Diagnosis and Treatment of Mood Disorders in Adults with Developmental Disabilities

Antonacci, Diana J.; Attiah, Nadir

doi:10.1007/s11126-008-9079-x

Cited by 20 publications

(6 citation statements)

References 102 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most studies of specialized psychiatric assessment in persons with ID have shown that depressive and anxiety disorders tend to be underdiagnosed in the community, and psychotic disorders may be overdiagnosed (Antonacci & Attiah, 2008;Davis, Saeed, & Antonacci, 2008;Hurley, Folstein, & Lam, 2003). Our results showed such a trend for anxiety disorders but fell just short of statistical significance.…”

Section: Discussioncontrasting

confidence: 69%

Psychiatric Services for Individuals with Intellectual and Developmental Disabilities: Medication Management

Russell

Hahn

Hayward

2011

Journal of Mental Health Research in Intellectual Disabilities

View full text Add to dashboard Cite

Section: Discussioncontrasting

confidence: 69%

Psychiatric Services for Individuals with Intellectual and Developmental Disabilities: Medication Management

Russell

Hahn

Hayward

2011

Journal of Mental Health Research in Intellectual Disabilities

View full text Add to dashboard Cite

“…As a consequence of these diagnostic challenges, a large part of psychiatric morbidity in people with ID is hidden (Salvador-Carulla et al 2000), which may lead to an undercount in health care among people with ID. For some psychiatric disorders, assessment tools are available, at least for people with mild or moderate ID (Mindham & Espie, 2003; Deb et al 2007; Antonacci & Attiah, 2008; Perez-Achiaga et al 2009; Havercamp & Scott, 2015). For others, researchers have called for further development and evaluation of diagnostic systems for people with ID (Alexander & Cooray, 2003; Moreland et al 2008; Hermans & Evenhuis, 2010).…”

Section: Discussionmentioning

confidence: 99%

Psychiatric diagnoses in older people with intellectual disability in comparison with the general population: a register study

Axmon

Björne

Nylander

et al. 2017

Epidemiol Psychiatr Sci

View full text Add to dashboard Cite

Aims.To describe the occurrence of psychiatric diagnoses in a specialist care setting in older people with intellectual disability (ID) in relation to those found in the same age group in the general population.Method.A cohort of people with ID (n = 7936), aged 55 years or more in 2012, was identified, as was an age and sex-matched cohort from the general population (n = 7936). Information regarding psychiatric diagnoses during 2002–2012 was collected from the National Patient Register, which contains records from all inpatient care episodes and outpatient specialist visits in Sweden. The mean age at the start of data collection (i.e. January 1st, 2002) was 53 years (range 44–85 years).Results.Seventeen per cent (n = 1382) of the people in the ID cohort had at least one psychiatric diagnosis recorded during the study period. The corresponding number in the general population cohort was 10% (n = 817), which translates to an odds ratio (OR) of 1.84. The diagnoses recorded for the largest number of people in the ID cohort were ‘other’ (i.e. not included in any of the diagnostic groups) psychiatric diagnoses (10% of the cohort had at least one such diagnosis recorded) and affective disorders (7%). In the general population cohort, the most common diagnoses were affective disorders (4%) and alcohol/substance-abuse-related disorders (4%). An increased odds of having at least one diagnosis was found for all investigated diagnoses except for alcohol/substance-abuse-related disorders (OR = 0.56). The highest odds for the ID cohort was found for diagnosis of psychotic disorder (OR = 10.4) followed by attention deficit/hyperactive disorder (OR = 3.81), dementia (OR = 2.71), personality disorder (OR = 2.67), affective disorder (OR = 1.74) and anxiety disorder (OR = 1.36). People with ID also had an increased odds of psychiatric diagnoses not included in any of these groups (OR = 8.02). The percentage of people with ID who had at least one diagnosis recorded during the study period decreased from more than 30% among those aged 55–59 years in 2012 (i.e. born 1953–1957) to approximately 20% among those aged 75+ years in 2012 (i.e. born in or before 1937).Conclusions.Older people with ID seem to be more likely to have psychiatric diagnoses in inpatient or outpatient specialist care than their peers in the general population. If this is an effect of different disorder prevalence, diagnostic difficulties or differences in health care availability remains unknown. More research is needed to understand the diagnostic and treatment challenges of psychiatric disorders in this vulnerable group.

show abstract

“…Mood disorders represent another common condition in adults with ID. People with a milder type of ID may present with depressive traits that are similar to those observed in the general population; instead, more severely impaired subjects could manifest a low mood with symptoms of anxiety, agitation, and disruptive behaviors [ 117 ]. Anxiety can be present in up to 30% of individuals with ID, who may show both physical and psychological manifestations.…”

Section: A Life Course Perspectivementioning

confidence: 99%

Where Do Neurodevelopmental Disorders Go? Casting the Eye Away from Childhood towards Adulthood

Antolini

Colizzi

2023

Healthcare

View full text Add to dashboard Cite

Neurodevelopmental disorders (NDDs) encompass a group of complex conditions with onset during the early developmental period. Such disorders are frequently associated with a number of neuropsychiatric features, the most prevalent ones being autism spectrum disorder, attention-deficit/hyperactivity disorder, intellectual disability, communication and specific learning disorders, and motor disorders. These conditions are characterized by wide genetic and clinical variability, and although they were previously conceptualized as childhood-limited disorders, NDDs are progressively being recognized as persistent conditions with a potentially relevant impact on the quality of life and overall functioning during adult life. In addition, emerging evidence seems to point towards the hypothesis of a neurodevelopmental continuum, according to which NNDs could portray different time-dependent outcomes, depending on the severity of the altered brain development. Despite representing lifelong phenotypes, they are often not promptly identified and/or managed in adulthood. In this regard, specific guidelines on clinical and therapeutic approaches for these conditions have not yet been delineated. In this view, future research investigations should be encouraged to broaden available knowledge, characterize the clinical course of NDDs across an individual’s lifespan, and better understand the patterns of aging-related concerns in adults with an NDD diagnosis. Additionally, considering the difficulties many young adults encounter while transitioning from childhood to adult mental health services, new, specific programs should be developed and existing programs should be implemented to improve the transition process and for the management of NDDs in adulthood.

show abstract

Diagnosis and Treatment of Mood Disorders in Adults with Developmental Disabilities

Cited by 20 publications

References 102 publications

Psychiatric Services for Individuals with Intellectual and Developmental Disabilities: Medication Management

Psychiatric Services for Individuals with Intellectual and Developmental Disabilities: Medication Management

Psychiatric diagnoses in older people with intellectual disability in comparison with the general population: a register study

Where Do Neurodevelopmental Disorders Go? Casting the Eye Away from Childhood towards Adulthood

Contact Info

Product

Resources

About