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Social Psychiatry and Psychiatric Epidemiology

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01-01-2010 | Original Paper

Developmental level and other factors associated with symptoms of mental disorders and problem behaviour in adults with intellectual disabilities living in the community

Authors: Oddbjørn Hove, Odd E. Havik

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 1/2010

Abstract

Background

Studies of the relationship between the level of intellectual disability and mental and behavioural disorders have reported divergent findings regarding the direction of the relationship and how it is related to different mental disorders.

Aims

To investigate the relationship between levels of intellectual disability and mental disorders and problem behaviour after adjusting for other relevant factors: age, gender, autism, genetic syndromes, the neurological conditions cerebral palsy and epilepsy, negative life events and quality of the social care provided.

Methods

A community sample of adults with intellectual disabilities (N = 593) were assessed using the Psychopathology Checklists for Adults with Intellectual Disability. A hierarchical regression model with forced entry was employed.

Results

Both linear and curvilinear relationships between intellectual disability and mental disorders were found after controlling for relevant factors that was independently associated with specific mental disorders.

Conclusions

Psychopathology models for adults with intellectual disabilities should include the level of intellectual disability, either in a linear or a non-linear way. Future research on this issue should focus on people with borderline intellectual disability.

Woodberry KA, Giuliano AJ, Seidman LJ (2008) Premorbid IQ in schizophrenia: a meta-analytic review. Am J Psychiatry 165:579–587CrossRefPubMed

Koenen KC, Moffitt TE, Roberts AL, Martin LT, Kubzansky L, Harrington H, Poulton R, Caspi A (2009) Childhood IQ and adult mental disorders: a test of the cognitive reserve hypothesis. Am J Psychiatry 166:50–57CrossRefPubMed

Whitaker S, Read S (2006) The prevalence of psychiatric disorders among people with intellectual disabilities: an analysis of the literature. J Appl Res Intellect Disabil 19:330–345CrossRef

Cooper SA, Smiley E, Morrison J, Williamson A, Allan L (2007) Mental ill-health in adults with intellectual disabilities: prevalence and associated factors. Br J Psychiatry 190:27–35CrossRefPubMed

Myrbakk E, von Tetzchner S (2008) Psychiatric disorders and behavior problems in people with intellectual disability. Res Dev Disabil 29:316–332CrossRefPubMed

Holden B, Gitlesen JP (2004) The association between severity of intellectual disability and psychiatric symptomatology. J Intellect Disabil Res 48:556–562CrossRefPubMed

Cooper SA, Bailey NM (2001) Psychiatric disorders among adults with learning disabilities—prevalence and relationship to ability level. Ir J Psychol Med 18:45–53

Prosser H, Moss S, Costello H, Simpson N, Patel P, Rowe S (1998) Reliability and validity of the mini PAS-ADD for assessing psychiatric disorders in adults with intellectual disability. J Intellect Disabil Res 42:264–272CrossRefPubMed

Reiss S (1988) Reiss screen for maladaptive behavior. International Diagnostic System Inc, Worthington

10.

Strydom A, Hassiotis A, King M, Livingston G (2009) The relationship of dementia prevalence in older adults with intellectual disability (ID) to age and severity of ID. Psychol Med 39:13–21CrossRefPubMed

11.

Royal College of Psychiatrists (2001) DC-LD: diagnostic criteria for psychiatric disorders for use with adults with learning disabilities/mental retardation. RCPsych Publications, London

12.

World Health Organication (1992) International classification of diseases, 10th edn. World Health Organization, Genova

13.

American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn. Text Revision, American Psychiatric Association, Washington DC

14.

Deb S, Thomas M, Bright C (2001) Mental disorder in adults with intellectual disability. 1: Prevalence of functional psychiatric illness among a community-based population aged between 16 and 64 years. J Intellect Disabil Res 45:495–505CrossRefPubMed

15.

Cwikel J, Zilber N, Feinson M, Lerner Y (2008) Prevalence and risk factors of threshold and sub-threshold psychiatric disorders in primary care. Soc Psychiatry Psychiatr Epidemiol 43:184–191CrossRefPubMed

16.

Kringlen E, Torgersen S, Cramer V (2006) Mental illness in a rural area: a Norwegian psychiatric epidemiological study. Soc Psychiatry Psychiatr Epidemiol 41:713–719CrossRefPubMed

17.

Cooper SA, Smiley E, Morrison J, Allan L, Williamson A, Finlayson J, Jackson A, Mantry D (2007) Psychosis and adults with intellectual disabilities Prevalence, incidence, and related factors. Soc Psychiatry Psychiatr Epidemiol 42:530–536CrossRefPubMed

18.

Tsakanikos E, Bouras N, Costello H, Holt G (2007) Multiple exposure to life events and clinical psychopathology in adults with intellectual disability. Soc Psychiatry Psychiatr Epidemiol 42:24–28CrossRefPubMed

19.

Hamilton D, Sutherland G, Iacono T (2005) Further examination of relationships between life events and psychiatric symptoms in adults with intellectual disability. J Intellect Disabil Res 49:839–844CrossRefPubMed

20.

Hastings RP, Hatton C, Taylor JL, Maddison C (2004) Life events and psychiatric symptoms in adults with intellectual disabilities. J Intellect Disabil Res 48:42–46CrossRefPubMed

21.

MacNeil BM, Lopes VA, Minnes PM (2009) Anxiety in children and adolescents with Autism Spectrum Disorders. Res Autism Spectr Disord 3:1–21CrossRef

22.

Smiley E, Cooper SA, Finlayson J, Jackson A, Allan L, Mantry D, McGrother C, McConnachie A, Morrison J (2007) Incidence and predictors of mental ill-health in adults with intellectual disabilities: prospective study. Br J Psychiatry 191:313–319CrossRefPubMed

23.

Boer H, Holland A, Whittington J, Butler J, Webb T, Clarke D (2002) Psychotic illness in people with Prader Willi syndrome due to chromosome 15 maternal uniparental disomy. Lancet 359:135–136CrossRefPubMed

24.

Hove O, Havik OE (2008) Psychometric properties of psychopathology checklists for adults with intellectual disability (P-AID) on a community sample of adults with intellectual disability. Res Dev Disabil 29:467–482CrossRefPubMed

25.

World Health Organization (1996) ICD-10 guide for mental retardation. World Health Organization, Genova

26.

Hove O, Havik OE (2008) Mental disorders and problem behavior in a community sample of adults with intellectual disability: three month prevalence and comorbidity. J Ment Health Res Intellect Disabil 1:223–237CrossRef

27.

Cohen J (2003) Applied multiple regression/correlation analysis for the behavioral sciences. Lawrence Erlbaum Associates, Mahwah

28.

Simon S (2006) Fitting a quadratic regression model. Available from: http://www.childrens-mercy.org/stats/weblog2006/quadraticregresson.asp. Cited 20 June 2008

29.

Report of the Surgeon General (1999) Mental health: a report of the surgeon general. United States Department of Health and Human Services, Rockville

30.

Roth M, Tomlinson BE, Blessed G (1966) Correlation between scores for dementia and counts of ‘senile plaques’ in cerebral grey matter of elderly subjects. Nature 209:109–110CrossRefPubMed

31.

Emerson E, Bromley J (1995) The form and function of challenging behaviours. J Intellect Disabil Res 39:388–398CrossRefPubMed

32.

Holden B, Gitlesen JP (2006) A total population study of challenging behaviour in the county of Hedmark, Norway: prevalence, and risk markers. Res Dev Disabil 27:456–465CrossRefPubMed

33.

Bonnewyn A, Bruffaerts R, Vilagut G, Almansa J, Demyttenaere K (2007) Lifetime risk and age-of-onset of mental disorders in the Belgian general population. Soc Psychiatry Psychiatr Epidemiol 42:522–529CrossRefPubMed

34.

McClintock K, Hall S, Oliver C (2003) Risk markers associated with challenging behaviours in people with intellectual disabilities: a meta-analytic study. J Intellect Disabil Res 47:405–416CrossRefPubMed

35.

Hove O (2004) Prevalence of eating disorders in adults with mental retardation living in the community. Am J Ment Retard 109:501–506CrossRefPubMed

36.

Cullen B, Samuels J, Grados M, Landa R, Bienvenu OJ, Liang KY, Riddle M, Hoehn-Saric R, Nestadt G (2008) Social and communication difficulties and obsessive-compulsive disorder. Psychopathology 41:194–200CrossRefPubMed

37.

Mouridsen SE, Rich B, Isager T, Nedergaard NJ (2008) Psychiatric disorders in individuals diagnosed with infantile autism as children: a case control study. J Psychiatr Pract 14:5–12CrossRefPubMed

38.

Lott IT, Head E (2001) Down syndrome and Alzheimer’s disease: a link between development and aging. Ment Retard Dev Disabil Res Rev 7:172–178CrossRefPubMed

39.

Temple V, Jozsvai E, Konstantareas MM, Hewitt TA (2001) Alzheimer dementia in Down’s syndrome: the relevance of cognitive ability. J Intellect Disabil Res 45:47–55CrossRefPubMed

40.

Dagnan D (2007) Psychosocial interventions for people with intellectual disabilities and mental ill-health. Curr Opin Psychiatry 20:456–460CrossRefPubMed

41.

Sturmey P (2007) Diagnosis of mental disorders in people with intellectual disabilities. In: Bouras N, Holt G (eds) Psychiatric and behavioral disorders in intellectual and developmental disabilities. Cambridge University Press, Cambridge, pp 3–23

42.

Lunbeck E (1999) Continuum thinking in psychiatry. Harv Rev Psychiatry 7:233–235CrossRefPubMed

43.

Widiger TA, Samuel DB (2005) Diagnostic categories or dimensions? A question for the diagnostic and statistical manual of mental disorders, 5th edn. J Abnorm Psychol 114:494–504CrossRefPubMed

44.

American Association on Mental Retardation (2002) Mental retardation: definition, classification. and systems of supports. American Association on Mental Retardation, Washington, DC

Title: Developmental level and other factors associated with symptoms of mental disorders and problem behaviour in adults with intellectual disabilities living in the community
Authors: Oddbjørn Hove
Odd E. Havik
Publication date: 01-01-2010
Publisher: D. Steinkopff-Verlag
Published in: Social Psychiatry and Psychiatric Epidemiology / Issue 1/2010
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-009-0046-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Developmental level and other factors associated with symptoms of mental disorders and problem behaviour in adults with intellectual disabilities living in the community

Abstract

Background

Aims

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Aims

Methods

Results

Conclusions

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