Sign in to follow this  
Followers 0
Gurpal

Part II ISQ Club - Child Psychiatry (b)

23 posts in this topic

Part II ISQs will be posted regularly. You are encouraged to post a reply in the thread, stating whether you think an ISQ is true or false and why (eg. a short explanation, with reference to the textbook/clinical paper/web page you used). Please only deal with one ISQ in each post and include the question as the first line of your post.

Some questions are easier than others. Some questions may be phrased incorrectly - feel free to offer alternative questions.

1. The heritability of conduct disorder 0.1–0.2%

2. Stealing from shops is associated with anxiety disorder in children/adolescents

3. Irrespective of the child's aggression, peer rejection on its own increases the risk of antisocial behaviour

4. Children with peer rejection usually have mothers who are unsociable

5. Teenagers with social phobia have a higher incidence of shop lifting

6. Juvenile delinquency is seen in more than 10% of urban teenagers

7. Genetic factors explain emotional problems in a child who is adopted more than environmental factors

8. Truancy is seen with somatisation in children

9. Aggression is more common in urban teenagers than rural teenagers

10. School refusal is as common in boys as in girls

11. ADHD is associated with alcohol dependence

12. ADHD is as common in people with a profound learning disability as those with a normal IQ

13. Perinatal complications are associated with ADHD

Share this post


Link to post
Share on other sites

11. ADHD is associated with alcohol dependence true

neurobiological risk factors-fetal exposure resulting from mothers use of alcohol,drugs or cigarettes.

psychosocial - maternal stress durig preg,poor quality or disrupted early caregiving(institutions or foster care).

ADHD occurs after traumatic brain injuryin 25% of cases or after exposure to environmental toxins such as zinc or lead.

Ref:Rutter 4th edition 2002 page no406.

Share this post


Link to post
Share on other sites

2. Stealing from shops is associated with anxiety disorder in children/adolescents F

5. Teenagers with social phobia have a higher incidence of shop lifting F

one needs to be bold to shoplift, anxious and agoraphobic stay at home (ref. vague recollection from Manchester course)

Share this post


Link to post
Share on other sites

Association of attention deficit hyperactivity disorder and gestational alcohol exposure: an exploratory study.

Bhatara V, Loudenberg R, Ellis R.

University of South Dakota. abhatara@aol.com.

Objective and methods: To explore association between prevalence of ADHD and levels of risk for gestational alcohol exposure, the authors reviewed the charts of 2,231 youth referred for fetal alcohol spectrum disorders. Participants were categorized into four groups by different levels of risk for gestational alcohol exposure. For each group, the prevalence rates of ADHD and other selected disorders were determined. Results: The disorder ranking first in overall prevalence was ADHD (41%), followed by learning disorder (17%) and oppositional-defiant/conduct disorder (16%). Prevalence rates of ADHD across the groups generally were high risk > some risk > unknown risk > no risk. Conclusion: The frequency distribution of ADHD cases was according to the levels of risk for gestational alcohol exposure. These results add to a growing body of evidence supporting an association between ADHD and prenatal alcohol exposure. Findings need to be confirmed by definitive studies on ADHD and gestational alcohol exposure.

There is an assoc only with maternal alcohol in ADHD not proven

Share this post


Link to post
Share on other sites

13. True

Perinatal complications in children with attention-deficit hyperactivity disorder and their unaffected siblings.

Ben Amor L, Grizenko N, Schwartz G, Lageix P, Baron C, Ter-Stepanian M, Zappitelli M, Mbekou V, Joober R.

Department of Psychiatry, Laval University, Quebec ;)

:-[

Share this post


Link to post
Share on other sites
1-f ref oxford textbook

Heritability of conduct disorder is 0.1-0.2 True Ref Superego course 8-)

Share this post


Link to post
Share on other sites

Heritability of conduct disorder is 0.1-0.2 True Ref Superego course  

:(

THE BIRMINGHAM COURSE STATES THIS ALSO TO BE FALSE

THIS IS FALSE:

SO ITS TRUE AND FALSE !

reference is:

J Child Psychol Psychiatry. 2005 Jun;46(6):580-91

Genetic and environmental influences on conduct disorder: symptom, domain and full-scale analyses

Heritability estimates were .49, .55 and .53 for the aggressive domain, non-aggressive domain, and full-scales, respectively. These results are in contrast to previous research on antisocial behavior measured with the CBCL reporting higher heritability for aggressive versus non-aggressive domains. CONCLUSIONS: Results suggest that individual symptoms of CD may be differentially heritable

Share this post


Link to post
Share on other sites

I would go for FALSE - most literature agrees on much higher figures, which also make logical sense.

Example:

Developmental Neuropsychology

2000, Vol. 17, No. 3, Pages 273-

Heritability and the Comorbidity of Attention Deficit Hyperactivity Disorder With Behavioral Disorders and Executive Function Deficits: A Preliminary Investigation

Frederick L. Coolidge[ch8203][ch8204]

Department of Psychology , University of Colorado at Colorado Springs

Linda L. Thede[ch8203][ch8204]

The heritability and comorbidity of attention deficit hyperactivity disorder (ADHD) with conduct disorder (CD), oppositional defiant disorder (ODD), and executive function (EF) deficits were examined in 224 child twins (140 monozygotic and 84 dizygotic). The Coolidge Personality and Neuropsychological Inventory for Children (Coolidge, 1998), a standardized, 200-item, Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) aligned, parent-as-respondent inventory, assessed psychopathology. Structural equation model fitting revealed that the individual scale heritabilities were substantial: .82 for ADHD, .74 for CD, .61 for ODD, and .77 for EF deficits. The results of the multivariate twin analyses suggest that ADHD shares most of its genetic liability with CD, ODD, and EF deficits. Thus, the findings argue for a common biological risk underlying these commonly comorbid externalizing behavior problems and cognitive deficits. The residual genetic variance provides preliminary support for additional genetic influences underlying CD, ODD, and EF that are independent of ADHD.

Share this post


Link to post
Share on other sites

ATTEMPT AT THESE QUESTIONS. PLEASE CONSTRUCTIVE CRITICISMS WELCOMED

1. The heritability of conduct disorder 0.1–0.2% F

2. Stealing from shops is associated with anxiety disorder in children/adolescents T

3. Irrespective of the child's aggression, peer rejection on its own increases the risk of antisocial behaviour F

4. Children with peer rejection usually have mothers who are unsociableF

5. Teenagers with social phobia have a higher incidence of shop liftingF

6. Juvenile delinquency is seen in more than 10% of urban teenagers?T

7. Genetic factors explain emotional problems in a child who is adopted more than environmental factors F

8. Truancy is seen with somatisation in children T

9. Aggression is more common in urban teenagers than rural teenagersT

10. School refusal is as common in boys as in girlsT

11. ADHD is associated with alcohol dependenceT

12. ADHD is as common in people with a profound learning disability as those with a normal IQ F (COMMONER AMONGST THE LD)

13. Perinatal complications are associated with ADHD T

Back to top

Share this post


Link to post
Share on other sites

12. ADHD is as common in people with a profound learning disability as those with a normal IQ

FALSE

Low IQ generally associated with increased likelihood of ADHD

Share this post


Link to post
Share on other sites

9. Aggression is more common in urban teenagers than rural teenagers

Interesting one this. According to Manchester notes, the follow-up to the Isle of Wight study showed double the rate of childhood conduct disorder in inner city London. But a more recent study in Ontario shows a less marked differential in children and a greater rate of conduct disorder in rural adolescents.

If they'd said children I would say true, but with 'teenagers' in there I think the college are looking for false.

Share this post


Link to post
Share on other sites

1. The heritability of conduct disorder 0.1–0.2% T

2. Stealing from shops is associated with anxiety disorder in children/adolescents  F

3. Irrespective of the child's aggression, peer rejection on its own increases the risk of antisocial behaviour  T

4. Children with peer rejection usually have mothers who are unsociable  F

5. Teenagers with social phobia have a higher incidence of shop lifting F

6. Juvenile delinquency is seen in more than 10% of urban teenagers F

7. Genetic factors explain emotional problems in a child who is adopted more than environmental factors  F

8. Truancy is seen with somatisation in children  F ANTISOCIAL

9. Aggression is more common in urban teenagers than rural teenagers F

10. School refusal is as common in boys as in girls  F

11. ADHD is associated with alcohol dependence  T

12. ADHD is as common in people with a profound learning disability as those with a normal IQ F

13. Perinatal complications are associated with ADHD  T

Share this post


Link to post
Share on other sites
Sign in to follow this  
Followers 0