHD as _______, whether you have it or not

→ BUT research evidence suggests it’s on a spectrum, _______

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understanding

DSM criteria shape our _______ of ADHD

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  • parent, teacher

  • children

Rating scales and interviews assessing ADHD:

  • Often use ______ and ______ reports to assess the presence of symptoms across _______

  • Often don’t directly ask ______ because they are unreliable + tend to underreport their symptoms

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  • attention

  • seated

A semi-structured interview like the KSADS assesses:

  1. Youth’s difficulty sustaining ______ on tasks or play activities

  2. Youth’s difficulty remaining _______

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Primarily

→ combined

When you look at parent or teacher report alone, you see _______ diagnoses of ADHD

→ When parent and teacher report are combined using the “or” rule, many of those cases become _______

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That there are different causes

There are many different presentations of ADHD, which implies what?

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  • correlated

  • dimension

  • internal

  • test-retest

  • stability

Cognitive disengagement syndrome symptoms:

  • Are highly ______ with each other

  • Form a distinct ______ of symptoms from those comprising other disorders

  • Are internally consistent so high ______ reliability

  • Show reasonable _____-______ reliability over short time periods

  • Have significant _______ and invariance over long periods

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5-9%

About how many (%) school-age children in North American are diagnosed with ADHD?

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  • 3.4%

  • 0.8%

  • 1.8%

Prevalence of ADHD subtypes among the population:

  • ADHD-PI → ___%

  • ADHD-HI → ___%

  • ADHD-C → ___%

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normative

There are cultural and contextual differences in ADHD because hyperactivity can be seen as more or less ________ in different places

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SES, poverty

Low _________ is a risk factor for ADHD because it’s more prevalent among children living in ______

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Boys

→ ADHD-HI and ADHD-C

  • ADHD-PI girls are less disturbing so more often undiagnosed

  • ADHD-HI boys are more disturbing so more likely to be diagnosed

______ are more likely to be diagnosed with all subtypes of ADHD, but the gap is wider for which subtypes? Why?