Mental Health in Adults With Mild and Moderate Intellectual Disabilities

Martorell, Almudena; Tsakanikos, Elias; Pereda, A.; Gutiérrez-Recacha, Pedro; Bouras, Nick; Ayuso-Mateos, José Luís

doi:10.1097/nmd.0b013e3181923c8c

Cited by 58 publications

(25 citation statements)

References 38 publications

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“…at school entry age, puberty, early and later adulthood), other life events, and traumatic events. No specific temporal qualifier is necessary for the diagnosis (Martorell et al , 2009). …”

Section: Diagnosis Of Idd: Critical Componentsmentioning

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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“…at school entry age, puberty, early and later adulthood), other life events, and traumatic events. No specific temporal qualifier is necessary for the diagnosis (Martorell et al , 2009). …”

Section: Diagnosis Of Idd: Critical Componentsmentioning

confidence: 99%

“…Traumatic life events (e.g. learning of the sudden death of a family member, being in a life-threatening accident, being physically or sexually assaulted) are important predictors of psychopathology in this population (Martorell et al , 2009). …”

Section: Associated Features: Pb Aetiology Course and Co-morbiditiesmentioning

confidence: 99%

“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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“…7-11 Persons with ID have been reported to experience more abuse, neglect, social disadvantage, challenging family circumstances, stigma, peer neglect and peer exclusion than persons without such disabilities. 12-14 The “dual diagnosis 15 ”of mental illness and ID is often missed by clinicians due to a general under-identification of emotional and mental health problems in persons with ID 16,17 Given the common occurrence of this diagnostic overshadowing along with the cognitive, physical and psychiatric vulnerabilities outlined above, persons with ID are likely to be at increased risk for undetected suicidal thoughts and behaviors.…”

Section: Introductionmentioning

confidence: 99%

Suicide Risk in Youth with Intellectual Disabilities

Ludi¹,

Ballard²,

Greenbaum³

et al. 2012

Journal of Developmental &Amp; Behavioral Pediatrics

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Children and adolescents with intellectual disabilities (ID), often diagnosed with co-morbid psychiatric disorders, are a vulnerable population who may be at risk for developing suicidal thoughts and behaviors. Previous research has demonstrated that direct suicide screening can rapidly and effectively detect suicide risk and facilitate further clinical evaluation and management. Currently, there are no measures that screen for suicide risk designed specifically for individuals with ID. A review of the literature was conducted: 1) to estimate the prevalence of suicidal thoughts, behaviors and deaths by suicide in children and adolescents with ID; 2) to describe associations between youth with ID and suicide risk; 3) to identify the limitations of commonly used suicide screening measures developed for non-ID youth. The literature review confirms that suicide risk exists in this population; youth with ID think about, attempt and die by suicide. Standardized suicide risk screening is challenged by the lack of measures developed for this population. A summary of the findings is followed by a discussion of the practical clinical considerations surrounding the assessment of suicide risk in youth with ID.

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“…Nosologisch überwiegen bei den psychischen Störungen Erwachsener mit Intelligenzminderung 4 aff ektive Störungen (31%), 4 histrionische, dissoziative und somatoforme Störungen (31%) vor 4 schizophrenen Erkrankungen mit 24% (Martorell et al 2009 (Baumeister et al 1993). Die medizinische Komorbidität und die Prävalenzraten für psychische Störungen sind mindestens drei-bis viermal so hoch wie in der allgemeinen Bevölkerung.…”

Section: Häufi Gkeit Von Psychischen Und Somatischen Störungen Und Veunclassified

Intelligenzminderung

Häßler¹

2011

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Mental Health in Adults With Mild and Moderate Intellectual Disabilities

Cited by 58 publications

References 38 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

Suicide Risk in Youth with Intellectual Disabilities

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