Mental health of children and adolescents with intellectual disabilities in Britain
Mental health of children and adolescents with intellectual disabilities in Britain
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DOI：
10.1192/bjp.bp.107.038729
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发表时间：
2007-12-01
影响因子：
10.5
通讯作者：
Hatton, Chris
中科院分区：
文献类型：
--
作者：
Emerson, Eric;Hatton, Chris
背景 很少有研究采用正式的诊断标准来确定患有和不患有智力障碍的儿童的同期样本中精神疾病的患病率。目的 根据 ICD-10 标准确定患有和不患有智力障碍的儿童中精神疾病的患病率、与社会/环境风险因素的关系以及智力障碍的风险 方法 对 1999 年和 2004 年英国国家统计局对患有智力障碍 (n=641) 和不患有智力障碍 (n=17774) 的英国儿童和青少年的心理健康调查进行二次分析 结果 精神疾病患病率为 36% among children with intellectual disability and 8% among children without (OR=6.5). Children with intellectual disabilities accounted for 14% of all British children with a diagnosable psychiatric disorder. Increased prevalence was particularly marked for autistic-spectrum disorder (OR=33.4), hyperkinesis (OR=8.4) and conduct disorders (OR=5.7). Cumulative risk of exposure to social disadvantage was associated with increased prevalence.结论 智力障碍儿童中精神病理学风险升高的很大一部分可能是由于他们面临心理社会劣势的几率增加。
Background Few studies have employed formal diagnostic criteria to determine the prevalence of psychiatric disorders in contemporaneous samples of children with and without intellectual disabilities. Aims To establish the prevalence of psychiatric disorders against ICD-10 criteria among children with and without intellectual disabilities, the association with social/environmental risk factors, and risk attributable to intellectual disability Method Secondary analysis of the 1999 and 2004 Off ice for National Statistics surveys of the mental health of British children and adolescents with (n=641) and without (n=17774) intellectual disability Results Prevalence of psychiatric disorders was 36% among children with intellectual disability and 8% among children without (OR=6.5). Children with intellectual disabilities accounted for 14% of all British children with a diagnosable psychiatric disorder. Increased prevalence was particularly marked for autistic-spectrum disorder (OR=33.4), hyperkinesis (OR=8.4) and conduct disorders (OR=5.7). Cumulative risk of exposure to social disadvantage was associated with increased prevalence. Conclusions A significant proportion of the elevated risk for psychopathology among children with intellectual disability may be due to their increased rate of exposure to psychosocial disadvantage.