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    Seminar 6. Evaluarea ADHD La Copii

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    binzegger
    The document discusses the evaluation of ADHD in children. It provides information on: 1) What ADHD is, describing the core symptoms of inattention, hyperactivity, and impulsivity. 2) Common assessment tools used to evaluate ADHD in children ages 3-7 include the Children's Behavior Checklist and Conners Scales. 3) These tools are parent and teacher rating scales that assess symptoms of inattention, hyperactivity, impulsivity and common comorbid conditions like oppositional defiant disorder and anxiety.

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    Seminar 6. Evaluarea ADHD La Copii

    Uploaded by

    binzegger
    39 views15 pages
    The document discusses the evaluation of ADHD in children. It provides information on: 1) What ADHD is, describing the core symptoms of inattention, hyperactivity, and impulsivity. 2) Common assessment tools used to evaluate ADHD in children ages 3-7 include the Children's Behavior Checklist and Conners Scales. 3) These tools are parent and teacher rating scales that assess symptoms of inattention, hyperactivity, impulsivity and common comorbid conditions like oppositional defiant disorder and anxiety.

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    Seminar%206.%20Evaluarea%20ADHD%20la%20copii (1)

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    The document discusses the evaluation of ADHD in children. It provides information on: 1) What ADHD is, describing the core symptoms of inattention, hyperactivity, and impulsivity. 2) Common assessment tools used to evaluate ADHD in children ages 3-7 include the Children's Behavior Checklist and Conners Scales. 3) These tools are parent and teacher rating scales that assess symptoms of inattention, hyperactivity, impulsivity and common comorbid conditions like oppositional defiant disorder and anxiety.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    39 views15 pages

    Seminar 6. Evaluarea ADHD La Copii

    Uploaded by

    binzegger
    The document discusses the evaluation of ADHD in children. It provides information on: 1) What ADHD is, describing the core symptoms of inattention, hyperactivity, and impulsivity. 2) Common assessment tools used to evaluate ADHD in children ages 3-7 include the Children's Behavior Checklist and Conners Scales. 3) These tools are parent and teacher rating scales that assess symptoms of inattention, hyperactivity, impulsivity and common comorbid conditions like oppositional defiant disorder and anxiety.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 15

    Evaluarea ADHD la copii

    ADHD – ce presupune?

    • “Attention deficit hyperactivity disorder (ADHD) is a pattern of


    behaviour which is the most recent in a series of American attempts
    to characterise inattentive restlessness as a condition. It is effectively
    a syndrome encompassing hyperactivity, poor concentration and
    marked impulsive, impatient, excitable behaviour. Most, but not all,
    instances are predominantly genetic in origin, with various inherited
    deficiencies of the dopamine neurotransmitter system.”
    Interviu: un copil cu ADHD vs. un copil fără
    ADHD
    Studii de caz. Activitate la nivel de grup
    (15 minute)
    1. Identificați simptomele prezente în cazul primit.

    2. Argumentați un posibil diagnostic. De ce alte


    informații ați mai avea nevoie pentru a putea pune
    un diagnostic?

    3. Efectuați o descriere scurtă a cazului pentru a-l


    prezenta în fața colegilor împreună cu punctele 1 și 2.
    Symptoms of ADHD

    Inattention Hyperactivity
    Impulsivity
    ADHD: Prevalence and Demographics

    • Overall prevalence 3% to 10% in school-aged children


    • Diagnosed in boys 3 to 4 times more often than
    in girls
    • Persists in 30% to 50% of patients into adolescence
    and adulthood (symptom profile may change)
    Impact of ADHD on Patients
    and Family
    • Patients • Family
    – Poor academic – Increased stress
    achievement levels
    – Social impairment – Increased depression
    – Low occupational – Increased marital
    status discord
    – Increased risk of – Changed work status
    substance abuse
    – Increased risk of
    injury
    Impact of ADHD on
    School Performance
    • Poor classroom behaviour
    • Poor academic achievement
    • Special education requirements (tutoring and special
    educational programmes)
    • School exclusion (either suspension or expulsion)
    • Repetition of grades
    • Failure to gain external qualifications
    Effects of ADHD on Behavioural
    Development
    • Problems with productivity and motivation
    • Reduced ability to express ideas and emotions
    • Decreased working memory
    • Problems with social interaction
    • Impairments in speech
    • Problems with verbal reasoning
    Developmental Impact of ADHD
    Academic problems Occupational failure
    Difficulty with social interactions Self-esteem issues
    Self-esteem issues Relationship problems
    Behavioural Legal issues, smoking Injury/accidents
    disturbance and injury Substance abuse

    Pre-school Adolescent Adult


    School-age College-age

    Behavioural disturbance Academic failure


    Academic problems Occupational difficulties
    Difficulty with social Self-esteem issues
    interactions Substance abuse
    Self-esteem issues Injury/accidents
    Defining Comorbidity

    • ADHD is highly comorbid


    • Comorbidity is defined as two different diagnoses
    present in an individual patient
    • It is important to recognise comorbid disorders
    • Comorbidities may require treatment independent
    from and different to therapy for ADHD
    Co-occurring Disorders in Children (n
    = 579)

    Oppositional
    ADHD Tics Defiant
    alone 11% Disorder
    31% 40%
    Anxiety
    Conduct Disorder
    Disorder 34%
    14%

    MTA Cooperative Group.


    Mood Disorders 4% Arch Gen Psychiatry 1999;
    56:1088–1096
    Chestionarul de evaluare a copiilor–4 (ECI-4)
    Chestionarul de evaluare a copiilor–4 (ECI-4) este un instrument de screening care evaluează cele mai
    prevalente tulburări psihiatrice manifestate la copii cu vârste cuprinse între 3-7 ani; Itemii cuprinşi în ECI-4
    se bazează pe criteriile de diagnostic prevăzute de Asociaţia Americană de Psihiatrie (1994) în Manualul de
    diagnostic şi statistică a tulburărilor mentale (DSM).
    • ECI-4 cuprinde o variantă pentru părinţi şi o variantă pentru educatori, astfel încât adunarea de informaţii
    de către clinician se realizează din contexte diferite.

    Evaluează riscul pentru următoarele tulburări:


    • ADHD
    • Tulburarea opoziționismului provocator
    • Tulburarea de conduită
    • PCS – agresivitate
    • Anxietate de separare
    • Anxietate generalizată
    • Fobie specifică
    • Tulburarea depresivă majoră și tulburare distimică
    • Fobie socială
    • Tulburări de somn
    • Tulburări de eliminare
    • Stres posttraumatic
    • Tulburări alimentare
    • Tulburare reactivă de atașament
    • Tulburări pervazive de dezvoltare (Autism, Asperger)
    Chestionarul de evaluare a copiilor–4 (ECI-4)
    Subscala pentru ADHD

    • Variantă pentru părinți sau educatori (itemii 1-18):

    • Tipul cu deficite de atenție (itemii 1-9)


    – Se grăbește să realizeze sarcinile sau activitățile și nu acordă atenție
    detaliilor
    – Îi este greu să fie atent/ă la activitățile de studiu sau de joc (de ex. să
    se uite la cărți cu imagini)

    • Tipul hiperactiv-impulsiv (itemii 10-18)


    – Este pe fugă sau se comportă ca și cum ar fi condus/ă de ,,un motor”.
    – Îi este greu să își aștepte rândul în timpul activităților de grup.
    Scalele Conners

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