Psychiatric consultation in severe and profound mental retardation.
Psychiatric consultation in severe and profound mental retardation.
复制标题
严重和深度精神发育迟滞的精神科咨询。
DOI：
10.1176/ajp.151.12.1802
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Ackerland,V
中科院分区：
文献类型：
--
作者：
King,BH;DeAntonio,C;McCracken,JT;Forness,SR;Ackerland,V
本研究的目的是检查转诊的原因和随后的DSM-III-R诊断严重到极深的精神发育迟滞的机构化个人之间的关系。一个沉重的重点放在阐明诊断标准是如何应用在这个population.MethodThe研究人群包括251例连续提到的初步精神科会诊从一个大系列的制度化的患者，主要是严重到深刻的精神发育迟滞。根据主诉，受试者可以分为六个重叠的类别：自伤，攻击，多动，激动，医疗问题，和杂项行为。根据DSM-III-R标准，在同时进行临床检查、工作人员访谈和医学审查的基础上进行精神病诊断。相关的医疗条件noted.ResultsThe作者证明，其他人一样，这是可能的，使精神病诊断在这个人群中，精神疾病是常见的。最常见的诊断是冲动控制障碍、焦虑症和情绪障碍。共病的医疗条件，特别是癫痫发作障碍，也是常见的。ConclusionsThese结果是一致的，与其他人的经验报告，并强调精神科参与的多学科评估和治疗的重要性与迟缓的个人。
ObjectiveThis study was designed to examine the relationship between reason for referral and subsequent DSM-III-R diagnosis in institutionalized individuals with severe to profound mental retardation. A heavy emphasis was placed on articulating how diagnostic criteria are applied in this population.MethodThe study population consisted of 251 patients consecutively referred for initial psychiatric consultation from a large series of institutionalized patients with predominately severe to profound mental retardation. On the basis of the chief complaint, subjects could be grouped into six overlapping categories: self-injury, aggression, hyperactivity, agitation, medical questions, and miscellaneous behaviors. Psychiatric diagnoses were made according to DSM-III-R criteria on the basis of simultaneous clinical examination, staff interview, and medical review. Relevant medical conditions were noted.ResultsThe authors demonstrate, as have others, that it is possible to make psychiatric diagnoses in this population and that psychiatric disorder is common. The most frequent diagnoses were impulse control disorders, anxiety disorders, and mood disorders. Comorbid medical conditions, particularly seizure disorders, are also common.ConclusionsThese results are consistent with the reported experience of others and underscore the importance of psychiatric involvement in the multidisciplinary assessment and treatment of individuals with retardation.