-
This is defined as contact of the mouth with other objects.
Mouthing
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The major types of mouthing are ____ and _____ mouthing.
-
Problematic mouthing occurs at _____ rates across settings.
high
-
The likelihood of mouthing is _________ depending on the individual's independence with leisure, mobility, and life skills.
decreased
-
Mouthing is part of human development from prior to ____ months of age to ___ years of age.
-
Infants with intellectual disabilities begin mouthing ______ compared to non-ID infants; between 12-36 months of age.
later
-
Theories of _________ include homeostasis, increased tactile sensitivity, and operant causes (escape & attention).
mouthing
-
________ is defined as the presence of saliva outside the mouth.
Drooling
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Etiology of ________ has been associated with physical problems (cerebral palsy, dysphagia and poor posture), side effects of medication, mouthing behavior, or operant causes.
drooling
-
_________ is defined as excessive water or fluid intake.
polydipsia
-
Factors associated with __________ are polyuria (excessive urination), osmolality (increased body water concentration), and hyponatremia (dangerous decrease in body salt levels).
Polydipsia
-
The prevalence of polydipsia in people with ID is __ - __%
3.5 - 6.2 %
-
Polydipsia has pathophysiology similar to _________, possibly related to problems in the thalamic brain region.
schizophrenia
-
__________ is defined as chronic regurgitation, re-chewing, and swallowing food.
Rumination
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Rumination is involved in involuntary regurgitation or operant vomiting?
Rumination is NOT involved in EITHER ONE. It is unique (chronic regurgitation, re-chewing and swallowing of food)
-
The prevalence of rumination is ____ - ____ % of children with severe or profound ID.
3-9%
-
Etiologies of ___________ include sensory stimulation, attention, escape, and problems with eating behavior (too quickly, not chewing, etc.).
rumination
-
___________ is defined as the repeated eating of nonnutritive substances for at least 1 month.
Pica
-
________ is common in typically developing infants younger than 4 years of age.
Pica
-
The prevalence of pica in children living in the community is _________ %
0-1.7%
-
__________ is the use of words in an uncommunicative manner.
Echolalia
-
__________ __________ is a normal part of language development but dissipates around 3 years of age.
Echoic behavior
-
____________ is classified as immediate or delayed.
Echolalia (e.g. immediate= parrot speech, delayed= relevant quote from a movie etc.)
-
Theories of __________ include a failure to acquire appropriate speech resulting in not knowing when or how to respond, escape, attention, self-instruction, and an imprecise form of communication.
Echolalia
-
The prevalence of echolalia is _______% in ID populations
50%
-
Treatment for __________ includes Differential Reinforcement for appropriate speech, prompts and prompt fading, verbal reprimands, response cost, and treatment packages such as cue-pause-point
echolalia
-
__________ ______________ are unintelligble sounds, words, phrases, or sentences which can result in a variety of negative effects.
Disruptive vocalizations (DV)
-
Types of ________________ include perseverative or loud vocalizations, complaints, threats, taunting, teasing, and swearing.
Disruptive vocalizations (DV)
-
Consequences of __________________ include aggression directed toward the individual and loss of school placement or employment.
Disruptive vocalizations (DV)
-
___________ is one of the most prevalent aberrant (deviation from accepted norms) behavior in community settings.
Disruptive Vocalizations (DV)
-
______________ is often part of a response class that includes aggression and self-injury.
Disruptive Vocalizations (DV)
-
Treatment for Disruptive Vocalizations maintained by auditory stimulation = ______________
sensory extinction
-
Treatment for Disruptive Vocalizations maintained by imitation = ____________
altering the environment
-
Treatment for Disruptive Vocalizations maintained by positive Reinforcement = ___________
Differential Reinforcement of appropriate speech
-
Treatment for Disruptive Vocalizations maintained by negative reinforcement (escape) = _____*there are several*_________
errorless learning, task variety, choice functional communication training, Differential Reinforcement, & escape extinction
-
_______________ are defined as a child's inability or refusal to eat or drink sufficient quantities to maintain nutritional status regardless of etiology.
Feeding Disorders
-
A typically developing infant triples their weight in the _________ year and gains _ pounds per year for __-__ years.
-
children can start eating solid food by ________ years old.
1 year
-
Pediatricians are usually the first to identify this disorder:
Feeding Disorder
-
Height/weight ratios are used to determine ___________
growth
-
"___________" means having a height-weight ratio below the ____th percentile.
-
The primary causes of _________________ tend to be organic, such as: structural, metabolic, and GI abnormalities, mechanical obstructions, dysphagia, chronic illness, and GER.
Feeding Disorder
-
Secondary causes of ___________________ are behavioral and include avoidance of pain or aversive stimuli associated with mealtimes, access to attention or tangibles, or skill deficits with feeding (swallowing, chewing, self-feeding).
Feeding disorder
-
Most cases of Feeding Disorder are a combination of ___________ and ______________ causes.
organic and behavioral
-
The prevalence of feeding disorders in children with ID is up to _______%
80%!
-
Feeding disorders are classified by food ________, food _______ by type/texture, and oral _____ ______.
- refusal;
- selectivity;
- motor delays
-
Behaviors associated with ____________ are spitting food, hitting/throwing food and untesils, covering mouth, vomiting and tantrums.
feeding disorders
-
Treatment for ______________ include reinforcement for food acceptance, non-removal of spoon, eliminating grazing, shaping types and textures, and ignoring tantrums.
feeding disorders
-
Research demonstrates that behavioral treatment of feeding disorders are __________ for children.
mostly very effective..& can lead to taking children off feeding tubes
-
A majority of parents found feeding disorder treatment ____________ and ________ to implement.
-
____________ is defined as repeated voiding of urine during day (diurnal) or night (nocturnal), into bed or clothes, whether involuntary or intentional.
Enuresis
-
_____________ is repeated passage of feces into places not appropriate for that purpose, whether involuntary or intentional.
Encopresis
-
To be diagnosed with enuresis, the behavior must occur ______ a month for children 5-6 years old and ____ per month for older children. Child MUST be at least __ years old.
-
To be diagnosed encopresis, the behavior must occur _____ per month or more for at least ____ months. Child MUST be at least __ years old.
- once;
- 6 months;
- 4 years old
-
Enuresis and encopresis do NOT involve the presense of_______________
physical causes
-
Normal bladder control is established at ___ years old.
3
-
Normal bowel control is established at ___ years old.
4
-
The prevalence of Enuresis in Non-ID children: age 5: 7: 9: 12-14:
- prevalence of Encopresis in non-ID children: age 3: 4: 5:
- 5:15% 7:7% 9:3% 12-14:1-2% ;
- 3:75% are clean 4:86% are clean 5: 93% are clean!
-
Cultural trends suggest that potty training is occuring ____ than in previous decades. Possible explanations include: increased ownership of washing machines, disposable diapers, parent schedules, and Dr. Spock style parenting.
later
-
The effects of _______________ include rashes, bed sores, constipation, urinary tract infection, bowel damages, soreness, negative care-giver-child interactions, and social avoidance.
elimination disorders.
-
In institutions, _____________ was associated with group size, ease of access to bathrooms, negative modeling, behavioral states, and passivity.
incontinence
-
Medication, anxiety, and caffeine have been associated with _______________.
incontinence
-
In treatment, fluid intake would be increased for __________. For __________, fluids would be restricted before bedtime.
-
An important part of _____________ is assessing and teaching dressing skills.
toilet training
-
For treating _______________, a bell and bad device has been effective
nocturnal enuresis
-
The simplest form of toilet training is _______________
schedule training
-
__________________________________ means having an individual practive the correct response ( an appropriate alt. behavior) multiple times upon occurrence of a mistake (or inappropropriate behavior).
Positive Practice Overcorrection
-
______________ is useful when it is unclear if the misbehavior is a skill or motivational deficit.
Positive Practice
-
positive practice is useful for _________ deficits because it reduces practice time, determines problems with the response performance, and allows emphasis on the correct response.
skill
-
positive practice is useful for _________ deficits because it increases the likelihood of the correct response due to the adeded effort associated with the misbehavior, decreases carelessness, and emphasis on the correct behavior.
motivational
-
No reinforcement should be allowed during ___________
positive practice
-
the duration of positive practice depends on the __________ and ________ severity of the misbehavior.
frequency and severity
-
______________ is having an individual restore an environment to a better condition than prior to the occurence of the misbehavior.
Restitution overcorrection
-
___________ can teach a person responsibility, independence, and social restitution.
Restitution
-
__________ guidance can be used if the individual is non-compliant.
Graduated
-
The effectiveness of overcorrection is _____________ when it is a routine consequence for misbehavior.
enhanced
-
_________ is defined as difficulties in initiating or maintaining sleep for at least a month which causes significant distress or impairment in social, occupational, and other important areas of functioning.
insomnia
-
The prevalence of sleep problems in children with autism is _____-____ % (most likely on test)
56-83%
-
______________ refers to normal daily activities that occur close to bedtime. Examples of poor ___________ include exercise, watching t.v. or playing on the computer.
Sleep Hygiene
-
__________________ disorder refers to child behavior problems at bedtime that result from failure of parents to set limits on the child's sleep and associated behaviors.
limit setting
-
The human circadian rhythm is a __ hour cycle. Therefore, we follow external cues to "reset" our internal clocks. this is known as _______
-
__________________ disorder is characterized of a child needing some object (such as a pacifier) or activity (being rocked) in order to fall asleep.
sleep onset association d/o
-
Sleep __________ can lead to irritability, aggression, hyperactivity, attention deficits, memory problems, anxiety, depression, obsessions, headaches, fatigue, obesity, GI upset, enuresis, infections, motor problems, and delayed growth.
deprivation
-
There are two types of sleep: _______ and _________. A person transitions back and forth from each state.
-
________ sleep is associated with dreaming and later in the sleep cycle;
- ________ sleep is deep sleep that is usually associated earlier in the sleep cycle.
- REM;
- NREM (Not REM sleep?)
-
_____________ are associated with Deep sleep in the 1st half of the night: piercing screams and intense fear
Night terrors
-
____________ are associated with early morning (In REM sleep) and arousal based on a frightening dream.
nightmares
-
___________ extinction is widely researched and shown effective but can be difficult for parents to implement.
non-graduated
-
Establishing a healthy bedtime _______ is the first step in setting good sleep habits.
routine
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