Psychiatric Conditions and Behavioural Problems in Adolescents with Intellectual Disabilities: Correlates with Autism

Bradley, Elspeth; Ames, Catherine; Bolton, Patrick

doi:10.1177/070674371105600205

Cited by 20 publications

(7 citation statements)

References 25 publications

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“…Studies have shown that the prevalence rates of behavioural and emotional problems in children with ASD are much higher than those in the general populations (Ghaziuddin et al., 1992; Horner et al., 2002; Ooi et al., 2011). Some of these problems are possibly due to the manifestations of their anxiety, fears, phobias and/or stereotyped behaviours (Bradley et al., 2011).…”

Section: Introductionmentioning

confidence: 99%

The experience of Singaporean caregivers with a child diagnosed with autism spectrum disorder and challenging behaviours

Foo

Yap

Min

2014

Qualitative Social Work

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This qualitative study presents an in-depth and idiographic analysis of the lived experience of parent-caregivers with a child diagnosed with autism spectrum disorder (ASD) who exhibits challenging behaviours. Semi-structured interviews were conducted with six parents of children with ASD and who met the Child Behaviour Checklist for Ages 6-18 (CBCL/6-18) Total Problems T score of 60 and above. The interviews were conducted at a child and adolescent psychiatry clinic in Singapore. Transcripts were analysed using interpretative phenomenological analysis. Two dominant themes emerged: sense of responsibility and renewed appreciation of self. The caregivers' sense of responsibility not only encompassed parental duty, spousal duty but also duty to the community. Through the process of meaning making and coordinating actions with their child, spouse and social relations, over time the caregivers developed a deeper appreciation of their personal strengths and resourcefulness. The findings suggest that clinical practice and future research would benefit from a family resilience perspective in understanding caregivers' experience.

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Section: Introductionmentioning

confidence: 99%

The experience of Singaporean caregivers with a child diagnosed with autism spectrum disorder and challenging behaviours

Foo

Yap

Min

2014

Qualitative Social Work

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“…Studies have shown that 30-64% of children and adolescents with ID develop comorbid mental health disorders, a rate of 2.8-4.5 times that of their peers in the general population, including higher rates of depression, anxiety and psychosis. 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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“…Furthermore, a body of literature indicates that intelligence is related to ASD symptom severity (e.g. Bradley et al, 2011; Eagle et al, 2010; Stevens et al, 2000; Witwer and Lecavalier, 2008). All in all, the relationship between IQ and anxiety in ASD has not been settled definitively.…”

Section: Introductionmentioning

confidence: 99%

The association of quality of social relations, symptom severity and intelligence with anxiety in children with autism spectrum disorders

Eussen

Gool

Verheij

et al. 2012

Autism

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Limited quality of social relations, milder symptom severity and higher intelligence were shown to account for higher anxiety levels in autism spectrum disorders. The current study replicated and extended earlier findings by combining these three determinants of anxiety in autism spectrum disorders in one study. The sample consisted of 134 school-aged children with autism spectrum disorders, of whom 58 (43%) had a co-morbid anxiety disorder according to the Diagnostic Interview Schedule for Children-Parent version. In this sample, we tested associations between these determinants and anxiety univariately and multivariately to clarify the unique contribution of all determinants. Since we hypothesized that the association between limited quality of social relations and anxiety would be amplified by low symptom severity and/or high intelligence, we additionally tested for moderating effects. We found that higher anxiety levels were associated with a lower quality of social relations and lower symptom severity. In this mainly high-functioning sample, intelligence was not related to anxiety levels. No moderation effects were found. Since lower quality of social relations and lower symptom severity are associated with higher anxiety levels in children with autism spectrum disorders, therapeutic interventions aimed at reducing anxiety in autism spectrum disorders should pay attention to improving social relations, and presumably children with a lower symptom severity could benefit most from such interventions.

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Psychiatric Conditions and Behavioural Problems in Adolescents with Intellectual Disabilities: Correlates with Autism

Cited by 20 publications

References 25 publications

The experience of Singaporean caregivers with a child diagnosed with autism spectrum disorder and challenging behaviours

The experience of Singaporean caregivers with a child diagnosed with autism spectrum disorder and challenging behaviours

Suicide Risk in Youth with Intellectual Disabilities

The association of quality of social relations, symptom severity and intelligence with anxiety in children with autism spectrum disorders

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