Eating and feeding disorders in adults with intellectual developmental disorder with and without autism spectrum disorder.

IF 2.1 2区 医学 Q1 EDUCATION, SPECIAL Journal of Intellectual Disability Research Pub Date : 2024-11-07 DOI:10.1111/jir.13195
M O Bertelli, F Paletti, M Piva Merli, A Hassiotis, A Bianco, S Lassi
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Abstract

Background: The present observational cross-sectional study aimed at investigating the prevalence of feeding and eating disorders (FEEDs) in adults with intellectual disability (ID)/intellectual developmental disorder (IDD) with or without autism spectrum disorder (ASD) and specific problem behaviours (PBs).

Methods: Two hundred six adults with ID/IDD consecutively attending residential and rehabilitative facilities, 59.2% of which had co-occurring ASD, were assessed for presence of FEEDs by a structured interview specifically developed for the study and Diagnostic Manual - Intellectual Disability criteria.

Results: The 4.3% of the sample fully met the diagnostic criteria for anorexia nervosa, 6.7% for bulimia nervosa (BN) and 22.8% for binge eating disorder (BED). Furthermore, at least one observable symptom of these disorders was found in higher percentages of the sample. A higher prevalence of FEEDs was found in ID/IDD plus ASD than in ID/IDD alone. PBs were also significantly higher in participants with co-occurring ASD and had a positive correlation with the number of FEED symptoms, especially for BN and BED.

Conclusions: The study enriches previous literature and considers novel aspects such as the behavioural/observable presentation of symptoms as well as the association with ASD and PBs. These issues deserve a specific consideration within standard psychiatric assessment and future research, especially in persons with major communication and/or cognitive difficulties.

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患有或未患有自闭症谱系障碍的智力发育障碍成人的进食和喂养障碍。
研究背景本观察性横断面研究旨在调查伴有或不伴有自闭症谱系障碍(ASD)和特定问题行为(PBs)的智障/智力发育障碍(IDD)成人中进食和饮食紊乱(FEEDs)的患病率:通过专门为本研究制定的结构化访谈和《诊断手册--智力残疾》标准,对连续入住寄宿和康复机构的 26 名智障/智力发育障碍成人(其中 59.2% 的人同时伴有自闭症谱系障碍)是否存在 FEEDs 进行了评估:4.3%的样本完全符合神经性厌食症的诊断标准,6.7%符合神经性贪食症(BN)的诊断标准,22.8%符合暴饮暴食症(BED)的诊断标准。此外,样本中至少有一种可观察到的这些疾病症状的比例也较高。与单纯的 ID/IDD 相比,ID/IDD 加 ASD 的 FEED 患病率更高。同时患有 ASD 的参与者的 PBs 也明显较高,并且与 FEED 症状的数量呈正相关,尤其是 BN 和 BED:该研究丰富了以往的文献,并考虑了一些新的方面,如症状的行为/可观察表现以及与 ASD 和 PBs 的关联。这些问题值得在标准精神评估和未来研究中予以特别考虑,尤其是对有严重沟通和/或认知障碍的人。
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来源期刊
CiteScore
5.60
自引率
5.60%
发文量
81
期刊介绍: The Journal of Intellectual Disability Research is devoted exclusively to the scientific study of intellectual disability and publishes papers reporting original observations in this field. The subject matter is broad and includes, but is not restricted to, findings from biological, educational, genetic, medical, psychiatric, psychological and sociological studies, and ethical, philosophical, and legal contributions that increase knowledge on the treatment and prevention of intellectual disability and of associated impairments and disabilities, and/or inform public policy and practice. Expert reviews on themes in which recent research has produced notable advances will be included. Such reviews will normally be by invitation.
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