Does visual impairment lead to additional disability in adults with intellectual disabilities?
Does visual impairment lead to additional disability in adults with intellectual disabilities?
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DOI：
10.1111/j.1365-2788.2008.01114.x
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发表时间：
2009-01-01
影响因子：
3.6
通讯作者：
Kooijman, A. C.
中科院分区：
文献类型：
--
作者：
Evenhuis, H. M.;Sjoukes, L.;Kooijman, A. C.
本研究解决的问题，在何种程度上视力障碍导致额外的残疾在成人智力残疾（ID）。在多中心的横断面研究269成人轻度至深度ID，社会和行为功能进行了评估，以观察为基础的问卷调查，专家评估的视觉功能之前。通过线性回归分析，计算总人群和每个ID水平的方差百分比（由视觉功能水平解释）。269名参与者中共有107名视力受损或失明（WHO标准）。除了ID视力障碍的下降外，日常生活技能，沟通和语言，识别/沟通也显着下降。视力障碍不会导致更多的自我专注和退缩行为或焦虑。特殊的外观习惯与视力障碍，而不是ID。在组中，中度和重度ID这种效果似乎比在组中具有深刻的ID。虽然ID单独损害日常功能，视力障碍减少日常功能甚至更多。及时发现和治疗视力障碍或使其康复，可对日常功能、语言发展、主动性和持久性、社交技能、沟通技能和行动不安全产生积极影响。
This study addresses the question to what extent visual impairment leads to additional disability in adults with intellectual disabilities (ID).In a multi-centre cross-sectional study of 269 adults with mild to profound ID, social and behavioural functioning was assessed with observant-based questionnaires, prior to expert assessment of visual function. With linear regression analysis the percentage of variance, explained by levels of visual function, was calculated for the total population and per ID level.A total of 107/269 participants were visually impaired or blind (WHO criteria). On top of the decrease by ID visual impairment significantly decreased daily living skills, communication & language, recognition/communication. Visual impairment did not cause more self-absorbed and withdrawn behaviour or anxiety. Peculiar looking habits correlated with visual impairment and not with ID. In the groups with moderate and severe ID this effect seems stronger than in the group with profound ID.Although ID alone impairs daily functioning, visual impairment diminishes the daily functioning even more. Timely detection and treatment or rehabilitation of visual impairment may positively influence daily functioning, language development, initiative and persistence, social skills, communication skills and insecure movement.