Pub Date : 2020-05-20DOI: 10.1080/19315864.2020.1760973
R. Ng, K. Heinrich, E. Hodges
ABSTRACT Introduction The primary aim of this retrospective study was to assess differential associations between sleep disturbances with externalizing/internalizing problems, ADHD profiles (inattention, hyperactivity/impulsivity), and social impairment among children with ADHD, autism spectrum disorder (ASD), and comorbid diagnoses (ASD+ADHD). Methods Caregivers of patients with ADHD (N = 28), ASD (N = 29), and ASD+ADHD (N = 57) completed the Child Behavior Checklist, Conners 3rd Edition, and Pediatric Sleep Questionnaire to assess externalizing/internalizing problems, social functioning, ADHD presentations, and sleep disturbances. Results Findings indicated that among the ASD+ADHD group, select sleep factors contributed to 17% of the variance in externalizing problems, 16% in hyperactivity/impulsivity, and 15% in inattention problems, despite controlling for intellectual functioning and stimulant use; whereas no associations were observed among ASD or ADHD groups. Conclusions In brief, sleep may impact behavioral and attention dysregulation more intimately among those with ASD+ADHD, underscoring the need to incorporate sleep screening measures in diagnostic evaluations and in treatment considerations for behavioral dysregulation.
{"title":"Do You Really Lose When You Snooze? Sleep Correlates of Externalizing and Attention Problems Among Pediatric Patients with ADHD, ASD, and Comorbid Diagnosis","authors":"R. Ng, K. Heinrich, E. Hodges","doi":"10.1080/19315864.2020.1760973","DOIUrl":"https://doi.org/10.1080/19315864.2020.1760973","url":null,"abstract":"ABSTRACT Introduction The primary aim of this retrospective study was to assess differential associations between sleep disturbances with externalizing/internalizing problems, ADHD profiles (inattention, hyperactivity/impulsivity), and social impairment among children with ADHD, autism spectrum disorder (ASD), and comorbid diagnoses (ASD+ADHD). Methods Caregivers of patients with ADHD (N = 28), ASD (N = 29), and ASD+ADHD (N = 57) completed the Child Behavior Checklist, Conners 3rd Edition, and Pediatric Sleep Questionnaire to assess externalizing/internalizing problems, social functioning, ADHD presentations, and sleep disturbances. Results Findings indicated that among the ASD+ADHD group, select sleep factors contributed to 17% of the variance in externalizing problems, 16% in hyperactivity/impulsivity, and 15% in inattention problems, despite controlling for intellectual functioning and stimulant use; whereas no associations were observed among ASD or ADHD groups. Conclusions In brief, sleep may impact behavioral and attention dysregulation more intimately among those with ASD+ADHD, underscoring the need to incorporate sleep screening measures in diagnostic evaluations and in treatment considerations for behavioral dysregulation.","PeriodicalId":45864,"journal":{"name":"Journal of Mental Health Research in Intellectual Disabilities","volume":"19 1","pages":"231 - 249"},"PeriodicalIF":2.5,"publicationDate":"2020-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86406810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-05-14DOI: 10.1080/19315864.2020.1760972
A. Kildahl, S. B. Helverschou, T. L. Bakken, H. Oddli
ABSTRACT Introduction Individuals with autism spectrum disorder (ASD) and intellectual disability (ID) seem to be at increased risk for post-traumatic stress disorder (PTSD), but knowledge is sparse regarding its identification in this population. Previous research indicates that certain symptoms of PTSD may be more easily recognized, and that identifying reexperiencing and avoidance is particularly challenging. Methods Interpretative phenomenological analysis was used to explore 18 experienced clinicians’ perceptions of PTSD symptom expression in ASD and ID through individual, qualitative interviews. Results Informants provided examples from all symptom groups, but these differed in how frequently they were described. Recognition of reexperiencing may rely on knowledge about individuals’ trauma experience. Avoidance may present in a wider range of ways. Conclusion Development of reexperiencing and avoidance may follow different trajectories in this population, contributing to challenges in recognition. Reexperiencing may be more severe in ASD/ID. Implications are discussed in light of current diagnostic criteria.
{"title":"“Driven and Tense, Stressed Out and Anxious”: Clinicians’ Perceptions of Post-Traumatic Stress Disorder Symptom Expressions in Adults with Autism and Intellectual Disability","authors":"A. Kildahl, S. B. Helverschou, T. L. Bakken, H. Oddli","doi":"10.1080/19315864.2020.1760972","DOIUrl":"https://doi.org/10.1080/19315864.2020.1760972","url":null,"abstract":"ABSTRACT Introduction Individuals with autism spectrum disorder (ASD) and intellectual disability (ID) seem to be at increased risk for post-traumatic stress disorder (PTSD), but knowledge is sparse regarding its identification in this population. Previous research indicates that certain symptoms of PTSD may be more easily recognized, and that identifying reexperiencing and avoidance is particularly challenging. Methods Interpretative phenomenological analysis was used to explore 18 experienced clinicians’ perceptions of PTSD symptom expression in ASD and ID through individual, qualitative interviews. Results Informants provided examples from all symptom groups, but these differed in how frequently they were described. Recognition of reexperiencing may rely on knowledge about individuals’ trauma experience. Avoidance may present in a wider range of ways. Conclusion Development of reexperiencing and avoidance may follow different trajectories in this population, contributing to challenges in recognition. Reexperiencing may be more severe in ASD/ID. Implications are discussed in light of current diagnostic criteria.","PeriodicalId":45864,"journal":{"name":"Journal of Mental Health Research in Intellectual Disabilities","volume":"11 1","pages":"201 - 230"},"PeriodicalIF":2.5,"publicationDate":"2020-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90044504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-02DOI: 10.1080/19315864.2020.1753267
L. Mevissen, R. Didden, A. de Jongh, H. Korzilius
ABSTRACT Introduction: Persons with mild intellectual disability or borderline intellectual functioning (MID-BIF, IQ 50–85) are at high risk for the development of posttraumatic stress disorder (PTSD). A diagnostic instrument to establish a valid and reliable DSM-5 PTSD diagnosis in adults with MID-BIF was lacking. Aim of the current study was to determine the reliability and validity of the Adapted ADIS-C PTSD-adults for the assessment of PTSD according to DSM-IV-TR and DSM-5 in adults with MID-BIF Method: 106 adults (18– 72 years old) with MID-BIF were interviewed using the Adapted ADIS-C PTSD-adults Results: Agreement between raters appeared to be good (mean Cohen’s kappa for traumatic event scores 0.84, fulfillment of PTSD A-criterion 0.50, and PTSD symptom scores 0.90). Content validity was supported by a significant positive association with scores on the IES-IDs, a DSM-IV PTSD screening instrument (DSM-IV: r = .58; DSM-5: r = .43; ps <.001). Convergent validity appeared to be good considering positive correlations between rates of PTSD symptoms and scores on the ADESS, measuring symptoms of anxiety and stress, depression, and social avoidance (DSM-IV: r = .47; DSM-5: r = .49; ps <.001) Conclusion: The Adapted ADIS-C PTSD-adults is suitable for assessing DSM-5 PTSD in adults with MID-BIF, an important step to gain access to trauma-focused interventions that have shown to be applicable and potentially effective for this high-risk target group.
摘要简介:轻度智力残疾或边缘性智力功能障碍(MID-BIF, IQ 50-85)的患者是创伤后应激障碍(PTSD)的高危人群。缺乏一种诊断工具来建立有效和可靠的DSM-5对成人MID-BIF的PTSD诊断。本研究的目的是根据DSM-IV-TR和DSM-5确定适应性ADIS-C PTSD-成人对中度bif成人PTSD评估的信度和效度。采用适应性ADIS-C PTSD-成人对106例(18 - 72岁)中度bif成人进行了访谈。结果:评分者之间的一致性很好(创伤事件的平均Cohen kappa得分0.84,PTSD a标准的满足程度0.50,PTSD症状得分0.90)。内容效度与DSM-IV PTSD筛查工具ies - id得分呈显著正相关(DSM-IV: r = 0.58;DSM-5: r = 0.43;ps <措施)。考虑到PTSD症状率与ADESS评分、焦虑和压力、抑郁和社交回避症状的测量之间的正相关，收敛效度似乎很好(DSM-IV: r = 0.47;DSM-5: r = 0.49;结论:改编版ADIS-C成人PTSD适用于评估中bif成人的DSM-5 PTSD，这是获得以创伤为重点的干预措施的重要一步，该干预措施已被证明适用于这一高危目标群体并可能有效。
{"title":"Assessing Posttraumatic Stress Disorder in Adults with Mild Intellectual Disabilities or Borderline Intellectual Functioning","authors":"L. Mevissen, R. Didden, A. de Jongh, H. Korzilius","doi":"10.1080/19315864.2020.1753267","DOIUrl":"https://doi.org/10.1080/19315864.2020.1753267","url":null,"abstract":"ABSTRACT Introduction: Persons with mild intellectual disability or borderline intellectual functioning (MID-BIF, IQ 50–85) are at high risk for the development of posttraumatic stress disorder (PTSD). A diagnostic instrument to establish a valid and reliable DSM-5 PTSD diagnosis in adults with MID-BIF was lacking. Aim of the current study was to determine the reliability and validity of the Adapted ADIS-C PTSD-adults for the assessment of PTSD according to DSM-IV-TR and DSM-5 in adults with MID-BIF Method: 106 adults (18– 72 years old) with MID-BIF were interviewed using the Adapted ADIS-C PTSD-adults Results: Agreement between raters appeared to be good (mean Cohen’s kappa for traumatic event scores 0.84, fulfillment of PTSD A-criterion 0.50, and PTSD symptom scores 0.90). Content validity was supported by a significant positive association with scores on the IES-IDs, a DSM-IV PTSD screening instrument (DSM-IV: r = .58; DSM-5: r = .43; ps <.001). Convergent validity appeared to be good considering positive correlations between rates of PTSD symptoms and scores on the ADESS, measuring symptoms of anxiety and stress, depression, and social avoidance (DSM-IV: r = .47; DSM-5: r = .49; ps <.001) Conclusion: The Adapted ADIS-C PTSD-adults is suitable for assessing DSM-5 PTSD in adults with MID-BIF, an important step to gain access to trauma-focused interventions that have shown to be applicable and potentially effective for this high-risk target group.","PeriodicalId":45864,"journal":{"name":"Journal of Mental Health Research in Intellectual Disabilities","volume":"35 3 1","pages":"110 - 126"},"PeriodicalIF":2.5,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85767870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-02DOI: 10.1080/19315864.2020.1756080
A. Hassiotis, Afia Ali, A. Courtemanche, Y. Lunsky, L. L. McIntyre, Deborah Napolitamo, J. van der Nagel, S. Werner
Since late January 2020, the world has been trying to deal with the coronavirus pandemic and its impact on populations and societies. Whilst no one is exempt from contracting COVID-19 as a result o...
{"title":"In the Time of the Pandemic: Safeguarding People with Developmental Disabilities against the Impact of Coronavirus","authors":"A. Hassiotis, Afia Ali, A. Courtemanche, Y. Lunsky, L. L. McIntyre, Deborah Napolitamo, J. van der Nagel, S. Werner","doi":"10.1080/19315864.2020.1756080","DOIUrl":"https://doi.org/10.1080/19315864.2020.1756080","url":null,"abstract":"Since late January 2020, the world has been trying to deal with the coronavirus pandemic and its impact on populations and societies. Whilst no one is exempt from contracting COVID-19 as a result o...","PeriodicalId":45864,"journal":{"name":"Journal of Mental Health Research in Intellectual Disabilities","volume":"290 1","pages":"63 - 65"},"PeriodicalIF":2.5,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77502768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-02DOI: 10.1080/19315864.2020.1750742
Elizabeth M. O'Donoghue, D. Pogge, Philip D. Harvey
ABSTRACT Introduction: Features of intellectual disability (ID) and/or autism spectrum disorder (ASD) may hinder responsiveness to interventions typically used during psychiatric hospitalization to manage severely disruptive behavior, and could increase the likelihood of experiencing restraint and/or seclusion (R/S). This study investigated the occurrence of R/S in psychiatrically hospitalized children rated by their treatment team as having ID and/or ASD and those who were rated as having neither. Methods: Pre-adolescents (N = 777; M = 9.71; SD = 2.71; Range 5–12) consecutively admitted to an acute psychiatric hospital during a one-year period were assigned a consensus DSM-5 diagnosis of ID (n = 295), ASD (n = 48), Both (n = 77), or Neither (n = 361). R/S occurrences were recorded in terms of their frequency and duration. Results:52% of patients experienced at least one R/S while hospitalized. The modal number of R/S events for this sample was 0, and for children who experienced any R/S, the mode was 2. Comparisons (ID, ASD, Both, Neither) showed statistically significant differences (p <.001) in R/S events. Children rated as meeting diagnostic criteria for ID (68%; M = 13.9), or Both ID and ASD (78%; M = 18.2), had elevated rates of R/S events compared to cases with Neither diagnosis (35%; M = 7.3). ASD alone (50%; M = 10.0) was not associated with an increase in R/S compared to cases with Neither diagnosis. Data on the duration of these events completely paralleled the frequency results. Conclusion: Children who met DSM-5 criteria for ID had a greater risk of experiencing R/S during psychiatric hospitalization. To reduce the occurrence of R/S, interventions must be refined and staff specially trained to address the complexities of treating children with ID.
{"title":"The Impact of Intellectual Disability and Autism Spectrum Disorder on Restraint and Seclusion in Pre-Adolescent Psychiatric Inpatients","authors":"Elizabeth M. O'Donoghue, D. Pogge, Philip D. Harvey","doi":"10.1080/19315864.2020.1750742","DOIUrl":"https://doi.org/10.1080/19315864.2020.1750742","url":null,"abstract":"ABSTRACT Introduction: Features of intellectual disability (ID) and/or autism spectrum disorder (ASD) may hinder responsiveness to interventions typically used during psychiatric hospitalization to manage severely disruptive behavior, and could increase the likelihood of experiencing restraint and/or seclusion (R/S). This study investigated the occurrence of R/S in psychiatrically hospitalized children rated by their treatment team as having ID and/or ASD and those who were rated as having neither. Methods: Pre-adolescents (N = 777; M = 9.71; SD = 2.71; Range 5–12) consecutively admitted to an acute psychiatric hospital during a one-year period were assigned a consensus DSM-5 diagnosis of ID (n = 295), ASD (n = 48), Both (n = 77), or Neither (n = 361). R/S occurrences were recorded in terms of their frequency and duration. Results:52% of patients experienced at least one R/S while hospitalized. The modal number of R/S events for this sample was 0, and for children who experienced any R/S, the mode was 2. Comparisons (ID, ASD, Both, Neither) showed statistically significant differences (p <.001) in R/S events. Children rated as meeting diagnostic criteria for ID (68%; M = 13.9), or Both ID and ASD (78%; M = 18.2), had elevated rates of R/S events compared to cases with Neither diagnosis (35%; M = 7.3). ASD alone (50%; M = 10.0) was not associated with an increase in R/S compared to cases with Neither diagnosis. Data on the duration of these events completely paralleled the frequency results. Conclusion: Children who met DSM-5 criteria for ID had a greater risk of experiencing R/S during psychiatric hospitalization. To reduce the occurrence of R/S, interventions must be refined and staff specially trained to address the complexities of treating children with ID.","PeriodicalId":45864,"journal":{"name":"Journal of Mental Health Research in Intellectual Disabilities","volume":"1 1","pages":"86 - 109"},"PeriodicalIF":2.5,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83168812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-02DOI: 10.1080/19315864.2020.1753268
J. Weise, R. Cvejic, Claire Eagleson, J. Trollor
ABSTRACT Introduction: People with intellectual disability (ID) experience barriers in accessing mental health care. Recommendations have been made to implement specialist intellectual disability mental health (IDMH) services in Australia. However, there is limited evidence to inform service development. Method: Family members and support persons of people with ID (n = 42) completed an on-line survey about support for, and operation of, a tertiary IDMH service in New South Wales, Australia. Results: Participants agreed that a tertiary IDMH service would assist in meeting the needs of people with ID. Key service features included that it be delivered within the public health system, by psychiatrists and psychologists, provide face-to-face clinical contact and advice. Key service areas included behaviors of concern, self-harm, assessments, and interventions. Conclusion: These findings suggest support for a tertiary IDMH service and how it could be delivered. Further research is required from the perspective of people with ID, mental health staff, and clinical experts.
{"title":"A Scoping Study of a Tertiary Intellectual Disability Mental Health Service: A Family Member and Support Person Perspective","authors":"J. Weise, R. Cvejic, Claire Eagleson, J. Trollor","doi":"10.1080/19315864.2020.1753268","DOIUrl":"https://doi.org/10.1080/19315864.2020.1753268","url":null,"abstract":"ABSTRACT Introduction: People with intellectual disability (ID) experience barriers in accessing mental health care. Recommendations have been made to implement specialist intellectual disability mental health (IDMH) services in Australia. However, there is limited evidence to inform service development. Method: Family members and support persons of people with ID (n = 42) completed an on-line survey about support for, and operation of, a tertiary IDMH service in New South Wales, Australia. Results: Participants agreed that a tertiary IDMH service would assist in meeting the needs of people with ID. Key service features included that it be delivered within the public health system, by psychiatrists and psychologists, provide face-to-face clinical contact and advice. Key service areas included behaviors of concern, self-harm, assessments, and interventions. Conclusion: These findings suggest support for a tertiary IDMH service and how it could be delivered. Further research is required from the perspective of people with ID, mental health staff, and clinical experts.","PeriodicalId":45864,"journal":{"name":"Journal of Mental Health Research in Intellectual Disabilities","volume":"24 1","pages":"141 - 156"},"PeriodicalIF":2.5,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79783133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-02DOI: 10.1080/19315864.2020.1755918
J. McCarthy, Frances Bahi, Reed J. Welson, Taylor A. Liberta, Lauren M. Lipner, Henry Eff, Jared Band, Baptiste Barbot
ABSTRACT Background: There is no study to date that has examined the association between history of abuse and adaptive functioning deficits in youth with co-occurring and psychotic disorders or mood disorders. Method: This study used a retrospective chart review of 98 youth under the age of 18 (Mean age = 16.06 years) with co-occurring intellectual impairment (Mean IQ = 63.9) and psychotic disorders, mood disorders, or other psychiatric disorders. Using multi-mediation models in the path analytic framework, this study examined the relationships between psychiatric diagnosis (based on DSM-IV criteria), cognitive functioning (Full Scale IQ Scores), adaptive functioning (Socialization, Communication, Motor Skills, Daily Living Skills), and the presence of the history of physical, sexual, and/or emotional abuse/neglect. Results: A very high incidence of all three forms of abuse was present in the study sample, with more than three-quarters of the youth having experienced at least one form of abuse and more than half having experienced two or the three forms of abuse. A history of sexual abuse was significantly and directly associated with an increased incidence of mood disorders. Mood disorders were the strongest predictors of adaptive functioning deficits. Youth with schizophrenia spectrum disorder scored significantly lower in communication skills than those with bipolar disorder. Conclusion: Results are discussed in terms of the need for treatment studies and further investigations of the relationship between childhood maltreatment and adaptive functioning in youth with intellectual impairment and psychiatric disorders.
{"title":"Impact of Mood Disorders, Psychotic Disorders, and Histories of Abuse on Adaptive Functioning Deficits in Adolescents with Intellectual Impairment","authors":"J. McCarthy, Frances Bahi, Reed J. Welson, Taylor A. Liberta, Lauren M. Lipner, Henry Eff, Jared Band, Baptiste Barbot","doi":"10.1080/19315864.2020.1755918","DOIUrl":"https://doi.org/10.1080/19315864.2020.1755918","url":null,"abstract":"ABSTRACT Background: There is no study to date that has examined the association between history of abuse and adaptive functioning deficits in youth with co-occurring and psychotic disorders or mood disorders. Method: This study used a retrospective chart review of 98 youth under the age of 18 (Mean age = 16.06 years) with co-occurring intellectual impairment (Mean IQ = 63.9) and psychotic disorders, mood disorders, or other psychiatric disorders. Using multi-mediation models in the path analytic framework, this study examined the relationships between psychiatric diagnosis (based on DSM-IV criteria), cognitive functioning (Full Scale IQ Scores), adaptive functioning (Socialization, Communication, Motor Skills, Daily Living Skills), and the presence of the history of physical, sexual, and/or emotional abuse/neglect. Results: A very high incidence of all three forms of abuse was present in the study sample, with more than three-quarters of the youth having experienced at least one form of abuse and more than half having experienced two or the three forms of abuse. A history of sexual abuse was significantly and directly associated with an increased incidence of mood disorders. Mood disorders were the strongest predictors of adaptive functioning deficits. Youth with schizophrenia spectrum disorder scored significantly lower in communication skills than those with bipolar disorder. Conclusion: Results are discussed in terms of the need for treatment studies and further investigations of the relationship between childhood maltreatment and adaptive functioning in youth with intellectual impairment and psychiatric disorders.","PeriodicalId":45864,"journal":{"name":"Journal of Mental Health Research in Intellectual Disabilities","volume":"31 1","pages":"157 - 170"},"PeriodicalIF":2.5,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83141121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-21DOI: 10.1080/19315864.2020.1727590
Ayla Uzun Çiçek, Seda Aybuke Sari, Cansu Mercan Isik
ABSTRACT Introduction: Intellectual disability (ID) is characterized by limitations in cognitive and adaptive functioning. The aim of this study is to examine sociodemographic characteristics, perinatal and childhood risk factors, and prevalence of psychiatric and biomedical comorbidities in children with ID. Methods: 260 patients with ID were included in the study (mean age: 8.42 ± 3.59, 61% male, 75% mild ID). The Ankara Developmental Screening Inventory, the Wechsler Intelligence Scale for Children–Revised, and the Porteus Maze Test were used to assess the intelligence of the participants. An additional questionnaire was used to investigate their sociodemographic characteristics and birth, developmental, and medical histories. Results: Adverse perinatal/neonatal events (p < .001), biomedical comorbidities (p < .001) and seizure/convulsion history (p < .001) were strongly associated with the moderate-severe ID. The children with mild ID had more emotional-social deprivation (p = .022). Low socioeconomic situation, parental education, and teenage parenthood were risk factors for stimulus deficiency. While internalizing disorders were more common in those with mild ID and among girls, externalizing disorders were more common in those with moderate-severe ID and among boys. Conclusion: Interventions to perinatal/neonatal events may reduce the rate of moderate-severe ID. Evaluation of psychiatric and medical comorbidities and elimination of emotional-social deprivation should be fundamental components of the services offered to children with ID.
{"title":"Sociodemographic Characteristics, Risk Factors, and Prevalence of Comorbidity among Children and Adolescents with Intellectual Disability: A Cross-sectional Study","authors":"Ayla Uzun Çiçek, Seda Aybuke Sari, Cansu Mercan Isik","doi":"10.1080/19315864.2020.1727590","DOIUrl":"https://doi.org/10.1080/19315864.2020.1727590","url":null,"abstract":"ABSTRACT Introduction: Intellectual disability (ID) is characterized by limitations in cognitive and adaptive functioning. The aim of this study is to examine sociodemographic characteristics, perinatal and childhood risk factors, and prevalence of psychiatric and biomedical comorbidities in children with ID. Methods: 260 patients with ID were included in the study (mean age: 8.42 ± 3.59, 61% male, 75% mild ID). The Ankara Developmental Screening Inventory, the Wechsler Intelligence Scale for Children–Revised, and the Porteus Maze Test were used to assess the intelligence of the participants. An additional questionnaire was used to investigate their sociodemographic characteristics and birth, developmental, and medical histories. Results: Adverse perinatal/neonatal events (p < .001), biomedical comorbidities (p < .001) and seizure/convulsion history (p < .001) were strongly associated with the moderate-severe ID. The children with mild ID had more emotional-social deprivation (p = .022). Low socioeconomic situation, parental education, and teenage parenthood were risk factors for stimulus deficiency. While internalizing disorders were more common in those with mild ID and among girls, externalizing disorders were more common in those with moderate-severe ID and among boys. Conclusion: Interventions to perinatal/neonatal events may reduce the rate of moderate-severe ID. Evaluation of psychiatric and medical comorbidities and elimination of emotional-social deprivation should be fundamental components of the services offered to children with ID.","PeriodicalId":45864,"journal":{"name":"Journal of Mental Health Research in Intellectual Disabilities","volume":"33 1","pages":"66 - 85"},"PeriodicalIF":2.5,"publicationDate":"2020-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81951415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-02DOI: 10.1080/19315864.2020.1714824
B. Barger, Lincoln R. Larson, S. Ogletree, J. Torquati, S. Rosenberg, C. Gaither, Jody Marie Bartz, Andrew Gardner, E. Moody
ABSTRACT Introduction: Conduct problems are commonly reported among individuals with autism spectrum disorders (ASD) and children with other special health care needs (CSHCN). Environmental research indicates that exposure to natural environments can lead to decreased conduct problems; opposite effects (i.e., increased problems) are associated with built “gray” environments (e.g., roadways). Methods: This exploratory study analyzed the association between Zip-code level tree canopy coverage and severity of conduct problems in typical children, children with ASD, and CSHCN. Tree canopy data came from National Land Cover Database and ASD data came from the cross-sectional National Survey of Children’s Health (2011/2012). Results: Percent tree canopy coverage predicted a decreased risk of severe conduct problems in youth with ASD, but not CSHCN; “gray” space was unassociated with conduct problems in any children. Conclusions: Community tree canopy coverage is negatively associated with conduct problems in children with ASD. More research using individual assessments and street level metrics will help better determine the relationship between canopy coverage and conduct problems in ASD.
{"title":"Tree Canopy Coverage Predicts Lower Conduct Problem Severity in Children with ASD","authors":"B. Barger, Lincoln R. Larson, S. Ogletree, J. Torquati, S. Rosenberg, C. Gaither, Jody Marie Bartz, Andrew Gardner, E. Moody","doi":"10.1080/19315864.2020.1714824","DOIUrl":"https://doi.org/10.1080/19315864.2020.1714824","url":null,"abstract":"ABSTRACT Introduction: Conduct problems are commonly reported among individuals with autism spectrum disorders (ASD) and children with other special health care needs (CSHCN). Environmental research indicates that exposure to natural environments can lead to decreased conduct problems; opposite effects (i.e., increased problems) are associated with built “gray” environments (e.g., roadways). Methods: This exploratory study analyzed the association between Zip-code level tree canopy coverage and severity of conduct problems in typical children, children with ASD, and CSHCN. Tree canopy data came from National Land Cover Database and ASD data came from the cross-sectional National Survey of Children’s Health (2011/2012). Results: Percent tree canopy coverage predicted a decreased risk of severe conduct problems in youth with ASD, but not CSHCN; “gray” space was unassociated with conduct problems in any children. Conclusions: Community tree canopy coverage is negatively associated with conduct problems in children with ASD. More research using individual assessments and street level metrics will help better determine the relationship between canopy coverage and conduct problems in ASD.","PeriodicalId":45864,"journal":{"name":"Journal of Mental Health Research in Intellectual Disabilities","volume":"7 1","pages":"43 - 61"},"PeriodicalIF":2.5,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81179278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-02DOI: 10.1080/19315864.2019.1710787
N. V. Rodas, J. Blacher, B. Baker
ABSTRACT Introduction: We examined the development of anxiety in youth with or without intellectual disabilities (ID). We also examined the effects of child delay status, temperament, ethnicity, and negative parenting on anxiety symptom trajectory. Method: Participants were 177 families in (blinded). We employed latent growth curve modeling to examine the trajectory of anxiety symptoms (ages 3–13 years) and to examine the individual and interactive effects of variables in predicting age 3 anxiety and change in anxiety. Results: Anxiety symptoms increased over time. Children with ID demonstrated higher levels of anxiety compared to typically developing (TD) children. Social fearfulness was positively associated with anxiety at age 3. Anxiety increased at a slower rate in Latino children. Negative parenting positively predicted rate of change in anxiety for children with ID but not TD children.Conclusions: These findings inform early intervention targets for culturally diverse families of children with or without ID.
{"title":"Predictors of Anxiety Symptom Trajectory in Children with or without ID from Early Childhood to Adolescence","authors":"N. V. Rodas, J. Blacher, B. Baker","doi":"10.1080/19315864.2019.1710787","DOIUrl":"https://doi.org/10.1080/19315864.2019.1710787","url":null,"abstract":"ABSTRACT Introduction: We examined the development of anxiety in youth with or without intellectual disabilities (ID). We also examined the effects of child delay status, temperament, ethnicity, and negative parenting on anxiety symptom trajectory. Method: Participants were 177 families in (blinded). We employed latent growth curve modeling to examine the trajectory of anxiety symptoms (ages 3–13 years) and to examine the individual and interactive effects of variables in predicting age 3 anxiety and change in anxiety. Results: Anxiety symptoms increased over time. Children with ID demonstrated higher levels of anxiety compared to typically developing (TD) children. Social fearfulness was positively associated with anxiety at age 3. Anxiety increased at a slower rate in Latino children. Negative parenting positively predicted rate of change in anxiety for children with ID but not TD children.Conclusions: These findings inform early intervention targets for culturally diverse families of children with or without ID.","PeriodicalId":45864,"journal":{"name":"Journal of Mental Health Research in Intellectual Disabilities","volume":"3 1","pages":"25 - 42"},"PeriodicalIF":2.5,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85073217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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