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Intellectual Disability and Mental Health Problems: Evaluation of Two Clinical Assessment Instruments, Occurrence of Mental Health Problems and Psychiatric Care Utilisation
Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience, Psychiatry, Ulleråker, University Hospital.
2003 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

It has been suggested that persons with intellectual disabilities (ID) manifest the full range of mental health problems. The main purpose of this thesis is to adapt and evaluate two clinical assessment instruments and to investigate the occurrence of mental health problems as well as psychiatric care utilisation in persons with ID.

The psychometric properties of a Swedish version of the two instruments [Reiss Screen for Maladaptive Behaviour (RSMB) and the Psychopathology Inventory for Mentally Retarded Adults (PIMRA)] were investigated in a random, institutional and clinical sample of administratively defined (ADDEF) adults with ID (n = 199). The analyses suggest that the RSMB could be used as intended by staff as a primary screening device for the identification of mental health problems in persons with ID, and that the PIMRA had a potential to identify individuals with a specific mental disorder. The psychometric evaluation reveals that the Swedish versions of the RSMB and PIMRA measure a construct related to the diagnostic categories in the DSM-III-R and DSM-IV. This construct could be conceptualised as mental health problems.

The RSMB and PIMRA results show that the overall occurrence of mental health problems in ADDEF samples of persons with ID (175 men and 148 women) ranged from 34 to 64%.

The preliminary level of ID was mild (23%), moderate (39%) and severe (38%). The most common mental health problems were aggressive and self-injurious behaviours, depression, anxiety and adjustment disorders. In registered patients receiving out- or in-patient psychiatric care the occurrence of adults with an ICD-10 diagnosis of ID was approximately 1% (70 to 90% had a mild level of ID).

In contrast to the high frequency of mental health problems reported, psychiatric care was used infrequently. This tendency is particularly evident in persons with moderate and severe ID.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis , 2003. , p. 61
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1278
Keywords [en]
Psychiatry, Intellectual disability, mental health problems, assessment instruments, psychometric evaluation, psychiatric care utilisation
Keywords [sv]
Psykiatri
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:uu:diva-3531ISBN: 91-554-5700-2 (print)OAI: oai:DiVA.org:uu-3531DiVA, id: diva2:163146
Public defence
2003-09-30, Gunnesalen, Department of Neuroscience, Psychiatry, Ulleråker, Uppsala, 13:15
Opponent
Supervisors
Available from: 2003-09-08 Created: 2003-09-08Bibliographically approved
List of papers
1. The prevalence of people with intellectual disability admitted to general hospital psychiatric units: level of handicap, psychiatric diagnoses and care utilization
Open this publication in new window or tab >>The prevalence of people with intellectual disability admitted to general hospital psychiatric units: level of handicap, psychiatric diagnoses and care utilization
1997 In: Journal of Intellectual Disability Research, Vol. 41, no 6, p. 519-526Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-90693 (URN)
Available from: 2003-09-08 Created: 2003-09-08Bibliographically approved
2. Psychometric evaluation of a Swedish version of the Reiss Screen for Maladaptive Behavior
Open this publication in new window or tab >>Psychometric evaluation of a Swedish version of the Reiss Screen for Maladaptive Behavior
2002 (English)In: Journal of Intellectual Disability Research, ISSN 0964-2633, E-ISSN 1365-2788, Vol. 46, no 3, p. 218-229Article in journal (Refereed) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-90694 (URN)10.1046/j.1365-2788.2002.00398.x (DOI)000175116300004 ()11896807 (PubMedID)
Available from: 2003-09-08 Created: 2003-09-08 Last updated: 2017-12-14Bibliographically approved
3. A psychometric evaluation of the Swedish version of the Psychopathology Inventory for Mentally Retarded Adults (PIMRA)
Open this publication in new window or tab >>A psychometric evaluation of the Swedish version of the Psychopathology Inventory for Mentally Retarded Adults (PIMRA)
Article in journal (Refereed) Submitted
Identifiers
urn:nbn:se:uu:diva-90695 (URN)
Available from: 2003-09-08 Created: 2003-09-08Bibliographically approved
4. Occurrence of mental health problems in Swedish samples of adults with intellectual disabilities
Open this publication in new window or tab >>Occurrence of mental health problems in Swedish samples of adults with intellectual disabilities
Article in journal (Refereed) Submitted
Identifiers
urn:nbn:se:uu:diva-90696 (URN)
Available from: 2003-09-08 Created: 2003-09-08Bibliographically approved

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