Behavioural and emotional problems in people with severe and profound intellectual disability

Forster, Sheridan; Gray, Kylie Megan; Taffe, John Raymond; Einfeld, Stewart; Tonge, Bruce John

doi:10.1111/j.1365-2788.2010.01373.x

Cited by 19 publications

(10 citation statements)

References 29 publications

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“…In the Australian Child to Adult Development study 5–19 year children and adolescents with severe and profound ID/IDD were compared [50]: the youth with profound ID/IDD had additional physical disabilities and both groups were noted to have high mortality during follow-up. The profound ID/IDD group had significantly lower scores across all the DBC subscales including disruptive behavior, except the social relating subscale.…”

Section: Severe and Profound Intellectual Disability/intellectual Devmentioning

confidence: 99%

The co-occurrence of mental disorders in children and adolescents with intellectual disability/intellectual developmental disorder

Münir¹

2016

Current Opinion in Psychiatry

122

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Purpose of review The study summarizes supportive epidemiological data regarding the true co-occurrence (comorbidity) and course of mental disorders in children with intellectual disability/intellectual developmental disorders (ID/IDD) across the lifespan. Recent findings Published studies involving representative populations of children and adolescents with ID/IDD have demonstrated a three to four-fold increase in prevalence of co-occurring mental disorders. The effect of age, sex, and severity (mild, moderate, severe, and profound) and socioeconomic status on prevalence is currently not clearly understood. To date there are no prevalence estimates of co-occurring mental disorders in youth identified using the new DSM-5 (and proposed ICD-11) definition of ID/IDD using measures of intellectual functions and deficits in adaptive functioning with various severity levels defined on the basis of adaptive functioning, and not intellectual quotient scores. Summary The true relationship between two forms of morbidity remains complex and causal relationships that may be true for one disorder may not apply to another. The new conceptualization of ID/IDD offers a developmentally better informed psychobiological approach that can help distinguish co-occurrence of mental disorders within the neurodevelopmental section with onset during the developmental period as well as the later onset of other mental disorders.

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Section: Severe and Profound Intellectual Disability/intellectual Devmentioning

confidence: 99%

The co-occurrence of mental disorders in children and adolescents with intellectual disability/intellectual developmental disorder

Münir¹

2016

Current Opinion in Psychiatry

122

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“…Several studies have reported greater symptoms among individuals with lower levels of adaptive behavior (McCarthy & Boyd, 2001;Totsika, Toogood, Hastings, & Lewis, 2008) and more severe autism symptoms (Anderson et al, 2011). In contrast, other studies report elevated behavioral and emotional symptoms among individuals with fewer deficits in functioning (Forster et al, 2011;Taffe, Tonge, Gray, & Einfeld, 2008). Given the limited literature on the link between level of functioning and symptoms of psychopathology in individuals with ASD, it is unclear whether adults with higher or lower functional skills are at risk for developing symptoms of psychopathology.…”

Section: Predictors Of Internalizing and Externalizing Symptomsmentioning

confidence: 99%

Trajectories of internalizing and externalizing symptoms among adults with autism spectrum disorders

2015

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Individuals with autism spectrum disorder (ASD) experience higher rates of psychopathology than their typically developing peers or peers with other intellectual or developmental disabilities. Little is known about the developmental course of psychiatric symptoms such as internalizing and externalizing behaviors in this population. Individual characteristics and aspects of the family environment may explain variability in outcomes for adults with ASD. The present study extends our current understanding of psychopathology among individuals with ASD by examining group-based trajectories of internalizing and externalizing symptoms in adulthood. Overall, the results showed that symptoms became less severe over time. Distinct patterns of change in psychopathology were observed and associated with differential profiles of psychotropic medication use, comorbid mental health diagnoses, and residential placement. The likelihood of following each developmental trajectory was estimated based on characteristics of the adults with ASD (gender, adaptive behavior, and autistic symptoms) and maternal expressed emotion (criticism and warmth). Maternal criticism and warmth were identified as key risk and protective factors, respectively, with important implications for future research and intervention for individuals with ASD.

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“…Functional disorders (e.g. difficulty with receptive or expressive communication) can lead to problems with communication and therefore to the occurrence of challenging behaviour (Sheehy & Nind ; Forster et al ). Failing to regulate stress due to an insecure sense of attachment in relationships also seems to be related to challenging behaviour in people with moderate‐to‐profound intellectual disabilities (Schuengel & Janssen ; De Schipper & Schuengel ).…”

Section: Introductionmentioning

confidence: 99%

“…It is not clear if these factors are also related to the occurrence of challenging behaviour in children and adults with PIMD. Forster et al () found in their research on behavioural and emotional problems in a group of people with severe and a group of people with profound ID that there are significant differences between these groups regarding challenging behaviour and emotional problems. They suggest that these two groups should be treated as single groups in research.…”

Section: Introductionmentioning

confidence: 99%

Risk factors associated with challenging behaviour in people with profound intellectual and multiple disabilities

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et al. 2016

J intellect Disabil Res

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Behavioural and emotional problems in people with severe and profound intellectual disability

Cited by 19 publications

References 29 publications

The co-occurrence of mental disorders in children and adolescents with intellectual disability/intellectual developmental disorder

The co-occurrence of mental disorders in children and adolescents with intellectual disability/intellectual developmental disorder

Trajectories of internalizing and externalizing symptoms among adults with autism spectrum disorders

Risk factors associated with challenging behaviour in people with profound intellectual and multiple disabilities

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