A narrative review of cognitive behavioural therapy in supporting bereaved adults with intellectual disability

Lonergan, Aoife

doi:10.1111/bld.12322

Cited by 4 publications

(2 citation statements)

References 64 publications

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“…Evidence suggests that adapted CBT can help PIWD manage anxiety [ 45 ], bereavement [ 46 ], depression [ 69 ], and a range of other presenting difficulties [ 32 ].…”

Section: Background: Literature Reviewmentioning

confidence: 99%

Adapted remote cognitive behavioural therapy for comfort eating with a woman with intellectual disabilities: Case report

Millar

Greenhill

2022

J Eat Disord

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Background Diagnostic overshadowing can prevent the treatment of comfort eating in people with intellectual disabilities, and the published literature contains few therapeutic examples. This case study reports a relatively novel, promising, and accessible, remote cognitive behavioural intervention. Case presentation This case study documents a therapeutic intervention for comfort eating with a client, Sarah, in a National Health Service adult Community Learning Disabilities Service. Sarah is a white, British woman in her late thirties, with a diagnosis of Down syndrome who experienced significant problems with comfort eating and subsequent weight management. Despite dieting and exercising, Sarah was clinically obese and experienced weight related pain and psychological distress. Systemic intervention between Sarah, her mother, and the therapist formulated Sarah’s eating difficulties using a cognitive behavioural framework. This hypothesised how comfort-eating met her emotional needs and maintained her health difficulties. Remote cognitive behavioural therapy interventions included collaborative behavioural experiments, coping strategies, and homework tasks. Conclusions The Maslow Assessment of Needs Scale-Learning Disabilities, Glasgow Depression Scale for people with a Learning Disability, Glasgow Anxiety Scale for people with an Intellectual Disability, qualitative feedback from family, as well as frequency data showed significant improvement. Additionally, the case considers the evidence base, assessment, formulation and intervention, before reflecting on its various strengths and limitations. It reflects on the intersectionality of sexuality and intellectual disabilities, and the desire for romantic attachment, which was additionally complicated by the context of coronavirus and social isolation. The environmental influences on comfort eating regarding this case, and in general, the experiences of people with intellectual disabilities are also considered. The potential clinical impact of this case study includes exemplifying an effective comfort eating therapeutic intervention in an often overlooked client group.

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“…Evidence suggests that adapted CBT can help PIWD manage anxiety [ 45 ], bereavement [ 46 ], depression [ 69 ], and a range of other presenting difficulties [ 32 ].…”

Section: Background: Literature Reviewmentioning

confidence: 99%

Adapted remote cognitive behavioural therapy for comfort eating with a woman with intellectual disabilities: Case report

Millar

Greenhill

2022

J Eat Disord

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“…The life expectancy of people with learning disabilities has increased from 51 to 60 between 1980 and 2012 (Emerson et al, 2014). With longer life, comes the increased likelihood of experiencing loss (Lonergan, 2020). For ‘healthy’ grief processing, three core components are essential: universality (all living things die, including oneself), irreversibility (once a living thing has died, the physical body cannot be brought back to life), and non‐functionality of death (all life functions stop at death) (Speece & Brent, 1992).…”

Section: Introductionmentioning

confidence: 99%

Using cognitive and behavioural strategies to support a man with mild–moderate learning disabilities navigate the dual process model of grief: A clinical case study

Calabria,

Cheswick

2023

Brit J Learn Disabil

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BackgroundPeople with learning disabilities experience bereavement in the same emotionally overwhelming way as the general population. The Dual‐Process Model of grief is characterised by the oscillation between Loss‐Orientation and Restoration‐Orientation. These processes involve experiencing and accepting the emotional pain of grief (Loss‐Orientation) and adapting to a new world without the deceased person (Restoration‐Orientation).MethodsA single case study sought to explore how Cognitive Behavioural Therapy (CBT) and Compassion Focused Therapy (CFT) principles can be used to support people with a learning disability to navigate the grieving process, as understood by the Dual‐Process Model.FindingsThis case study describes CBT formulation and assessment, and implementation of CBT and CFT strategies in a man with Williams syndrome, demonstrating improvements in mood, and a greater ability to turn towards suffering and experience both Loss‐ and Restoration‐Oriented processing.ConclusionCBT and CFT may be useful and appropriate modalities for clinicians to consider when supporting people with a learning disability to navigate loss, as understood through the Dual Process Model.

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Understanding the Neurodiversity of Grief: A Systematic Literature Review of Experiences of Grief and Loss in the Context of Neurodevelopmental Disorders

Mair,

Nimbley,

McConachie

et al. 2024

Rev J Autism Dev Disord

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This systematic review explores lived experiences of grief in the context of neurodevelopmental disorders (NDDs), considering mental health impacts and how these experiences are expressed/understood. Reviewing qualitative research and grey literature centred on lived experience, 39 articles were identified through a systematic search of 8 databases and 1 page-ranked search engine. The articles were critically appraised, and results synthesised using thematic analysis and meta-synthesis. Four main themes and an overarching theme, titled Recognise the Unrecognised, emerged: Hidden Grief, Supported and Included, Understanding My Loss, and The Double Taboo of Death and Disability. The results indicate that grief often goes unrecognised in individuals with NDDs, especially following non-death losses. The implications of these findings and recommendations for future research are discussed.

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A narrative review of cognitive behavioural therapy in supporting bereaved adults with intellectual disability

Cited by 4 publications

References 64 publications

Adapted remote cognitive behavioural therapy for comfort eating with a woman with intellectual disabilities: Case report

Adapted remote cognitive behavioural therapy for comfort eating with a woman with intellectual disabilities: Case report

Using cognitive and behavioural strategies to support a man with mild–moderate learning disabilities navigate the dual process model of grief: A clinical case study

Understanding the Neurodiversity of Grief: A Systematic Literature Review of Experiences of Grief and Loss in the Context of Neurodevelopmental Disorders

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