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A psychometric evaluation of the Swedish version of the Psychopathology Inventory for Mentally Retarded Adults (PIMRA)
Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience, Psychiatry, Ulleråker, University Hospital.
Article in journal (Refereed) Submitted
Identifiers
URN: urn:nbn:se:uu:diva-90695OAI: oai:DiVA.org:uu-90695DiVA: diva2:163144
Available from: 2003-09-08 Created: 2003-09-08Bibliographically approved
In thesis
1. Intellectual Disability and Mental Health Problems: Evaluation of Two Clinical Assessment Instruments, Occurrence of Mental Health Problems and Psychiatric Care Utilisation
Open this publication in new window or tab >>Intellectual Disability and Mental Health Problems: Evaluation of Two Clinical Assessment Instruments, Occurrence of Mental Health Problems and Psychiatric Care Utilisation
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. 61 p.
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1278
Keyword
Psychiatry, Intellectual disability, mental health problems, assessment instruments, psychometric evaluation, psychiatric care utilisation, Psykiatri
National Category
Psychiatry
Identifiers
urn:nbn:se:uu:diva-3531 (URN)91-554-5700-2 (ISBN)
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

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