The associations of quality of life and general functioning with trauma, borderline intellectual functioning and mild intellectual disability in outpatients with serious mental illness

Noorthoorn, Eric; Smits, H.J.H.; Penterman, E.J.M.; Lang, Birgit L Seelen-de; Nieuwenhuis, Jeanet Grietje; Nijman, Henk

doi:10.1016/j.ridd.2021.103988

Cited by 3 publications

(3 citation statements)

References 26 publications

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“…It can be difficult to routinely assess patients with SMI. In studies of comparable groups, non‐responses were attained for 25%–45% of the population of interest (Mauritz et al, 2013, Nieuwenhuis et al, 2017, Nieuwenhuis et al, 2019, Noorthoorn et al, 2021). We analysed non‐response in three ways.…”

Section: Methodsmentioning

confidence: 99%

“…It is therefore important that these two groups, MID/BIF and PTSD, are addressed separately; however, the treatment results measured with the HoNOS reflect caregivers' opinions and may not fully correspond to how the patients themselves feel about their quality of life. A recent study by Noorthoorn et al (2021) revealed a reduced general functioning (as measured with the HoNOS) and a lower quality of life as measured with the Manchester Short Assessment of Quality of Life (MANSA) at the start of the treatment in patients with PTSD symptoms or ID in comparison with patients without those characteristics. As this was a cross‐sectional study, we do not know how quality of life changes over a longer timeframe in this population of outpatients with SMI.…”

Section: Introductionmentioning

confidence: 98%

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Improvement in the quality of life of outpatients with severe mental illness in conjunction with intellectual disabilities and post‐traumatic stress disorder

Smits

Lang

Penterman

et al. 2022

Research Intellect Disabil

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Background: Elucidating the influence of mild intellectual disability (MID; IQ 50-70)/ borderline intellectual functioning (BIF; IQ 70-85) and (comorbid) post-traumatic stress disorder (PTSD) on the quality of life of patients with serious mental illness (SMI) could improve their mental health care.Method: This study comprises a prospective longitudinal cohort study using routine outcome monitoring data. The cohort comprised 601 patients who had undertaken at least one Manchester Short Assessment of Quality of Life (MANSA). The scores for screeners to detect MID/BIF and PTSD were analysed, and a repeated measures analysis of variance and a multi-level linear regression was performed on the MANSA scores. Results:The average quality of life for all patient groups increased significantly over time. A between-subject effect on quality of life was observed for PTSD, but not MID/BIF. Conclusions: PTSD but not MID/BIF is associated with a lesser quality of life over time.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Improvement in the quality of life of outpatients with severe mental illness in conjunction with intellectual disabilities and post‐traumatic stress disorder

Smits

Lang

Penterman

et al. 2022

Research Intellect Disabil

Self Cite

View full text Add to dashboard Cite

show abstract

“…The impact of MI on more general aspects of well-being in people with ID, however, has not been investigated. As in the general population, mental health conditions have been associated with lower quality of life (QoL) in people with ID (Noorthoorn et al , 2021). Moreover, there is evidence to suggest that MI may improve QoL in the general population.…”

Section: Introductionmentioning

confidence: 99%

Evaluating a mindfulness-based group intervention for adults with intellectual disabilities

Power

Rawlings

Bennett

2022

AMHID

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Purpose There is growing evidence examining mindfulness-based interventions (MI) for people with intellectual disabilities (IDs). As discussed in this paper, MI may be particularly suited for people with ID given high rates of difficulties in identifying and regulating emotions and as this approach may rely less on cognitive ability compared to other therapies. This study aims to assess the acceptability and preliminary effectiveness of a six-session MI group [the Coping Well Group (CWG)] delivered within routine clinical practice. Design/methodology/approach Six separate cohorts (n = 25) of adults with ID attended CWG. Quantitative data were collected from service users, including a pre- and post-quality of life (QoL) measure and qualitative data from group facilitators. Findings Roughly one-half (53%) of service users invited to the group attended at least one session, with low levels of dropout observed among group attendees. A significant improvement in QoL was reported demonstrating a small effect (d = 0.46, p = 0.022) after attending the group. Most service users (72%) were referred to the CWG for help managing difficult emotions. One-half (44%) of attendees required individual therapy after attending the group. Limitations of the evaluation and potential future research are discussed. Originality/value The current evaluation contributes a practice-based service evaluation of an MI group for people with ID and mental health difficulties to the currently limited evidence base. To the best of the authors’ knowledge, this is one of the first studies to investigate the impact of group psychological interventions collecting data across cohorts and assessing QoL, a more general measure of well-being than has been used previously.

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Trauma in individuals with intellectual and developmental disabilities: Introduction to the Special Issue

Didden

Mevissen

2022

Research in Developmental Disabilities

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The associations of quality of life and general functioning with trauma, borderline intellectual functioning and mild intellectual disability in outpatients with serious mental illness

Cited by 3 publications

References 26 publications

Improvement in the quality of life of outpatients with severe mental illness in conjunction with intellectual disabilities and post‐traumatic stress disorder

Improvement in the quality of life of outpatients with severe mental illness in conjunction with intellectual disabilities and post‐traumatic stress disorder

Evaluating a mindfulness-based group intervention for adults with intellectual disabilities

Trauma in individuals with intellectual and developmental disabilities: Introduction to the Special Issue

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