Effectiveness of treatment programmes for depression among adults with mild/moderate intellectual disability

McCabe, Marita P.; McGillivray, Jane; Newton, Danielle

doi:10.1111/j.1365-2788.2005.00772.x

Cited by 103 publications

(107 citation statements)

References 17 publications

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“…13,14 The present study differed from earlier studies in its breadth of replication. It included 14 separate teams of lay therapists, and outcomes varied widely between groups, ranging from no improvement or even a small deterioration to outcomes similar to, or even better than, those previously reported.…”

Section: Magnitude Of the Effects Achievedcontrasting

confidence: 68%

“…87 Median MOAS scores were a little lower than those recorded in a trial of neuroleptic drug treatment for aggressive behaviour in people with intellectual disabilities, which reported a median [interquartile range (IQR)] MOAS score of 12 (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25) at baseline in the placebo-treated group, and a dramatic fall (to a median score of ~3: considerably lower than the present participants) during subsequent weekly assessments under placebo treatment. 115 There is a limit to the extent of challenging behaviour that could in principle be observed in this study because most of the services from which participants were recruited would often exclude individuals who are overtly challenging.…”

Section: Challenging Behaviourcontrasting

confidence: 67%

“…There is a relatively large case study literature describing successful outcomes for CBT in a variety of mental disorders, [9][10][11][12] but the evidence from controlled trials is sparse. With the exception of two small controlled trials in depression, 13,14 anger is the only psychological presentation in which controlled trials have been used to evaluate CBT interventions for people with intellectual disabilities.…”

Section: Outcome Measuresmentioning

confidence: 99%

See 2 more Smart Citations

A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities

Willner

Rose²,

Jahoda³

et al. 2013

Health Technol Assess

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This report should be referenced as follows:Willner P, Rose J, Jahoda A, Stenfert Kroese B, Felce D, MacMahon P, et al. A cluster randomised controlled trial of a manualised cognitive-behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities. Health Technol Assess 2013;17(21). This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/). Health Technology Assessment is indexed and abstracted inEditorial contact: nihredit@southampton.ac.ukThe full HTA archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hta. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Technology Assessment journalReports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. HTA programmeThe HTA programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The journal is indexed in NHS Evidence via its abstracts included in MEDLINE and its Technology Assessment Reports inform National Institute for Health and Care Excellence (NICE) guidance. HTA research is also an important source of evidence for National Screening Committee (NSC) policy decisions.For more information about the HTA programme please visit the website: www.hta.ac.uk/ This reportThe research reported in this issue of the journal was funded by the HTA programme as project number 08/53/34. The contractual start date was in May 2009. The draft report began editorial review in May 2012 and was accepted for publication in August 2012. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the draft document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the ...

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Section: Magnitude Of the Effects Achievedcontrasting

confidence: 68%

Section: Challenging Behaviourcontrasting

confidence: 67%

Section: Outcome Measuresmentioning

confidence: 99%

See 1 more Smart Citation

A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities

Willner

Rose²,

Jahoda³

et al. 2013

Health Technol Assess

View full text Add to dashboard Cite

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“…McCabe and colleagues [114] described the development and evaluation of a group treatment program for individuals with mild/moderate DD. Thirty-four participants completed the program and 15 comprised a control group.…”

Section: Psychological Interventionsmentioning

confidence: 99%

Diagnosis and Treatment of Mood Disorders in Adults with Developmental Disabilities

Antonacci

Attiah

2008

Psychiatr Q

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While the idea that individuals with developmental disabilities (DD) can suffer from mental illness has been largely accepted since the late 1980's, this is still an underserved and poorly studied population. In particular, mood disorders have traditionally been misdiagnosed, under-recognized and poorly treated. Through the years, reported rates of mood disorders in adults with DD have varied widely. Recent epidemiological studies have focused on community samples and find rates of mood disorders from 3 to 8.1%. Mood disorders are found to be more prevalent than psychotic disorders or anxiety disorders. The empirical literature on assessment of mood symptoms in adults with DD is limited, particularly in individuals with severe and profound DD. Several tools have been developed to assist in identification and diagnosis. However, the work on their psychometric properties and validity studies is still quite limited. The treatment literature is sparse and focused primarily on pharmacotherapy. This review considers the epidemiology and diagnosis of mood disorders in individuals with DD. Recent developments in assessment are reviewed. The literature regarding pharmacological treatment with antidepressants, mood stabilizers, electroconvulsive therapy and antipsychotics is summarized and the current state of psychological treatments for mood disorders in persons with DD is presented. Implications for clinical care and future research are considered.

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“…24,25,50 For example, there are no RCTs of CBT for anxiety disorders. 24 McCabe et al 51 conducted an RCT of manualized CBT for depression in adults with IDs and subsequently evaluated dissemination of this program using routine clinicians. 52 Although promising, the RCT was of poor quality: therapists and authors collected self-report and rating data themselves, nonblind, and did not collect data on treatment integrity.…”

Section: Other Interventionsmentioning

confidence: 99%

Treatment of Psychopathology in People with Intellectual and other Disabilities

Sturmey

2012

Can J Psychiatry

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Objective: To review the psychosocial, pharmacological, and other treatments of psychopathology in people with intellectual disabilities (IDs), autism, and other developmental disabilities (DDs).Method: Systematic reviews and meta-analyses of psychosocial, pharmacological, and other treatments for people with DDs are reviewed. Results:There is strong evidence for applied behaviour analysis (ABA) and other behavioural treatments of some forms of psychopathology. There is little good evidence to support the effectiveness of cognitive-behavioural therapy, cognitive therapy, sensory interventions, and other forms of psychosocial interventions. Recently, more randomized controlled trials (RCTs) of psychopharmacology have been published, especially with people with autism spectrum disorders. Most RCTs were for externalizing behaviour problems, rather than for psychopathology. These RCTs offer only preliminary support for the effectiveness of pharmacotherapy. No evidence was found for the effectiveness of other biological treatments. Conclusions:Current research supports the use of ABA and other behavioural interventions for some forms of psychopathology. Evidence for the effectiveness of other interventions is limited or absent.

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Effectiveness of treatment programmes for depression among adults with mild/moderate intellectual disability

Abstract: These results demonstrate that intervention programmes are effective for the treatment of depression among people with ID.

Cited by 103 publications

References 17 publications

A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities

A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities

Diagnosis and Treatment of Mood Disorders in Adults with Developmental Disabilities

Treatment of Psychopathology in People with Intellectual and other Disabilities

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