2004
DOI: 10.1111/j.1365-2788.2004.00624.x
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The association between severity of intellectual disability and psychiatric symptomatology

Abstract: The prevalence of psychiatric illness decreases with severity of ID. The usefulness of psychiatric illness models, in explaining maladaptive and challenging behaviours, also decreases with severity of ID. Drug treatment may become more complicated, and behavioural and environmental interventions may become relatively more important, as severity of ID increases.

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Cited by 60 publications
(53 citation statements)
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“…6e11 The prevalence of increased anxiety symptoms in older people with mild to profound ID is comparable to that in older people with normal intelligence (16% versus 15%), 3,6 but adults with mild or moderate ID report more anxiety symptoms than adults with more severe ID. 12,13 Consequently, older people with mild or moderate ID may also report more anxiety symptoms than older people with normal intelligence. This is especially true because conditions related to anxiety in older adults with normal intelligence (e.g., chronic health problems, depression) 3,14,15 are more prevalent in older adults with ID.…”
mentioning
confidence: 98%
“…6e11 The prevalence of increased anxiety symptoms in older people with mild to profound ID is comparable to that in older people with normal intelligence (16% versus 15%), 3,6 but adults with mild or moderate ID report more anxiety symptoms than adults with more severe ID. 12,13 Consequently, older people with mild or moderate ID may also report more anxiety symptoms than older people with normal intelligence. This is especially true because conditions related to anxiety in older adults with normal intelligence (e.g., chronic health problems, depression) 3,14,15 are more prevalent in older adults with ID.…”
mentioning
confidence: 98%
“…However, it was not until 1980, when the concept of ''dual diagnosis'' was introduced (5), that it was accepted that maladaptive behaviours in individuals with ID may be explained by coexisting disorders. Historically, emotional and behavioural problems in subjects with ID were thought to be related to institutionalization or characteristic of the ID (5,6).…”
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confidence: 99%
“…Thus, although an increase in prevalence of psychiatric disabilities with increased severity of intellectual impairment has been reported (Cooper, Smiley, Morrison, Williamson, & Allan, 2007;Whitaker & Read, 2006), others have found the opposite pattern (Crews, Bonaventura, & Rowe, 1994;Holden & Gitlesen, 2004;Iverson & Fox, 1989;La Malfa, Notarelli, Hardoy, Bertelli, & Cabras, 1997;Slone, Durrheim, Kaminer, & Lachman, 1999); and yet other researchers have reported no increased risk of psychiatric disability associated with degree of intellectual impairment (Stromme & Diseth, 2000). Recently, researchers have looked to psychiatric disorders as a possible explanation for challenging behaviors associated with intellectual disabilities, finding that the relationship is by no means straightforward (Holden & Gitlesen, 2004).…”
mentioning
confidence: 99%