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Instruments in Spanish to Assess the Mental Health of Adults With Intellectual Disabilities. A Systematic Review 评估智力残疾成人心理健康的西班牙语工具。系统回顾
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2025-09-10 DOI: 10.1111/jar.70115
Clara González-Sanguino, Alba Ayuso-Lanchares, Sara Castrillo-San Mamés, Jairo Rodríguez-Medina

Background

Mental health (MH) problems are more common in people with intellectual disabilities (ID), yet under-diagnosis persists, which may be partly due to a lack of appropriate assessment tools. This study presents a systematic review of instruments used to assess MH problems in Spanish-speaking adults with ID.

Method

Following PRISMA guidelines, a search was conducted in Web of Science, PsycINFO, and Scopus using terms related to ID, MH and assessment. From 3929 records, 12 studies met the inclusion criteria, identifying 13 instruments in Spanish.

Results

The overall quality of the instruments was medium to low, with main limitations in sampling and data analysis. Most tools assessed adaptive skills, disruptive behaviour, anxiety, depression, or cognitive impairment using hetero-reported scales, mostly adapted from Anglo-Saxon instruments.

Conclusion

Further research is needed to develop culturally adapted, psychometrically robust tools that allow people with ID to express their own MH needs, moving from hetero-reported approaches.

背景:精神健康问题在智力残疾者中更为常见,但诊断不足仍然存在,部分原因可能是缺乏适当的评估工具。本研究提出了一个系统的回顾工具,用于评估MH问题的西班牙语成人身份证。方法按照PRISMA指南,在Web of Science、PsycINFO和Scopus中检索ID、MH和assessment相关术语。从3929份记录中,12项研究符合纳入标准,确定了13种西班牙语乐器。结果仪器整体质量处于中低水平,主要存在采样和数据分析方面的局限性。大多数工具评估适应性技能、破坏性行为、焦虑、抑郁或认知障碍,使用的是异性报告的量表,大多改编自盎格鲁-撒克逊工具。结论:需要进一步的研究来开发适应文化的、心理测量学上强大的工具,使ID患者能够表达自己的MH需求,而不是采用异性恋报告的方法。
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引用次数: 0
Singing Together: A Practice-Based Study of a Community-Based Choir for Neurodiverse Adults 一起唱歌:一项基于实践的基于社区的神经多样性成人合唱团研究
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2025-09-09 DOI: 10.1111/jar.70117
Joanna R. Kennedy, Rachel Jozwiak, Sabra Chavez, A. Blythe LaGasse

Background

Research indicates that music-based interventions can improve quality of life for neurodiverse adults; however, there is limited research on community choirs. The purpose of this practice-based study was to determine feasibility, initial outcomes, and perceptions of benefits/barriers of participation in a community-based choir for neurodiverse adults.

Method

Seven adults aged 25–33 and diagnosed with an intellectual or developmental disability participated in a 15-week community-based choir led by a credentialed music therapist. We collected quantitative and qualitative data focused on feasibility, social interactions, quality of life, and perceptions of benefits/barriers.

Results

The study procedures were feasible; however, additional considerations are needed for measurement tools. Qualitative data indicated that the choir members and caregivers perceived the choir as a meaningful opportunity for social engagement.

Conclusion

Community-based choirs may provide neurodiverse adults with an opportunity for community engagement; however, further research is needed to determine the impact of choirs on individual outcomes.

研究表明,基于音乐的干预可以改善神经多样性成年人的生活质量;然而,对社区唱诗班的研究有限。这项以实践为基础的研究的目的是确定可行性、初步结果和参与神经多样性成人社区合唱团的好处/障碍的看法。方法7名年龄在25-33岁,被诊断为智力或发育障碍的成年人参加了由有资格的音乐治疗师带领的为期15周的社区合唱团。我们收集了定量和定性数据,重点关注可行性、社会互动、生活质量和对利益/障碍的看法。结果研究流程可行;然而,测量工具需要额外的考虑。定性数据表明,合唱团成员和照顾者认为合唱团是一个有意义的社会参与机会。结论社区唱诗班可为神经多样性成人提供社区参与的机会;然而,需要进一步的研究来确定合唱团对个人结果的影响。
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引用次数: 0
Health From the Perspective of Adolescents With Intellectual Disabilities—Report From Poland 智障青少年视角下的健康——波兰报告
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2025-09-08 DOI: 10.1111/jar.70119
Beata Gumienny, Aneta Lew-Koralewicz

Background

Health awareness is an important factor in preventive health and healthy lifestyles of children and adolescents with an intellectual disability. The research objective is therefore to explore the perspective of people with intellectual disability regarding their health-related experiences and the meanings they assign to health.

Methods

Using interpretative phenomenological analysis (IPA) as a methodological approach, semi-structured interviews were conducted with 14 students between the ages of 13 and 19.

Results

Analysis identified four themes: understanding of health, perceptions of a healthy lifestyle, identifying health-at-risk situations, and experiencing illness. For them, health means feeling good, the lack of illness, and a healthy lifestyle. Participants can identify various health-threatening situations.

Conclusions

It is necessary to strengthen health education and health awareness in the population of people with intellectual disability, so as to enable them to increase the scope of their autonomy and self-determination with regard to protecting their own health.

背景健康意识是智力残疾儿童和青少年预防保健和健康生活方式的重要因素。因此,本研究的目的是探讨智障人士对其与健康有关的经历和他们赋予健康的意义的看法。方法采用解释现象学分析(IPA)方法,对14名13 ~ 19岁的大学生进行半结构化访谈。结果分析确定了四个主题:对健康的理解、对健康生活方式的认识、识别健康风险状况和经历疾病。对他们来说,健康意味着感觉良好、不生病和健康的生活方式。参与者可以识别各种威胁健康的情况。结论应加强智力残疾人群的健康教育和健康意识,使其在保护自身健康方面有更大的自主权和自决权。
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引用次数: 0
Caregiving for Adults With Down Syndrome: Caregiver Experiences and Support Needs 照顾成人唐氏综合症:照顾者经验和支持需求
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2025-09-08 DOI: 10.1111/jar.70118
Amy E. Bodde, Joanna Veazey Brooks, Bethany Forseth, Tara Wolfe, Kristine Williams, Lauren T. Ptomey

Background

Family caregivers of adults with Down syndrome often provide life-long caregiving support for their loved one. Long-term caregiving can impact caregivers' health and well-being, yet their experiences and support needs are underexplored.

Method

Semi-structured interviews were conducted with caregivers of adults with Down syndrome to understand their caregiving experiences and perceived caregiver support needs. Transcripts of the recorded interviews were coded and analysed thematically.

Results

Seventeen family caregivers (94.1% female, Mage = 58.8 years) of adults with Down syndrome completed the interviews. We identified four major themes: constancy of caregiving, future planning, significance of social supports and positive joys and rhythms.

Conclusion

Our findings demonstrate that caregiving responsibilities can feel constant and unceasing, yet consistent routines and positive appraisal help ease the burden. Family and friends support thriving, but trusted options for transportation services, life transition planning and respite care are needed. Targeting these support needs may improve caregiver well-being.

唐氏综合症成人的家庭照顾者通常为他们所爱的人提供终身护理支持。长期照护会影响照护者的健康和福祉,但他们的经历和支持需求尚未得到充分探讨。方法采用半结构化访谈法对成年唐氏综合征患者的照顾者进行访谈,了解其照顾经历和感知到的照顾者支持需求。对记录的采访笔录进行了编码和专题分析。结果17名成人唐氏综合征家庭照顾者(女性94.1%,年龄58.8岁)完成访谈。我们确定了四个主要主题:持续的照顾、未来规划、社会支持的重要性以及积极的快乐和节奏。结论照护责任是一种持续的、不间断的感觉,而一致的日常安排和积极的评价有助于减轻负担。家人和朋友支持蓬勃发展,但需要可靠的交通服务选择,生活过渡规划和临时护理。针对这些支持需求可以改善照顾者的幸福感。
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引用次数: 0
Correction to “Prevalence of Respiratory Symptoms in Individuals With Down's Syndrome in Saudi Arabia: A Cross-Sectional Study” 对“沙特阿拉伯唐氏综合症患者呼吸道症状患病率:一项横断面研究”的更正
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2025-09-07 DOI: 10.1111/jar.70114

Alqazlan, S. Alenezi, F.K. Alwadeai, K.S. Alanazi, A.S. Alghamdi, A.S. Alarifi, S. Aba-Alkhayl, S. Almeshari, M.A. 2025 Prevalence of Respiratory Symptoms in Individuals With Down's Syndrome in Saudi Arabia: A Cross-Sectional Study Journal of Applied Research in Intellectual Disabilities 38 e70072 https://doi.org/10.1111/jar.70072

In the published version of this article, the Funding Statement was incomplete. The text incorrectly read:

“This work was supported by the Deanship of Scientific Research at Imam Mohammad Ibn Saud Islamic University (IMSIU) (IMSIU-DDRSP2501).”

The correct text should read:

“This work was supported and funded by the Deanship of Scientific Research at Imam Mohammad Ibn Saud Islamic University (IMSIU) (grant number IMSIU-DDRSP2501).”

This correction does not affect any of the article's results or conclusions.

We apologize for this error.

Alqazlan, S. Alenezi, F.K. Alwadeai, K.S. Alanazi, A.S. Alghamdi, A.S. Alarifi, S. ab - alkhayl, S. Almeshari, M.A. 2025沙特阿拉伯唐氏综合征患者呼吸系统症状患病率:一项横断面研究智力残疾应用研究杂志38 e70072 https://doi.org/10.1111/jar.70072在这篇文章的发表版本中,资金声明是不完整的。文字错误地写为:“这项工作得到了伊玛目穆罕默德伊本沙特伊斯兰大学(IMSIU)科学研究主任的支持(IMSIU- ddrsp2501)。”正确的文本应该是:“这项工作得到了伊玛目穆罕默德·伊本·沙特伊斯兰大学(IMSIU)科学研究主任的支持和资助(资助号IMSIU- ddrsp2501)。”此更正不影响文章的任何结果或结论。我们为这个错误道歉。
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引用次数: 0
Health-Related Quality of Life and Psychological Adjustment of Middle School Students With Mild Intellectual Disability: The Role of Educational Placement 轻度智障中学生健康相关生活质量与心理适应:教育安置的作用
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2025-09-03 DOI: 10.1111/jar.70113
Evelyn Kiive, Kaja Pastarus, Tea Ausin, Kristina Kutsar, Triin Kivirähk-Koor

Background

This study aimed to assess the level of health-related quality of life, the occurrence of behavioural and emotional problems, and the association between those among 10–11-year-old students with mild intellectual disability who are studying in mainstream schools and separate special schools.

Methods

The study included the caregivers and teachers of 76 students with mild intellectual disability. Students' quality of life was evaluated using the KINDL-R parent report. The SDQ versions for parents and teachers were used to measure the difficulties of the students.

Results

As reported by caregivers and teachers, lower quality of life was associated with a higher prevalence of behavioural-emotional problems. According to caregivers, students attending special schools had higher school-related well-being than mainstream school students.

Conclusion

Although students' life quality and behavioural-emotional adjustment do not significantly differ between mainstream and special schools, attention should be paid to the school-related well-being of students integrated into regular schools.

背景本研究旨在评估10 - 11岁就读于主流学校和独立特殊学校的轻度智障学生的健康相关生活质量水平、行为和情绪问题的发生情况,以及这些问题之间的关系。方法对76名轻度智力障碍学生的护理人员和教师进行调查。使用KINDL-R家长报告评估学生的生活质量。针对家长和教师的SDQ版本被用来衡量学生的困难程度。结果根据护理人员和教师的报告,较低的生活质量与较高的行为情绪问题患病率相关。根据看护人的说法,特殊学校的学生比主流学校的学生有更高的学校相关幸福感。结论虽然主流学校与特殊学校学生的生活质量和行为情绪调节没有显著差异,但仍应重视升入普通学校学生的学校相关幸福感。
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引用次数: 0
‘You Understand Me’: Experiences of Peer Mentors Delivering Support for a Mindfulness Intervention to Family Carers of People With Intellectual and Developmental Disabilities “你理解我”:同侪导师为智力和发育障碍者的家庭照顾者提供正念干预支持的经验
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2025-08-24 DOI: 10.1111/jar.70102
Alex Gordon-Brown, Caitlin A. Murray, Nikita K. Hayden, Richard P. Hastings, David Mahon, Samantha Flynn

Background

Family carers of people with intellectual and developmental disabilities are at increased risk of stress and often face barriers to accessing appropriate supports. Peer support can enhance the effects of well-being interventions, yet research is limited regarding family carers' experiences within peer support roles.

Method

Semi-structured interviews were conducted with 10 peer mentors (four adult siblings, six parent carers) paid to support other family carers undertaking an online mindfulness intervention. Interviews were recorded and transcribed. The data were analysed using Framework Analysis.

Results

Peer mentors discussed their motivations, the importance of shared experiences within the mentoring relationships, increased confidence and self-belief, and learning and growing throughout the mentoring role.

Conclusion

Peer mentors spoke positively, discussing benefits within their personal lives and future employment opportunities. Further research is needed regarding the experiences of mentors who withdrew from the role, as well as fathers, brothers and people from ethnic minority communities.

智力和发育残疾者的家庭照顾者面临的压力风险越来越大,而且往往在获得适当支持方面面临障碍。同伴支持可以增强福祉干预的效果,但关于家庭照顾者在同伴支持角色中的经验的研究有限。方法采用半结构式访谈法,对10名同伴导师(4名成年兄弟姐妹,6名父母照顾者)进行访谈,以支持其他家庭照顾者进行在线正念干预。采访被记录下来并记录下来。采用框架分析法对数据进行分析。结果同伴导师讨论了他们的动机,在指导关系中分享经验的重要性,增加信心和自我信念,以及在指导角色中学习和成长。同侪导师积极地谈论他们的个人生活和未来就业机会的好处。需要进一步研究退出角色的导师、父亲、兄弟和少数民族社区的人的经历。
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引用次数: 0
Psychometric Properties of the Questionnaire Epistemic Trust in People With Mild to Moderate Intellectual Disabilities or Borderline Intellectual Functioning 轻、中度智障或边缘性智障人士认知信任问卷的心理测量特征
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2025-08-21 DOI: 10.1111/jar.70111
Suzanne D. M. Derks, Annelies de Bildt, Veerle M. M. Andries, Saskia Knapen, Paula S. Sterkenburg

Background

To assess epistemic trust in people with intellectual disabilities, we adapted the Questionnaire Epistemic Trust (QET) for people with mild to moderate intellectual disabilities or borderline intellectual functioning (MMID/BIF).

Method

We investigated the factor structure, the reliability and construct validity in 147 adults.

Results

We replicated the 4-factor structure, after excluding four items with low factor loadings. Internal consistency was α = 0.58 for Hypervigilance, and ranged from α = 0.74 to 0.81 for the other subscales. Subscale test–retest reliability ranged from 0.504 to 0.747. No convergent validity was found with the Reflective Functioning Questionnaire (RFQ). Discriminant validity was confirmed with the Scale of Emotional Development-Questionnaire (SED-Q), Scale of Emotional Development-Short (SED-S) and Autism Spectrum Quotient-10 (AQ-10), but not with General Social Trust (GST).

Discussion

The QET is promising for assessing epistemic trust of people with MMID/BIF at subscale level. Refining the items with a figurative expression seems needed.

背景为了评估智力残疾者的认知信任,我们将认知信任问卷(QET)应用于轻度至中度智力残疾或边缘性智力功能(MMID/BIF)人群。方法对147名成人进行因素结构、信度和结构效度调查。结果在剔除4个低因子负荷项目后,重复了4因子结构。高警惕性的内部一致性为α = 0.58,其他分量表的内部一致性为α = 0.74 ~ 0.81。分量表测试-重测信度范围为0.504 ~ 0.747。反思性功能问卷(RFQ)没有发现收敛效度。情绪发展量表-问卷(SED-Q)、情绪发展短量表(SED-S)和自闭症谱系商-10 (AQ-10)均具有判别效度,而一般社会信任量表(GST)不具有判别效度。QET有望在子尺度水平上评估MMID/BIF患者的认知信任。似乎需要用一种比喻的表达来精炼这些项目。
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引用次数: 0
What Do They Think? The Opinions of Women With Intellectual Disabilities on Affective-Sexual Relationships: An Interview-Based Study 他们是怎么想的?智障女性对两性关系的看法:一项基于访谈的研究
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2025-08-18 DOI: 10.1111/jar.70110
Maialen Beltran-Arreche, Judit Fullana Noell, Maria Pallisera Díaz

Background

Although the rights to sexuality and intimacy are increasingly recognised, it is a widely held assumption that women with intellectual disabilities are unable to express their sexuality freely, partly due to a lack of research and information on the topic.

Objective

To explore the perspectives of women with intellectual disabilities on affective-sexual relationships, identify their specific support needs, inform the development of inclusive educational and psychosocial interventions, and propose policy improvements to promote their rights.

Method

Individual interviews were conducted and analysed thematically.

Results

The results are divided into five areas: the LGBTQIA+ community; couple relationships; contraception and sex; abuse; and family and motherhood.

Conclusion

The identified challenges related largely to external barriers. Their accounts allowed us to compile a list of the support they deem necessary, such as adapted sex education; further research based on their experiences; the creation of specific resources; and raising general awareness in society.

虽然性和亲密关系的权利日益得到承认,但人们普遍认为,有智力障碍的女性无法自由表达自己的性行为,部分原因是缺乏有关这一主题的研究和信息。目的探讨智障女性对情感-性关系的看法,明确她们的特殊支持需求,为制定包容性教育和心理社会干预措施提供信息,并提出政策改进建议,以促进她们的权利。方法采用个别访谈法进行专题分析。结果结果分为5个区域:LGBTQIA+社区;夫妻关系;避孕和性;滥用;还有家庭和母性。所确定的挑战主要与外部障碍有关。根据她们的描述,我们编制了一份她们认为必要的支持清单,比如适应性教育;根据他们的经验进一步研究;创造具体的资源;提高社会的普遍意识。
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引用次数: 0
Parents' Experiences of the Sexual Development of Adolescents With Intellectual Disabilities: A Systematic Review and Synthesis of Qualitative Studies 父母对智障青少年性发展的经验:质性研究的系统回顾与综合
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2025-08-17 DOI: 10.1111/jar.70112
Yeşim Yurdakul, Yelda Kublay

Background

This study aims to systematically synthesise qualitative research findings regarding the sexual development of adolescents with intellectual disabilities (ID) from the perspective of their parents.

Method

A comprehensive search across seven databases identified 15 studies on parents' experiences regarding the sexual development of adolescents (10–19 years) with intellectual disabilities. In the study, the ENTREQ guidelines were followed, and the CASP checklist was used for quality assessment. Data synthesis followed an inductive approach by Sandelowski and Barroso.

Results

Parents' experiences were categorised into five themes: parents' perceptions of their children's sexuality, social and emotional impacts of sexual changes, parents' needs and strategies for sexual education, increasing concerns and responsibilities with sexual changes, and strategies for managing sexual behaviours.

Conclusion

Educational and guidance services provided by health professionals regarding the sexual development of children with intellectual disabilities could help manage sexual needs and sexual health issues within this population more effectively.

本研究旨在系统地综合从父母角度对智力障碍青少年性发展的定性研究结果。方法通过对7个数据库的综合检索,确定了15项关于智力障碍青少年(10-19岁)父母性发展经历的研究。本研究遵循ENTREQ指南,并采用CASP检查表进行质量评估。数据综合遵循了Sandelowski和Barroso的归纳方法。结果家长的经历分为五个主题:家长对孩子性行为的看法、性变化对社会和情感的影响、家长对性教育的需求和策略、对性变化的关注和责任增加、性行为管理策略。结论卫生专业人员对智力残疾儿童的性发展提供教育和指导服务,有助于更有效地管理这一人群的性需求和性健康问题。
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引用次数: 0
期刊
Journal of Applied Research in Intellectual Disabilities
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