Psychiatric diagnosis in persons with intellectual disability in India

Abstract

Persons with ID do suffer from various psychiatric disorders. RSMB is a useful tool for differentiating between psychiatric problems and maladaptive behaviours. Hence RSMB can be used in the Indian context.

Intellectual disability and psychiatric disorders: more than a dual diagnosis ƒ

“…Considering the total prevalence of psychiatric diagnoses, our data are also consistent with those of other studies which found a lower prevalence of psychiatric disorders in participants with severeprofound intellectual disability compared with participants with mild or moderate intellectual disability [26,31]. According to Holden and Gitlesen [31], who used the Mini PAS-ADD to diagnose psychiatric disorders, these results reflect problems in detecting symptoms in persons with severe-profound intellectual disability, rather than a difference in prevalence of mental illness.…”

“…The reason for this difference may be explained by the fact that our population represents only a little part of the whole intellectual disability population in Geneva. Since challenging behaviour increases with severity of intellectual disability [26], we may have an overrepresentation of moderate and severe-profound intellectual disability levels, which leads to a dimi nution of the mild intellectual disability level prevalence. Indeed, besides intellectual disability, around 60% of the UPDM population has behaviour disorders.…”

Risk of mental disorders in subjects with intellectual disability in the Lundby cohort 1947–97

“…The predominance of ID in men seen in the Lundby cohort (63% vs. 37%) is well established knowledge (1,4,20), but conflicting results have been reported about the prevalence of mental disorder among mentally disabled males and females. Some authors report that mental disorder is more frequent among males than females with ID (21), whereas others do not find any difference between the genders (2).…”

“…The capacity to communicate is often very restricted and the individuals present other symptoms than those with mild or medium ID. Persons with severe ID will therefore to a less extent be diagnosed as having a mental disorder (5), making it difficult to tell if a real difference of the prevalence of mental disorder exists between mild, moderate and severe ID (6,20,21). Most previous studies have not adapted the diagnostic instruments according to verbal and other cognitive capacities making it difficult to interpret the results.…”

The Care and Education of Orphan Children with Disabilities in China: Progress and Remaining Challenges

“…This condition of being dependent on others for routine decision-making on a daily basis largely diminishes their quality of life. The consequences for such lifelong confinement in institutions, due to their physical and/or cognitive limitations, are far beyond feelings of loneliness and anxiety; in many cases, people also suffer from mental illness (e.g., Kishore, Nizamie, Nizamie, & Jahan, 2004).…”