1
|
Frielink N, Schuengel C, van der Ven SHG, Embregts PJCM. The prospective associations between autonomy support, basic psychological needs, motivation and well-being among people with a mild to borderline intellectual disability: a two-wave study. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2024. [PMID: 38886881 DOI: 10.1111/jir.13163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Revised: 02/20/2024] [Accepted: 05/19/2024] [Indexed: 06/20/2024]
Abstract
BACKGROUND This study, grounded in self-determination theory, examined how satisfaction of the needs for autonomy, relatedness and competence in people with mild to borderline intellectual disability (MBID) changed over a 4.5-year period. Additionally, it explored the association between life events across various domains (i.e. health, support and living situation, crime, relationships and freedom and finance) and these changes and explored the prospective associations between these needs, perceptions of support from direct support staff and the well-being and ill-being of people with MBID. METHODS Based on a sample of 117 adults with MBID, multiple regression analyses were conducted to determine correlations between constructs at both time points and the impact of autonomy support on need satisfaction and motivation, taking into account life events. RESULTS The analyses showed that, at both time points, most constructs were statistically significantly correlated and remained so despite a time lag of 4.5 years. Autonomy support emerged as a significant positive predictor, of medium size, for satisfying autonomy and relatedness needs. Its association with competence need satisfaction was not statistically significant after Bonferroni correction. For type of motivation, autonomy support statistically predicted increased autonomous motivation, irrespective of life events. CONCLUSIONS Findings underline the potential of autonomy supportive direct support in the lives of individuals with MBID. Some unexpected null findings underscore the need for further study into the interplay between autonomy support, life events and the well-being of people with MBID.
Collapse
Affiliation(s)
- N Frielink
- Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands
| | - C Schuengel
- Section of Clinical Child and Family Studies, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - S H G van der Ven
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands
| | - P J C M Embregts
- Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands
| |
Collapse
|
2
|
McKillop E, Spencer A, Marrington C. Clinicians' experiences of learning to use eye movement desensitisation and reprocessing therapy with people with intellectual disabilities: A qualitative study. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2024; 37:e13206. [PMID: 38332432 DOI: 10.1111/jar.13206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Revised: 11/29/2023] [Accepted: 01/16/2024] [Indexed: 02/10/2024]
Abstract
BACKGROUND Eye Movement Desensitisation and Reprocessing therapy (EMDR) is a NICE recommended treatment for post-traumatic stress disorder within the general population. Ongoing research is now investigating the use of EMDR for individuals with intellectual disability. Alongside quantitative research efforts, it is beneficial to explore the qualitative experience of clinicians adopting EMDR in their practice. The current study interviewed newly trained EMDR therapists working in intellectual disability services. METHOD Participants (six Clinical Psychologists from an NHS learning disability service) had recently undertaken EMDR training as part of a wider randomised control trial (Trauma-AID). Interviews were qualitatively analysed using thematic analysis. RESULTS Three themes emerged; learning EMDR, conducting EMDR and external factors, with respect to clinicians' experiences. CONCLUSIONS Further research is needed to provide guidance and reassurance for clinicians currently using or hoping to use this therapy with people with intellectual disabilities.
Collapse
Affiliation(s)
- Eleanor McKillop
- Hertfordshire Partnership University NHS Foundation Trust, Hatfield, UK
| | - Alison Spencer
- Hertfordshire Partnership University NHS Foundation Trust, Hatfield, UK
| | | |
Collapse
|
3
|
Presnell J, Keesler JM, Thomas-Giyer J. Assessing Alignment Between Intellectual and Developmental Disability Service Providers and Trauma-Informed Care: An Exploratory Study. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2022; 60:351-368. [PMID: 36162048 DOI: 10.1352/1934-9556-60.5.351] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Accepted: 03/24/2022] [Indexed: 06/16/2023]
Abstract
People with intellectual and developmental disabilities (IDD) are disproportionately impacted by potentially traumatic experiences; however, organizations serving this population have lagged in their integration of trauma-informed care (TIC). Trauma-informed care is a systemwide response to the pervasiveness of trauma that frequently requires an organizational shift rooted in staff training. Using an online statewide survey, the present study examined beliefs and training among IDD service providers. Responses from 288 service providers suggested some alignment among beliefs and staff training content with TIC principles. Although the findings indicate a foundation for TIC, intentional efforts are needed for IDD agencies to fully embrace TIC.
Collapse
Affiliation(s)
- Jade Presnell
- Jade Presnell, John M. Keesler, and Jen Thomas-Giyer, Indiana University
| | - John M Keesler
- Jade Presnell, John M. Keesler, and Jen Thomas-Giyer, Indiana University
| | - Jen Thomas-Giyer
- Jade Presnell, John M. Keesler, and Jen Thomas-Giyer, Indiana University
| |
Collapse
|
4
|
Davies L, Randle-Phillips C, Russell A, Delaney C. The relationship between adverse interpersonal experiences and self-esteem in people with intellectual disabilities: The role of shame, self-compassion and social support. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2020; 34:1037-1047. [PMID: 33305501 DOI: 10.1111/jar.12844] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2019] [Revised: 10/29/2020] [Accepted: 11/17/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND People with intellectual disabilities are reported to have low self-esteem and to experience high rates of adverse interpersonal experiences (AIEs). This study aimed to investigate whether shame and self-compassion mediate the relationship between AIEs and self-esteem for people with intellectual disabilities and whether perceived social support moderates this relationship. METHOD This study employed a cross-sectional design, involving between-group comparisons. Forty-seven people with intellectual disabilities and 50 people without intellectual disabilities completed self-report questionnaires measuring shame, self-compassion, self-esteem, early AIEs and social support. RESULTS Shame and self-compassion were found to mediate the relationship between AIEs and self-esteem for people with intellectual disabilities. There was no evidence for a moderating effect of social support and no difference between groups in shame or self-compassion. CONCLUSIONS The findings suggest shame and self-compassion are important concepts for people with intellectual disabilities. Clinical and research implications are discussed.
Collapse
Affiliation(s)
- Lauren Davies
- Child and Family Psychology and Therapies Service, Aneurin Bevan University Health Board, Newport, UK
| | | | - Ailsa Russell
- Department of Psychology, University of Bath, Bath, UK
| | - Claire Delaney
- Learning Disabilities Service, 2Gether NHS Foundation Trust, Gloucester, UK
| |
Collapse
|
5
|
Keesler JM. Trauma‐Specific
Treatment for Individuals With Intellectual and Developmental Disabilities: A Review of the Literature From 2008 to 2018. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2020. [DOI: 10.1111/jppi.12347] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- John M. Keesler
- Indiana University Bloomington, School of Social Work Bloomington IN USA
| |
Collapse
|
6
|
Rittmannsberger D, Weber G, Lueger-Schuster B. Applicability of the post-traumatic stress disorder gate criterion in people with mild to moderate intellectual disabilities: Do additional adverse events impact current symptoms of Post Traumatic Stress Disorder in people with intellectual disabilities? JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2020; 33:1100-1112. [PMID: 32316075 PMCID: PMC7496863 DOI: 10.1111/jar.12732] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Revised: 03/08/2020] [Accepted: 03/16/2020] [Indexed: 12/05/2022]
Abstract
Background Diagnostic manuals provide a strict definition of the PTSD gate criterion. Research on the adequacy of this definition in people with intellectual disabilities is lacking. This study aims to test the adequacy of the gate criterion for this population. Method Fourty nine adults with mild to moderate intellectual disabilities and 43 caregivers were questioned. Traumatic events included in the gate criterion definition and adverse events going beyond it were assessed. It was tested whether adverse events affect symptoms of PTSD additionally to traumatic events. Results The current data showed ambiguous findings in self‐ and informant report. Informant data suggested an additional impact of adverse events on PTSD symptoms. Self‐report data suggested the contrary. Conclusion Adverse events seem to have an impact on externalizing behavioural symptoms, such as hyperarousal. Self‐report assessment of more specific, intrapsychic PTSD symptoms, such as intrusions and avoidance, should be addressed in future studies.
Collapse
Affiliation(s)
- Doris Rittmannsberger
- Department of Applied Psychology: Health, Development, Enhancement and Intervention, Faculty of Psychology, University of Vienna, Vienna, Austria
| | - Germain Weber
- Department of Applied Psychology: Health, Development, Enhancement and Intervention, Faculty of Psychology, University of Vienna, Vienna, Austria
| | - Brigitte Lueger-Schuster
- Department of Applied Psychology: Health, Development, Enhancement and Intervention, Faculty of Psychology, University of Vienna, Vienna, Austria
| |
Collapse
|
7
|
Gormez A, Kurtulmus A, Ince Z, Torun P, Uysal O, Cıtak S. Psychiatric symptoms, challenging behaviour and utilization of psychiatric services among adults with intellectual disabilities in Turkey. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2020; 33:1038-1048. [PMID: 32207206 DOI: 10.1111/jar.12726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2019] [Revised: 02/14/2020] [Accepted: 02/27/2020] [Indexed: 10/24/2022]
Abstract
BACKGROUND The aim of this study was to investigate the prevalence of and the factors associated with psychiatric symptoms (PS) and challenging behaviour (CB) in adults with intellectual disabilities, and the utilization of psychiatric services in Turkey. METHOD Psychiatric Assessment Schedule for Adults with Developmental Disorders Checklist-Revised was used for PS and a structured form for other variables in 771 participants. RESULTS Of the participants, 50.1% had PS and 36.4% presented with CB. Multivariate analysis revealed that a higher level of needs, better verbal ability, residential living, incontinence and CB, and lifetime suicidal ideation/attempt were independently associated with PS. For CB, it emerged as male carer, PS, lifetime suicidal attempt/ideation, lower level of verbal ability and autism spectrum disorder. Barriers were experienced by 64.7% of participants within the previous year. CONCLUSIONS Psychiatric symptoms and CB seem to be problems for a significant proportion of adults with intellectual disabilities in Turkey, and there are certain barriers to psychiatric services.
Collapse
Affiliation(s)
- Aynur Gormez
- Department of Psychiatry, Istanbul Medeniyet University, Istanbul, Turkey
| | - Ayse Kurtulmus
- Department of Psychiatry, Bezmialem Vakif University, Istanbul, Turkey
| | - Zeynep Ince
- Bagcilar Basak Special Education and Rehabilitation Centre, Istanbul, Turkey
| | - Perihan Torun
- Department of Public Health, Bezmialem Vakif University, Istanbul, Turkey
| | - Omer Uysal
- Department of Statistics, Bezmialem Vakif University, Istanbul, Turkey
| | - Serhat Cıtak
- Department of Psychiatry, Istanbul Medeniyet University, Istanbul, Turkey
| |
Collapse
|
8
|
Scheffers F, van Vugt E, Moonen X. Resilience in the face of adversity in adults with an intellectual disability: A literature review. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2020; 33:828-838. [PMID: 32153087 PMCID: PMC7496528 DOI: 10.1111/jar.12720] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 02/03/2020] [Accepted: 02/08/2020] [Indexed: 12/01/2022]
Abstract
Background Persons with an intellectual disability are at a higher risk of experiencing adversities. The concept of resilience offers promising insights into facilitating personal growth after adversity. The current study aims at providing an overview of the current research on resilience and the way this can contribute to quality of life in people with intellectual disability. Method A literature review was conducted in the databases PsycINFO and Web of Science. To evaluate the quality of the studies, the Mixed Method Appraisal Tool (MMAT) was used. Results The themes, autonomy, self‐acceptance and physical health, were identified as internal sources of resilience. External sources of resilience can be found within the social network and daily activities. Conclusion The current overview shows promising results to address resilience in adults with intellectual disability. More research is needed to identify the full range of resiliency factors.
Collapse
|
9
|
Hsieh K, Scott HM, Murthy S. Associated Risk Factors for Depression and Anxiety in Adults With Intellectual and Developmental Disabilities: Five-Year Follow Up. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2020; 125:49-63. [PMID: 31877262 PMCID: PMC7959169 DOI: 10.1352/1944-7558-125.1.49] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
A better understanding of the factors associated with depression and anxiety in people with intellectual and developmental disabilities (IDD) is needed to provide guidelines for service providers, clinicians, and researchers as well as to improve the diagnostic process. The current study used a longitudinal dataset to explore demographic, health, and psychosocial risk factors of anxiety and depression in adults with IDD. Women were more likely to have depression while older adults, people with autism, and people with hearing impairments, were more likely to have anxiety. Chronic health conditions were associated with both anxiety and depression, while changes in stressful life events were associated with an increased risk of anxiety. Clinical and research contributions are discussed.
Collapse
Affiliation(s)
- Kelly Hsieh
- Kelly Hsieh, Haleigh M. Scott, and Sumithra Murthy, University of Illinois at Chicago
| | - Haleigh M Scott
- Kelly Hsieh, Haleigh M. Scott, and Sumithra Murthy, University of Illinois at Chicago
| | - Sumithra Murthy
- Kelly Hsieh, Haleigh M. Scott, and Sumithra Murthy, University of Illinois at Chicago
| |
Collapse
|
10
|
Bond L, Carroll R, Mulryan N, O'Dwyer M, O'Connell J, Monaghan R, Sheerin F, McCallion P, McCarron M. The association of life events and mental ill health in older adults with intellectual disability: results of the wave 3 Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2019; 63:454-465. [PMID: 30697858 DOI: 10.1111/jir.12595] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2018] [Revised: 12/17/2018] [Accepted: 12/31/2018] [Indexed: 06/09/2023]
Abstract
BACKGROUND Exposures to life events are associated with emotional, psychological and behavioural problems in those with intellectual disability (ID). Older adults with ID may experience different life events given differences in living circumstances, cognitive decline, greater dependency on others and less autonomy. This study examines the relationship of life events and mental ill health in an older ID population in Ireland. METHODS The study was part of 'The Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing'. The frequency of life events was assessed using a 20-item checklist, and the level of stress experienced was assessed using a three-point Likert scale measuring the burden of the life event. The associations of life events with factors associated with mental ill health were measured using a variety of self-report and proxy completed questionnaires. RESULTS For the study population, 88.1% had been exposed to at least one life event in the preceding 12 months and 64.5% to two or more life events. Frequency and burden of life events were significantly higher in individuals living in institutional settings and in individuals with any current psychiatric condition, increased depressive and anxiety symptoms, challenging behaviour and reported poorer self-rated mental and physical health. More life events were significantly associated with new psychiatric diagnoses as well as initiation and increased dosage of mood stabilising, hypnotic and sedative medications. CONCLUSIONS Life events are significantly associated with mental ill health in the older ID population. Service providers must focus on limiting the exposure to these events and, in situations where they cannot be avoided, should support and manage individuals compassionately and effectively, prioritising their mental and physical well-being.
Collapse
Affiliation(s)
- L Bond
- The Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing (IDS-TILDA), School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
- Daughters of Charity Disability Support Services, Dublin, Ireland
| | - R Carroll
- The Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing (IDS-TILDA), School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - N Mulryan
- The Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing (IDS-TILDA), School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
- Daughters of Charity Disability Support Services, Dublin, Ireland
| | - M O'Dwyer
- The Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing (IDS-TILDA), School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
- Trinity College Dublin, School of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, Dublin, Ireland
| | - J O'Connell
- The Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing (IDS-TILDA), School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
- Trinity College Dublin, School of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, Dublin, Ireland
| | - R Monaghan
- The Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing (IDS-TILDA), School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
- Trinity College Dublin, School of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, Dublin, Ireland
| | - F Sheerin
- The Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing (IDS-TILDA), School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - P McCallion
- The Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing (IDS-TILDA), School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
- Temple School of Social Work, Temple University, Philadelphia, PA, USA
| | - M McCarron
- The Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing (IDS-TILDA), School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| |
Collapse
|
11
|
Karatzias T, Brown M, Taggart L, Truesdale M, Sirisena C, Walley R, Mason‐Roberts S, Bradley A, Paterson D. A mixed‐methods, randomized controlled feasibility trial of Eye Movement Desensitization and Reprocessing (EMDR) plus Standard Care (SC) versus SC alone for DSM‐5 Posttraumatic Stress Disorder (PTSD) in adults with intellectual disabilities. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2019; 32:806-818. [DOI: 10.1111/jar.12570] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2018] [Revised: 12/06/2018] [Accepted: 01/06/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Thanos Karatzias
- School of Health and Social Care Edinburgh Napier University Edinburgh UK
- Rivers Centre for Traumatic Stress NHS Lothian Edinburgh UK
| | - Michael Brown
- School of Nursing and Midwifery Queens University Belfast Belfast UK
| | - Laurence Taggart
- Institute of Nursing and Health Research University of Ulster Newtownabbey UK
| | - Maria Truesdale
- School of Health and Social Care Edinburgh Napier University Edinburgh UK
| | | | - Robert Walley
- School of Health and Social Care Edinburgh Napier University Edinburgh UK
- Learning Disability Service NHS Lanarkshire Lanarkshire UK
| | | | - Aoife Bradley
- School of Health and Social Care Edinburgh Napier University Edinburgh UK
| | | |
Collapse
|
12
|
Rittmannsberger D, Kocman A, Weber G, Lueger‐Schuster B. Trauma exposure and post‐traumatic stress disorder in people with intellectual disabilities: A Delphi expert rating. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2018; 32:558-567. [DOI: 10.1111/jar.12549] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Revised: 10/11/2018] [Accepted: 10/11/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Doris Rittmannsberger
- Department of Applied Psychology: Health, Development, Enhancement and Intervention, Faculty of Psychology University of Vienna Vienna Austria
| | - Andreas Kocman
- Department of Applied Psychology: Health, Development, Enhancement and Intervention, Faculty of Psychology University of Vienna Vienna Austria
| | - Germain Weber
- Department of Applied Psychology: Health, Development, Enhancement and Intervention, Faculty of Psychology University of Vienna Vienna Austria
| | - Brigitte Lueger‐Schuster
- Department of Applied Psychology: Health, Development, Enhancement and Intervention, Faculty of Psychology University of Vienna Vienna Austria
| |
Collapse
|
13
|
Shimoyama M, Iwasa K, Sonoyama S. The prevalence of mental health problems in adults with intellectual disabilities in Japan, associated factors and mental health service use. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2018; 62:931-940. [PMID: 29968366 DOI: 10.1111/jir.12515] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/20/2017] [Revised: 03/15/2018] [Accepted: 06/10/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND People 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. METHODS Informants 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. RESULTS 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. CONCLUSION In 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.
Collapse
Affiliation(s)
- M Shimoyama
- Faculty of Education, Shinshu University, Nagano, Japan
| | - K Iwasa
- Department of Educational Psychology, Shujitsu University, Okayama, Japan
| | - S Sonoyama
- Faculty of Human Sciences, University of Tsukuba, Ibaraki, Japan
| |
Collapse
|
14
|
Vervoort-Schel J, Mercera G, Wissink I, Mink E, van der Helm P, Lindauer R, Moonen X. Adverse Childhood Experiences in Children with Intellectual Disabilities: An Exploratory Case-File Study in Dutch Residential Care. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15102136. [PMID: 30274163 PMCID: PMC6210466 DOI: 10.3390/ijerph15102136] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/05/2018] [Revised: 09/11/2018] [Accepted: 09/26/2018] [Indexed: 01/11/2023]
Abstract
Adverse Childhood Experiences (ACEs) are negative childhood events occurring in a child’s family or social environment, that may cause harm or distress. Children with intellectual disabilities (ID) and their families are underrepresented in international ACEs research, while current insights can also contribute to the improvement of their health and well-being. Deficiencies in intellectual and adaptive functioning and living circumstances can increase their vulnerability to adversities. In the present exploratory study 69 case-files of children referred to a Dutch national center for residential youth care for children with ID were analyzed to assess the prevalence and associations of ACEs. It was found that almost half (49.3%) of the children experienced 2 ACEs from the original ACEs framework or more (M (mean) = 2.1; SD (standard deviation) = 1.8) and that the number of ACEs in children was related to the presence of ACEs in parents. Both child and parental ACEs were also related to attachment- and trauma- and stressor-related disorders. Finally, living circumstances and multiple ACEs from the expanded ACEs framework, especially related to parental characteristics, were found to be related to ACEs in children with ID. This implicates the importance of a transgenerational approach when further investigating the impact of ACEs on mental and physical health in children with ID (intellectual disabilities).
Collapse
Affiliation(s)
- Jessica Vervoort-Schel
- Koraal Center of Expertise, De Hondsberg, Hondsberg 5, 5062 JT Oisterwijk, The Netherlands.
- Department of Child Development and Education, University of Amsterdam, Nieuwe Achtergracht 127, 1018 WS Amsterdam, The Netherlands.
| | - Gabriëlle Mercera
- Koraal Center of Expertise, De Hondsberg, Hondsberg 5, 5062 JT Oisterwijk, The Netherlands.
| | - Inge Wissink
- Department of Child Development and Education, University of Amsterdam, Nieuwe Achtergracht 127, 1018 WS Amsterdam, The Netherlands.
| | - Emmelie Mink
- Koraal Center of Expertise, De Hondsberg, Hondsberg 5, 5062 JT Oisterwijk, The Netherlands.
- Department of Child Development and Education, University of Amsterdam, Nieuwe Achtergracht 127, 1018 WS Amsterdam, The Netherlands.
| | - Peer van der Helm
- Expert Center Social Work and applied Psychology, Professional University of Applied Sciences Leiden, Zernikedreef 11, 2333 CK Leiden, The Netherlands.
- Fier, National Expertise and Treatment Center, Holstmeerweg 1, 8936 AS Leeuwarden, The Netherlands.
| | - Ramón Lindauer
- Amsterdam UMC, University of Amsterdam, Department Child and Adolescent Psychiatry Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
- De Bascule, Academic Center for Child and Adolescent Psychiatry, Meibergdreef 5, 1105 AZ Amsterdam, The Netherlands.
| | - Xavier Moonen
- Koraal Center of Expertise, De Hondsberg, Hondsberg 5, 5062 JT Oisterwijk, The Netherlands.
- Department of Child Development and Education, University of Amsterdam, Nieuwe Achtergracht 127, 1018 WS Amsterdam, The Netherlands.
| |
Collapse
|
15
|
Byrne G. Prevalence and psychological sequelae of sexual abuse among individuals with an intellectual disability: A review of the recent literature. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2018; 22:294-310. [PMID: 30134783 DOI: 10.1177/1744629517698844] [Citation(s) in RCA: 63] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
The impact of sexual abuse among those with an intellectual disability is an area in need of further research. The current article provides an in-depth narrative review of the sexual abuse literature relevant to individuals with an intellectual disability. The 29 articles included in this study focused on (a) the prevalence of sexual abuse, (b) the risk factors associated with this population, and (c) the psychological impact of abuse. The findings confirmed that children and adults with an intellectual disability are at a higher risk of sexual abuse than nondisabled peers. Research regarding risk factors is equivocal, with a range of possible factors indicated. Similarly, evidence suggests that there is no single diagnostic trajectory when dealing with the sequelae of sexual abuse among those with an intellectual disability. The article concludes by discussing recommendations for future research and development of policy around this area.
Collapse
|
16
|
O'Dwyer C, McCallion P, Burke É, Carroll R, O'Dwyer M, McCarron M. Prevalence and associated factors of problem behaviours among older adults with intellectual disabilities in Ireland. RESEARCH IN DEVELOPMENTAL DISABILITIES 2018; 80:192-204. [PMID: 29880319 DOI: 10.1016/j.ridd.2018.05.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Revised: 05/10/2018] [Accepted: 05/13/2018] [Indexed: 06/08/2023]
Abstract
A growing number of adults with intellectual disabilities (ID) are reaching old age, however, little is known about epidemiology of problem behaviours (PBs) in this population. The aim was to identify the prevalence and associated factors of PBs among older adults with ID in Ireland. Data was generated from Wave 2 of the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA), a nationally representative sample of adults with ID aged ≥40. Data on PBs was available for 683 (98.3%) of individuals. Over half (53%; n = 362) reported displaying any PB (verbal aggression, physical aggression, destruction, self-injury, or "other" PB). Multivariate analyses indicated PBs were independently associated with moderate or severe/profound ID, living in a community group home or residential centre, experiencing a greater number of life events in the last year, taking psychotropic medication, and reporting a doctor's diagnosis of a psychiatric problem. A considerable number of older adults with ID in Ireland display PBs, which may hinder their opportunities to engage in community based activities and form meaningful social connections. High rates of psychotropic medication and doctor's diagnosis of psychiatric conditions and their associations with PBs were highlighted. Future research should examine mechanisms underlying these linkages.
Collapse
Affiliation(s)
- Claire O'Dwyer
- School of Nursing and Midwifery, 2 Clare Street, Trinity College Dublin, Ireland.
| | - Philip McCallion
- School of Social Work, College of Public Health, Temple University, Philadelphia, USA
| | - Éilish Burke
- School of Nursing and Midwifery, 2 Clare Street, Trinity College Dublin, Ireland
| | - Rachael Carroll
- School of Nursing and Midwifery, 2 Clare Street, Trinity College Dublin, Ireland
| | - Máire O'Dwyer
- School of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, Ireland
| | - Mary McCarron
- School of Nursing and Midwifery, 2 Clare Street, Trinity College Dublin, Ireland; Faculty of Health Sciences, Trinity College Dublin, Ireland
| |
Collapse
|
17
|
Brown M, McCann E. Sexuality issues and the voices of adults with intellectual disabilities: A systematic review of the literature. RESEARCH IN DEVELOPMENTAL DISABILITIES 2018; 74:124-138. [PMID: 29413427 DOI: 10.1016/j.ridd.2018.01.009] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2017] [Revised: 01/05/2018] [Accepted: 01/17/2018] [Indexed: 05/20/2023]
Abstract
BACKGROUND There is a growing and evolving research evidence base regarding sexuality issues and adults with intellectual disabilities. Individuals can face challenges, including the right to express their sexuality and to access necessary education and supports. AIMS This systematic review explores sexuality experiences, the views and opinions of adults with intellectual disabilities and highlights areas for future practice developments. METHODS AND PROCEDURES A comprehensive search of relevant databases from January 2006 to December 2016 was carried out. Included studies had to address specific criteria including: peer reviewed papers, the use of appropriate research methods, and focused exclusively on the individual views and opinions of people with an intellectual disability. The search of relevant databases yielded 230 hits. Following the application of explicit inclusion and exclusion criteria, 23 papers were deemed suitable for the review. OUTCOMES AND RESULTS The data were analysed and key themes were identified that included: autonomy v's risk of harm, knowledge and sexuality, relationships and intimacy, self-determination and taking control, and encouragement and supports. CONCLUSIONS AND IMPLICATIONS Adults with intellectual disabilities need education and support to express their sexuality and to meet individual needs.
Collapse
Affiliation(s)
- Michael Brown
- School of Nursing and Midwifery, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, UK.
| | - Edward McCann
- School of Nursing and Midwifery, Trinity College Dublin, Ireland
| |
Collapse
|
18
|
Nouwens PJG, Lucas R, Smulders NBM, Embregts PJCM, van Nieuwenhuizen C. Identifying classes of persons with mild intellectual disability or borderline intellectual functioning: a latent class analysis. BMC Psychiatry 2017; 17:257. [PMID: 28716016 PMCID: PMC5512980 DOI: 10.1186/s12888-017-1426-8] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Accepted: 07/10/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Persons with mild intellectual disability or borderline intellectual functioning are often studied as a single group with similar characteristics. However, there are indications that differences exist within this population. Therefore, the aim of this study was to identify classes of persons with mild intellectual disability or borderline intellectual functioning and to examine whether these classes are related to individual and/or environmental characteristics. METHODS Latent class analysis was performed using file data of 250 eligible participants with a mean age of 26.1 (SD 13.8, range 3-70) years. RESULTS Five distinct classes of persons with mild intellectual disability or borderline intellectual functioning were found. These classes significantly differed in individual and environmental characteristics. For example, persons with a mild intellectual disability experienced fewer problems than those with borderline intellectual disability. CONCLUSIONS The identification of five classes implies that a differentiated approach is required towards persons with mild intellectual disability or borderline intellectual functioning.
Collapse
Affiliation(s)
- Peter J. G. Nouwens
- 0000 0001 0943 3265grid.12295.3dTranzo Department, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, the Netherlands
| | - Rosanne Lucas
- 0000 0001 0943 3265grid.12295.3dTranzo Department, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, the Netherlands ,Prisma Foundation, Waalwijk, the Netherlands
| | - Nienke B. M. Smulders
- 0000 0001 0943 3265grid.12295.3dTranzo Department, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, the Netherlands ,Prisma Foundation, Waalwijk, the Netherlands
| | - Petri J. C. M. Embregts
- 0000 0001 0943 3265grid.12295.3dTranzo Department, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, the Netherlands ,0000 0001 0943 3265grid.12295.3dDepartment of Medical and Clinical Psychology, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, the Netherlands ,Dichterbij Innovation and Science, Gennep, the Netherlands
| | - Chijs van Nieuwenhuizen
- 0000 0001 0943 3265grid.12295.3dTranzo Department, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, the Netherlands ,GGzE Research Group Forensic Mental Health Care, GGzE Centre for Child & Adolescent Psychiatry and De Catamaran, Hospital for Youth Forensic Psychiatry & Orthopsychiatry, GGzE, Eindhoven, The Netherlands
| |
Collapse
|
19
|
Keesler JM, Isham C. Trauma-Informed Day Services: An Initial Conceptualization and Preliminary Assessment. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2017. [DOI: 10.1111/jppi.12206] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- John M. Keesler
- Indiana University School of Social Work; Bloomington, Indiana USA
| | - Cory Isham
- MSW, Lion Court; Kings Drive, Prescot UK
| |
Collapse
|
20
|
Tassé MJ, Navas Macho P, Havercamp SM, Benson BA, Allain DC, Manickam K, Davis S. Psychiatric Conditions Prevalent Among Adults With Down Syndrome. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2016. [DOI: 10.1111/jppi.12156] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Marc J. Tassé
- Nisonger Center; Ohio State University; Columbus OH USA
| | | | | | | | - Dawn C. Allain
- Wexner Medical Center; Ohio State University; Columbus OH USA
| | | | - Suzanne Davis
- Nisonger Center; Ohio State University; Columbus OH USA
| |
Collapse
|
21
|
Feldman MA, Owen F, Andrews AE, Tahir M, Barber R, Griffiths D. Randomized Control Trial of the 3Rs Health Knowledge Training Program for Persons with Intellectual Disabilities. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2015; 29:278-88. [DOI: 10.1111/jar.12186] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/15/2015] [Indexed: 12/01/2022]
Affiliation(s)
- Maurice A. Feldman
- Centre for Applied Disability Studies; Brock University; St. Catharines ON Canada
| | - Frances Owen
- Department of Child and Youth Studies; Centre for Applied Disability Studies; Brock University; St. Catharines ON Canada
| | - Amy E. Andrews
- 3Rs Community-University Research Alliance; Community LivingWelland-Pelham; Welland ON Canada
| | - Munazza Tahir
- Centre for Applied Disability Studies; Brock University; St. Catharines ON Canada
| | - Rachel Barber
- Centre for Applied Disability Studies; Brock University; St. Catharines ON Canada
| | - Dorothy Griffiths
- Department of Child and Youth Studies; Centre for Applied Disability Studies; Brock University; St. Catharines ON Canada
| |
Collapse
|
22
|
|
23
|
Wigham S, Taylor JL, Hatton C. A prospective study of the relationship between adverse life events and trauma in adults with mild to moderate intellectual disabilities. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2014; 58:1131-1140. [PMID: 24372838 DOI: 10.1111/jir.12107] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/15/2013] [Indexed: 06/03/2023]
Abstract
BACKGROUND Research has demonstrated a relationship between the experience of life events and psychopathology in people with intellectual disabilities (ID), however few studies have established causal links and to date no prospective studies have utilised a measure of trauma that has been developed specifically for this population group. METHOD This 6-month prospective study examined longitudinal relationships between adverse life events and trauma in 99 adults with mild to moderate ID. RESULTS Life events during the previous 6 months were significantly predictive of levels of trauma as measured by the self-report Lancaster and Northgate trauma scales (LANTS), and the informant LANTS behavioural changes, frequency and severity sub-scales. This prospective causal relationship was demonstrated while controlling for any prior life events or pre-existing trauma, though the relationship was not moderated by social support. CONCLUSIONS Evidence of a causal relationship between adverse life events and trauma symptoms is important for treatment planning and funding allocation.
Collapse
Affiliation(s)
- S Wigham
- Institute of Health and Society, Sir James Spence Institute, Newcastle University, Newcastle, UK
| | | | | |
Collapse
|
24
|
Gilmore L, Cuskelly M. Vulnerability to Loneliness in People with Intellectual Disability: An Explanatory Model. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2014. [DOI: 10.1111/jppi.12089] [Citation(s) in RCA: 106] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Affiliation(s)
- Linda Gilmore
- Queensland University of Technology; Brisbane Qld Australia
| | | |
Collapse
|
25
|
Keesler JM. A Call for the Integration of Trauma-Informed Care Among Intellectual and Developmental Disability Organizations. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2014. [DOI: 10.1111/jppi.12071] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
26
|
Oliver C. Trends and synergies in intellectual disability research. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2014; 58:1-2. [PMID: 24313702 DOI: 10.1111/jir.12105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- Chris Oliver
- The Cerebra Centre for Neurodevelopmental Disorders, University of Birmingham, UK
| |
Collapse
|
27
|
Fonseca LM, de Oliveira MC, de Figueiredo Ferreira Guilhoto LM, Cavalheiro EA, Bottino CM. Bereavement and behavioral changes as risk factors for cognitive decline in adults with Down syndrome. Neuropsychiatr Dis Treat 2014; 10:2209-19. [PMID: 25484589 PMCID: PMC4240187 DOI: 10.2147/ndt.s68831] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Cognitive decline and Alzheimer's disease often affect older adults with Down syndrome (DS) much earlier than those in the general population. There is also growing evidence of the effects of negative life events on the mental health and behavior of individuals with intellectual disability. However, to our knowledge, this is the first study investigating objective cognitive decline following bereavement in aging individuals with DS. OBJECTIVE The objective of this study was to determine whether cognitive decline correlates with bereavement following the recent loss of a caregiver or with behavioral changes in a sample of adult individuals with DS who do not meet the criteria for dementia or depression, using the longitudinal assessment of the Cambridge Cognitive Examination (CAMCOG), together with the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE). METHODS We evaluated 18 subjects at baseline and over a follow-up period of 14-22 months, attempting to determine whether cognitive decline correlates with bereavement following the recent loss of the main caregiver or with behavioral changes (as assessed with the Neuropsychiatric Inventory). RESULTS The mean rate of change in CAMCOG was -1.83 (standard deviation 4.51). Behavioral changes had a significant direct influence on cognitive decline. When bereavement was accompanied by behavioral changes, the probability of cognitive decline was 87% (odds ratio 3.82). CONCLUSION The occurrence of behavioral changes attributed to bereavement following the loss of the primary caregiver significantly increases the probability of cognitive decline in individuals with DS. Longitudinal comparison of the CAMCOG and use of the IQCODE appear to enrich the analysis of cognitive decline in individuals with DS. Further studies involving larger samples are needed in order to corroborate and expand upon our findings, which can have implications for the clinical management of older adults with DS.
Collapse
Affiliation(s)
| | | | | | - Esper Abrao Cavalheiro
- Association of Parents and Friends of People with Intellectual Disability of São Paulo, São Paulo, Brazil ; Federal University of São Paulo, São Paulo, Brazil
| | - Cássio Mc Bottino
- Old Age Research Group, Department of Psychiatry, University of São Paulo, São Paulo, Brazil
| |
Collapse
|