Screening for Psychiatric Disorders in a Total Population of Adults with Intellectual Disability and Challenging Behaviour Using the PAS‐ADD Checklist

Allen, David G.; Lowe, Kathy; Matthews, Helen; Anness, Val

doi:10.1111/j.1468-3148.2011.00670.x

Cited by 14 publications

(14 citation statements)

References 24 publications

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“…Although not all previous research points in that direction [33], it has been suggested that such behavior may be associated with psychiatric disorders in people with ID [34, 35]. If so, seeking psychiatric care based on challenging behavior may be appropriate.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric care utilization among older people with intellectual disability in comparison with the general population: a register study

et al. 2016

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BackgroundPeople with intellectual disability have been found to have higher prevalence of psychiatric disorders than the general population. However, they do not seem to have a corresponding increase in psychiatric care utilization. The aim of the present study was to investigate psychiatric care utilization among older people with intellectual disability.MethodsWe used a cohort of people with intellectual disability, 55+ years in 2012 (n = 7936), and an equally sized age and sex matched reference cohort from the general population. Psychiatric care utilization was measured using registrations in the Swedish National Patient register during 2002–2012, where each registration corresponds to a psychiatric care occasion.ResultsAbout 20 % of those with intellectual disability had at least one registration during the study period, compared to some 6 % in the general population sample. In the whole cohort as well as stratified by sex, people with intellectual disability were 3–4 times more likely than those in the general population sample to have had at least one registration during the study period. The effect was, however, only consistent in age groups comprising people younger than 65 years. Among people with intellectual disability, men were more likely than women to have had at least one registration, and people living in special housing (group home or service home) during the entire study period were less likely than those who only lived in special housing for parts of the study or not at all. People with intellectual disability had longer stays per inpatient registration compared with the general population sample. When stratifying on sex, the effect was found only among men, although there were no sex differences within the cohort of people with intellectual disability. Among people with intellectual disability, living in special housing during the entire study period was associated with shorter stays per inpatient registration.ConclusionsAlthough people with intellectual disability had higher psychiatric care utilization than the general population during the 11 year study period, it does not correspond to the high prevalence of psychiatric disorders in this population. Future research is required to establish if the level of care utilization is appropriate among older people with intellectual disability.

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Section: Discussionmentioning

confidence: 99%

Psychiatric care utilization among older people with intellectual disability in comparison with the general population: a register study

et al. 2016

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“…The sample sizes ranged from n = 24 (Ross & Oliver, 2002) to n = 4,069 (Tsiouris et al., 2011). Sixteen studies were determined to be of high quality (Bernstein et al., 2015; Cervantes & Matson, 2015; Clark et al., 2016; Crocker et al., 2014; Davies et al., 2015; Esbensen & Benson, 2006; Hartley & MacLean, 2007; Hemmings et al., 2006; Horovitz et al., 2013; Koritsas & Iacono, 2015; Matson et al., 2009; Matson & Rivet, 2008; Novaco & Taylor, 2004; Sappok et al., 2014; Tenneij et al., 2009; Tsiouris et al., 2011), the remaining 22 studies were rated as low quality (Alexander et al., 2010, 2015; Allen et al., 2012; Bowring et al., 2017; Crocker et al., 2006; Didden et al., 2009; Drieschner et al., 2013; Hurley, 2008; Larson et al., 2011; Lindsay et al., 2013; Lundqvist, 2013; Lunsky et al., 2012; Nøttestad & Linaker, 2002; Owen et al., 2004; Phillips & Rose, 2010; Rojahn et al., 2004, 2010; Ross & Oliver, 2002; Thorson et al., 2008; Totsika et al., 2008; Turygin et al., 2013; Tyrer et al., 2006). A total of 27 different instruments were used to assess aggressive behaviour.…”

Section: Resultsmentioning

confidence: 99%

“…Twenty‐five studies reported associations of nine different factors with self‐injurious behaviour (Table 6) (Allen et al., 2012; Bernstein et al., 2015; Bowring et al., 2017; Clark et al., 2016; Crocker et al., 2006; Drieschner et al., 2013; Hemmings et al., 2006; Horovitz et al., 2013; Hurley, 2008; Larson et al., 2011; Lundqvist, 2013; Lunsky et al., 2012; Matson et al., 2009; Matson & Rivet, 2008; Nøttestad & Linaker, 2002; Owen et al., 2004; Rojahn et al., 2004, 2010; Ross & Oliver, 2002; Sappok et al., 2014; Tenneij et al., 2009; Thorson et al., 2008; Totsika et al., 2008; Tsiouris et al., 2011; Turygin et al., 2013). The presence of self‐injurious behaviour was based on information from case files, informant reports, self‐made questionnaires, the Individual Schedule, CBI, behaviour problems inventory (BPI)(‐S, ‐01), DASH‐II, MOAS(+), DAS, autism spectrum disorder ‐behaviour problems for adults (ASD‐BPA) and the staff observation and aggression scale‐revised (SOAS‐R).…”

Section: Resultsmentioning

confidence: 99%

Behavioural, psychiatric and psychosocial factors associated with aggressive behaviour in adults with intellectual disabilities: A systematic review and narrative analysis

Akker

Kroezen

Wieland³

et al. 2020

Research Intellect Disabil

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Background Aggressive behaviour is prevalent in people with intellectual disabilities. To understand the aetiology, it is important to recognize factors associated with the behaviour. Method A systematic review was conducted and included studies published between January 2002 and April 2017 on the association of behavioural, psychiatric and psychosocial factors with aggressive behaviour in adults with intellectual disabilities. Results Thirty‐eight studies were included that presented associations with 11 behavioural, psychiatric and psychosocial factors. Conflicting evidence was found on the association of these factors with aggressive behaviour. Conclusions The aetiology of aggressive behaviour is specific for a certain person in a certain context and may be multifactorial. Additional research is required to identify contributing factors, to understand causal relationships and to increase knowledge on possible interaction effects of different factors.

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“…Ayrıca ZY'li grupta davranış sorunları ile psikiyatrik semptomların ilişkisi hala tartışmalı bir konudur. Bazı araştırmacılar davranış sorunlarını bir tip psikiyatrik bozukluk olarak kategorize ederken, diğerleri psikiyatrik tanıların dışında tutmuşlardır (22). Aslında davranış sorunlarının farklı yaklaşımlarla değerlendirilmesi, ZY'li yetişkinlerde psikiyatrik bozukluk yaygınlığının %13,9' dan % 75,2'ye kadar varan geniş bir aralıkta bulunmasına yol açan önemli sebeplerden biridir (23).…”

Section: Tartişma Ve Sonuçunclassified

Mental Retardasyonu Olan Yeti̇şki̇nleri̇n Ai̇leleri̇nde Bakim Yükü Ve İli̇şki̇li̇ Faktörler

Görmez

2017

Anadolu Kliniği Tıp Bilimleri Dergisi

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Bakım veren yükü, zihinsel yetersizliği (ZY) olan bireylerde yaşam beklentisinin artması ile yetişkinlerle ilgili giderek ilgi çeken bir araştırma konusu olmuştur. Ülkemizde yetişkinlerin bakım yükü ile ilgili yeterli bilgi yoktur. Bu çalışmanın amacı ZY'li yetişkinlerin aileleri üzerindeki bakım verme yükünü ölçmek ve bakım yükü ile sosyodemografik ve klinik parametrelerin ilişkisini incelemektir. Gereç ve Yöntemler: Çalışmaya 102 ZY'li yetişkin ve bunların bakım veren aileleri; poliklinikler, rehabilitasyon merkezleri ve okullar aracılığıyla ulaşılarak dahil edilmiştir. Veriler çalışma için hazırlanıp yapılandırılmış bir form, Zarit Bakıcı Yükü Ölçeği ve Gelişimsel Bozukluğu Olan Yetişkinlerde Psikiyatrik Tarama Ölçeği aracılığıyla toplanmıştır. Bulgular: Ortalama bakım yükü puanı 54,68±13,8 idi. Bakım yükünü artıran en önemli etken ZY'li bireyde otizm spektrum bozukluğu eştanısı olmasıydı (p=0,001). ZY'li kişide davranış sorunlarının olması da yükü artıran diğer bir etkendi (p=0,031). En yüksek bakım yükü puanının üniversite mezunu bakım verenlere ait olduğu görüldü. ZY'li bireylerin yaşı, cinsiyeti, bakım süresi, fiziksel ve ruhsal hastalıkları, inkontinans durumu, ev dışı etkinlik düzeyi ve sözel becerisi ile bakım yükü arasında anlamlı bir ilişki bulunmadı. Tartışma ve Sonuç: Davranış sorunlarının önlenmesi ve uygun yönetimi ile otizm spektrumundaki ZY'li bireylerin ailelerinin ihtiyaç ve beklentilerinin belirlenmesi ailelerin bakım yükünü hafifletmede önemli bir adım olacaktır. Ayrıca en yüksek bakım yükünün, sorunların daha çok farkında olması muhtemel üniversite mezunu aileler tarafından bildirilmesi de dikkat çekici bir husustur.

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Screening for Psychiatric Disorders in a Total Population of Adults with Intellectual Disability and Challenging Behaviour Using the PAS‐ADD Checklist

Abstract: The data would appear supportive of previous suggestions that it is unlikely that the majority of challenging behaviours in adults with intellectual disability are underpinned by psychiatric disorder.

Cited by 14 publications

References 24 publications

Psychiatric care utilization among older people with intellectual disability in comparison with the general population: a register study

Psychiatric care utilization among older people with intellectual disability in comparison with the general population: a register study

Behavioural, psychiatric and psychosocial factors associated with aggressive behaviour in adults with intellectual disabilities: A systematic review and narrative analysis

Mental Retardasyonu Olan Yeti̇şki̇nleri̇n Ai̇leleri̇nde Bakim Yükü Ve İli̇şki̇li̇ Faktörler

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