Practical assessment of trauma and attachment in people with intellectual disabilities

Skelly, Allan

doi:10.53841/bpsfpid.2020.18.1.20

Cited by 3 publications

(2 citation statements)

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“…Research suggests that PTSD can be treated with trauma‐specific treatments in people with intellectual disabilities (Byrne, 2022; Karatzias et al, 2019; Kroese et al, 2016; McNally et al, 2021; Mevissen et al, 2016b), especially when the treatment is adapted or modified to the specific needs of the individual (Keesler, 2020). Adaptions may be necessary because it can be challenging for people with intellectual disabilities to describe their experiences, locate and describe the associated emotions and take control of their own lives (Skelly, 2020a; Skelly, 2020b). Research on the treatment of PTSD in people with intellectual disabilities has focused primarily on EMDR, CBT and TF‐CGT, while PE is a widely studied and effective treatment for PTSD in the general population and for comorbid disorders such as personality disorders and psychosis (van Minnen et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Research suggests that PTSD can be treated with trauma-specific treatments in people with intellectual disabilities (Byrne, 2022;Karatzias et al, 2019;Kroese et al, 2016;McNally et al, 2021;Mevissen et al, 2016b), especially when the treatment is adapted or modified to the specific needs of the individual (Keesler, 2020). Adaptions may be necessary because it can be challenging for people with intellectual disabilities to describe their experiences, locate and describe the associated emotions and take control of their own lives (Skelly, 2020a;Skelly, 2020b).…”

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confidence: 99%

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Prolonged exposure treatment for post‐traumatic stress disorder: Single case studies in a sample of adults with mild intellectual disabilities

Prins,

Nijhof

2024

Research Intellect Disabil

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BackgroundPost‐traumatic stress disorder (PTSD) is common in adults with intellectual disabilities. Often there are additional disorders such as substance use, mood and anxiety disorders. The current study focuses on the feasibility and initial efficacy of prolonged exposure (PE) for PTSD in adults with mild intellectual disabilities. The secondary effect of PE on additional mood, anxiety and substance use disorders is also examined.MethodsA single case experimental design (N = 12) with an A (baseline)‐B (intervention) phase including a follow‐up measurement after 3 months was conducted. Time series and single time points measurements were performed.ResultsSix participants dropped‐out. The results showed a significant decrease in PTSD symptoms and a significant decrease in additional symptoms (social avoidance, anxiety and stress), among participants who completed treatment.ConclusionPE appears to be a feasible and effective treatment for PTSD in some adults with mild intellectual disabilities. Suggestions emerge from this study to make standard PE treatment more appropriate for adults with mild intellectual disabilities. Further research is needed to reduce drop‐out in trauma treatment. Some suggestions for this are made in this study. Treatment of PTSD with PE did not appear to affect comorbid mood disorders. Further research is needed.

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