Mental ill-health in adults with intellectual disabilities: prevalence and associated factors
Mental ill-health in adults with intellectual disabilities: prevalence and associated factors
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DOI：
10.1192/bjp.bp.106.022483
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发表时间：
2007-01-01
影响因子：
10.5
通讯作者：
Allan, Linda
中科院分区：
文献类型：
--
作者：
Cooper, Sally-Ann;Smiley, Elita;Allan, Linda
由于方法的局限性，报告的智力残疾成年人精神疾病的患病率从7%到97%不等。为了解成人智力残疾患者的精神疾病患病率，并探讨与精神疾病患病率相关的独立因素。方法采用以人群为基础的研究（n=1023），采用回归分析建立综合个体评估模型。结果成人智力残疾患者的精神疾病患病率为40.9%（1023/1023），精神疾病患病率为40.9%（1023/1023（临床诊断）、35.2%（DC-LD）、16.6%（ICD-10-DCR）和15.7%（DSM-IV-TR）。最常见的类型是问题行为。精神疾病与生活事件多、女性、支持类型、能力低下、就诊次数多、吸烟、大小便失禁、无严重肢体残疾和不能活动有关;它与贫困地区，没有职业，沟通障碍，癫痫，听力障碍或以前的机构住所无关。结论这项调查为进一步的纵向研究提供了信息，与DC-LD相比，ICD-10-DCR和DSM-IV-TR低估了该人群中的精神疾病。
Background Reported prevalence of mental ill-health among adults with intellectual disabilities ranges from 7 to 97%, owing to methodological limitations. Little is known about associations.Aims To determine the prevalence of mental ill-health in adults with intellectual disabilities and to investigate factors independently associated with it.Method Population-based study (n=1023) with comprehensive individual assessments modelled using regression analyses.Results Point prevalence of mental ill-health was 40.9% (clinical diagnoses), 35.2%(DC-LD),16.6%(ICD-10-DCR) and 15.7% (DSM-IV-TR). The most prevalent type was problem behaviours. Mental ill-health was associated with more life events, female gender, type of support, lower ability, more consultations, smoking, incontinence, not having severe physical disabilities and not having immobility; it was not associated with deprived areas, no occupation, communication impairment, epilepsy, hearing impairment or previous institutional residence.Conclusions This investigation informs further longitudinal study, and development of appropriate interventions, public health strategy and policy ICD-10-DCR and DSM-IV-TR undercount mental ill-health in this population compared with DC-LD.