Funcionamiento intelectual límite: guía de consenso y buenas prácticas

Salvador‐Carulla, Luis; García-Gutiérrez, Juan Carlos; Gutiérrez-Colosía, Mencía R.; Artigas-Pallarés, J; Pérez, Joan González; Nadal, Margarida; Inés, Francisco Aguilera; Lazcano, Guillermo Portero; Monzón, Patricio; Nonell, Katia García; Martínez‐Leal, Rafael

doi:10.1016/j.rpsm.2012.12.001

Cited by 46 publications

(58 citation statements)

References 24 publications

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“…BIF is a complex clinical entity typically characterized by IQ ratings between approximately 71 and 84, with problems in adaptive behaviour and academic performance beginning in childhood and adolescence (Salvador-Carulla et al ., 2011). Impairments in cognitive functions such as executive functioning and concentration have been identified in this population group, in addition to difficulties coping with more demanding, complex or unfamiliar tasks, and behavioural problems due to frustration and difficulties adjusting to social norms (Artigas-Pallares et al , 2007).…”

Section: Major Issues In Differential Diagnosis: Bifmentioning

confidence: 99%

“…The APA assigned a liaison from its organization as delegate to represent the views of the APA and harmonize with the ongoing Task Force on DSM, Fifth Edition (DSM-5) process and ICD-11. The WG-MR produced a position paper in 2011 (Salvador-Carulla et al , 2011) with an extensive consensus report that formed the basis for the development of the official recommendations sent to the WHO Advisory Group on ICD-11 in 2012.…”

Section: Introductionmentioning

confidence: 99%

“…This paper is undertaken to complement and update the information provided in the position paper (Salvador-Carulla et al , 2011). We describe a qualitative method followed for developing the WHO consensus document on IDD.…”

Section: Introductionmentioning

confidence: 99%

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“Intellectual developmental disorders”: reflections on the international consensus document for redefining “mental retardation-intellectual disability” in ICD-11

Bertelli¹,

Münir

Harris

et al. 2016

Advances in Mental Health and Intellectual Disabilities

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Purpose The debate as to whether intellectual disability (ID) should be conceptualized as a health condition or as a disability has intensified as the revision of World Health Organization’s (WHO’s) International Classification of Diseases (ICD) is being finalized. Defining ID as a health condition is central to retaining it in ICD, with significant implications for health policy and access to health services. The purpose of this paper is to include some reflections on the consensus document produced by the first WHO Working Group on the Classification of MR (WHO WG-MR) and on the process that was followed to realize it. The consensus report was the basis for the development of official recommendations sent to the WHO Advisory Group for ICD-11. Design/methodology/approach A mixed qualitative approach was followed in a series of meetings leading to the final consensus report submitted to the WHO Advisory group. These recommendations combined prior expert knowledge with available evidence; a nominal approach was followed throughout with face-to-face conferences. Findings The WG recommended a synonym set (“synset”) ontological approach to the conceptualisation of this health condition underlying a clinical rationale for its diagnosis. It proposed replacing MR with Intellectual Developmental Disorders (IDD) in ICD-11, defined as “a group of developmental conditions characterized by a significant impairment of cognitive functions, which are associated with limitations of learning, adaptive behaviour and skills”. The WG further advised that IDD be included under the parent category of neurodevelopmental disorders, that current distinctions (mild, moderate, severe and profound) be continued as severity qualifiers, and that problem behaviours removed from its core classification structure and instead described as associated features. Originality/value Within the ID/IDD synset two different names combine distinct aspects under a single construct that describes its clinical as well as social, educational and policy utilities. The single construct incorporates IDD as a clinical meta-syndrome, and ID as its functioning and disability counterpart. IDD and ID are not synonymous or mirror concepts as they have different scientific, social and policy applications. New diagnostic criteria for IDD should be based on a developmental approach, which accounts for the complex causal factors known to impact the acquisition of specific cognitive abilities and adaptive behaviours. The paper focuses on a new clinical framework for the diagnosis of IDD that also includes and complements the existing social, educational and policy components inherent in ID.

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Section: Major Issues In Differential Diagnosis: Bifmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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“Intellectual developmental disorders”: reflections on the international consensus document for redefining “mental retardation-intellectual disability” in ICD-11

Bertelli¹,

Münir

Harris

et al. 2016

Advances in Mental Health and Intellectual Disabilities

Self Cite

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“…According to the CONFIL consensus group [3], BIF can be defined as a “ health meta-condition … characterized by various cognitive dysfunctions associated with an intellectual quotient (IQ) between 71 and 85 which determines a deficit in the individual’s functioning both in the restriction of activities and in the limitation of social participation ”. Excluding BIF due to genetic and chromosomal abnormalities syndromes, the mostly frequent causes related to this condition are biological factors, like perinatal complications, and epigenetic factors related to the social environment such as maltreatment, abuse, neglect and high level of maternal stress [1, 4–7].…”

Section: Introductionmentioning

confidence: 99%

“…Excluding BIF due to genetic and chromosomal abnormalities syndromes, the mostly frequent causes related to this condition are biological factors, like perinatal complications, and epigenetic factors related to the social environment such as maltreatment, abuse, neglect and high level of maternal stress [1, 4–7]. It is estimated that the prevalence of “non genetic” BIF ranges between 7 to 12% [2, 3] but the lack of terminological consensus and specific diagnostic code in the DSM-V [8] and ICD10 [9] makes it difficult to have a precise estimate. In DSM-V IQ test scores are removed from the diagnostic description and BIF is mentioned only within V-codes; this makes the BIF condition more difficult to be defined and acknowledged [2, 10].…”

Section: Introductionmentioning

confidence: 99%

Movement cognition and narration of the emotions treatment versus standard speech therapy in the treatment of children with borderline intellectual functioning: a randomized controlled trial

Blasi

Baglio

et al. 2017

BMC Psychiatry

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BackgroundBorderline intellectual functioning (BIF) is defined as a “health meta-condition… characterized by various cognitive dysfunctions associated with an intellectual quotient (IQ) between 71 and 85 which determines a deficit in the individual’s functioning both in the restriction of activities and in the limitation of social participation”. It can be caused by many factors, including a disadvantaged background and prematurity. BIF affects 7–12% of primary school children that show academic difficulties due to poor executive functioning. In many children with BIF, language, movement and social abilities are also affected, making it difficult to take part in daily activities. Dropping out of school and psychological afflictions such as anxiety and depression are common in children with BIF.This study investigates whether an intensive rehabilitation program that involves all of the areas affected in children with BIF (Movement, Cognition and Narration of emotions, MCNT) is more effective than Standard Speech Therapy (SST).MethodsThis is a multicenter interventional single blind randomized controlled study. Children aged between 6 to 11 years who attend a mainstream primary school and have multiple learning difficulties, behavioral problems and an IQ ranging between 85 to 70 have been enrolled. Participants are randomly allocated to one of three groups. The first group receives individual treatment with SST for 45 min, twice a week for 9 months. The second group receives the experimental treatment MCNT for 3 h per day, 5 days/ week for 9 months and children work in small groups. The third group consists of children on a waiting list for the SST for nine months.DiscussionBIF is a very frequent condition with no ad hoc treatment. Over the long term, there is a high risk to develop psychiatric disorders in adulthood. Due to its high social impact, we consider it very important to intervene during childhood so as to intercept the remarkable plasticity of the developing brain.Trial registration“Study Let them grow: A new intensive and multimodal Treatment for children with borderline intellectual functioning based on Movement, Cognition and Narration of emotions”, retrospectively registered in ISRCTN Register with ISRCTN81710297 at 2017–01-09.

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Improving Lives Through Alleviating Malnutrition

Wimalawansa¹

2018

Physical Health of Adults With Intellectual and Developmental Disabilities

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Funcionamiento intelectual límite: guía de consenso y buenas prácticas

Cited by 46 publications

References 24 publications

“Intellectual developmental disorders”: reflections on the international consensus document for redefining “mental retardation-intellectual disability” in ICD-11

“Intellectual developmental disorders”: reflections on the international consensus document for redefining “mental retardation-intellectual disability” in ICD-11

Movement cognition and narration of the emotions treatment versus standard speech therapy in the treatment of children with borderline intellectual functioning: a randomized controlled trial

Improving Lives Through Alleviating Malnutrition

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