Group-based cognitive–behavioural anger management for people with mild to moderate intellectual disabilities: cluster randomised controlled trial

Willner, Paul; Rose, John; Jahoda, Andrew; Kroese, Biza Stenfert; Felce, David John; Cohen, David; MacMahon, Pamela; Stimpson, Aimee; Rose, Nicola J.; Gillespie, David; Shead, Jennifer; Lammie, Claire; Woodgate, C; Townson, Julia; Nuttall, Jacqueline; Hood, Kerenza

doi:10.1192/bjp.bp.112.124529

Cited by 99 publications

(79 citation statements)

References 35 publications

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“…The description of the tools used will be useful for future studies; for example, to compare animation styles and facilitator flexibility with respect to individuals living with a mental handicap and suffering from depression or schizophrenia, or even to explore the socratic questioning in more detail [31]. Similar to the studies by Willner [12,16] our study shows that the work on social skills makes it possible for patients to reduce their anxiety and acquire selfcontrol over their behaviors and especially over their challenging behaviors. There appeared an improvement in affirmation despite the difficulties in comprehension and language-based expression.…”

Section: Discussionmentioning

confidence: 99%

“…Research conducted on Cognitive Behavioral Therapy (CBT) interventions with individuals living with an intellectual disability are constantly increasing and is promising [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. Recently, studies have begun to demonstrate the possibilities of using group behavioral cognitive therapy for this population [19].…”

Section: Introductionmentioning

confidence: 99%

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Social Skills Group for Adults Living with Intellectual Disabilities

Giuliani¹

2016

Clin Psychiatry

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Social Skills Group for Adults Living with Intellectual Disabilities

Giuliani¹

2016

Clin Psychiatry

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“…Cognitive behavioural interventions have been found effective [59][60][61][62] and acceptable [63] across a number of psychological conditions in people with mild intellectual disabilities. Mindfulness-based cognitive behavioural therapy (CBT) was found helpful in adults with intellectual disabilities, anxiety and depression [64].…”

Section: Trans-diagnostic Effects Of Traumamentioning

confidence: 99%

Trauma and Life Events in Adults with Intellectual Disability

Wigham

Emerson

2015

Curr Dev Disord Rep

102

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Exposure to adverse life events and environmental stressors (e.g. violence, poverty, sexual abuse) has been found to be high in intellectual disability populations. Notwithstanding resilience, for some people with intellectual disability, adverse life events and environmental stressors may lead to PTSD and may affect well-being in more diffuse but potentially still clinically impactful ways (e.g. challenging behaviour, obesity, substance misuse). Advances have occurred in the field of trauma in intellectual disability. More specifically, a small number of assessment measures have been developed for PTSD and a small number of studies evaluated treatment interventions such as cognitive behavioural therapy (CBT) and eye movement desensitisation and reprocessing (EMDR). Awareness has also increased regarding the potential life course effects on mental health of exposure to environmental stressors. While these developments are promising, the field warrants more research and development. This paper considers recent developments in knowledge on the psychological effects of exposure to adverse life events and environmental stressors in adults with intellectual disabilities.

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“…To this end, several treatment programs based on operant learning and cognitive models with documented efficacy can be employed such as differential reinforcement strategies (e.g. to reduce inappropriate vocalisations), low level problem solving, assertiveness and goal management training [115][116][117][118]. In certain genetic disorders like Noonan syndrome and Turner syndrome, specific impairments in affective information processing and social interaction can be identified and may be modulated by means of targeted social-cognitive training [119][120][121].…”

Section: Discussionmentioning

confidence: 99%

Aetiology Based Diagnosis and Treatment Selection in Intellectually Disabled People with Challenging Behaviours

Verhoeven¹,

Egger

2014

J. Intellect. Disabl. Diagn. Treat.

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Since both intellectual disability and challenging behaviour are entities encompassing heterogeneous clinical conditions and current taxonomies are of limited use in this field of psychiatry, diagnosing psychiatric symptoms in intellectually disabled patients is still very complex. In the diagnostic process of psychiatric symptoms and behavioural abnormalities, the first step should be genome profiling using the latest techniques in order to detect pathogenic CNVs or single gene mutations that are causative for the developmental delay. Their importance can be derived from the scientific observation that several genetic syndromes are associated with a specific behavioural, psychiatric, neuropsychological or neurological symptom profile, relevant for both choice of treatment and prognosis. Second, it has to be stressed that psychiatric disorders, especially from the depression and anxiety spectrum, frequently manifest with atypical symptoms that may hamper adequate pharmacological treatment. With respect to challenging behaviours in general, it should be emphasized that these are essentially dependent on contextual variables for which no rational pharmacological treatment is available and behavioural interventions are primarily warranted. Prescription of psychotropics has been demonstrated to be marginally effective only and to induce regularly unwanted side effects or even an increase of abnormal behaviours. It is therefore recommended to measure always the plasma concentration of psychotropics and antiepileptics and to perform, preferably prior to the start of treatment, genotyping of relevant cytochrome isoenzymes.In is concluded that, apart from the a priori genetic analysis, careful investigation of the here described data sources is needed to formulate a diagnostic hypothesis and treatment proposal.

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Group-based cognitive–behavioural anger management for people with mild to moderate intellectual disabilities: cluster randomised controlled trial

Cited by 99 publications

References 35 publications

Social Skills Group for Adults Living with Intellectual Disabilities

Social Skills Group for Adults Living with Intellectual Disabilities

Trauma and Life Events in Adults with Intellectual Disability

Aetiology Based Diagnosis and Treatment Selection in Intellectually Disabled People with Challenging Behaviours

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