The prevalence of mental health problems in adults with intellectual disabilities in Japan, associated factors and mental health service use
The prevalence of mental health problems in adults with intellectual disabilities in Japan, associated factors and mental health service use
复制标题
DOI：
10.1111/jir.12515
复制
发表时间：
2018-11-01
影响因子：
3.6
通讯作者：
Sonoyama, S.
中科院分区：
文献类型：
--
作者：
Shimoyama, M.;Iwasa, K.;Sonoyama, S.
背景智力残疾的人比普通人群更有可能经历与精神健康问题风险增加相关的生活事件。然而，日本关于智障成人心理健康问题的患病率及其相关因素和获得相关服务的研究很少。方法信息人员完成了日文版《发育障碍成人精神健康评定量表》，以及对居住在东京的126名智障成人的心理健康服务使用情况的问题。心理健康问题与年龄、性别和生活事件有关，与ID水平或生活环境无关。约60%的有心理健康问题的参与者接受了精神科医生的治疗，其中6%的人接受了心理治疗。结论在本研究中，成人ID患者发生心理健康问题的频率与以前的研究相似。与经历这种问题的普通日本人相比，经历过精神健康问题的成年人往往接受更少的心理治疗。这一结果可能表明，日本为智障人士提供的心理服务很差。
BackgroundPeople with intellectual disabilities are more likely than people in the general population to experience life events associated with an increased risk of mental health problems. However, there has been little research in Japan on the prevalence of mental health problems in adults with intellectual disability (ID) or on associated factors and access to relevant services.MethodsResultsInformants completed the Japanese version of the Psychiatric Assessment Schedule for Adults with Developmental Disabilities Checklist, and questions on the use of mental health services, for 126 adults with ID living in Tokyo.A total of 23.8% of adults with ID had scores above the Psychiatric Assessment Schedule for Adults with Developmental Disabilities Checklist threshold score. Mental health problems were associated with age, gender and life events and not associated with the level of ID or living environment. Approximately 60% of participants with mental health problems were treated by psychiatrists and 6% of them received psychotherapy.ConclusionIn the present study, mental health problems occurred in adults with ID at similar frequencies as in previous studies. Adults with ID who experienced mental health problems tended to receive less psychological therapy than the general Japanese population experiencing such problems. This result may indicate poor provision of psychological services for people with intellectual disabilities in Japan.