The prevalence and incidence of mental ill-health in adults with Down syndrome
| العنوان: | The prevalence and incidence of mental ill-health in adults with Down syndrome |
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| المؤلفون: | Alison Jackson, Elita Smiley, Andrew Williamson, Dipali Mantry, Jillian Morrison, Linda Allan, Janet Finlayson, Sally-Ann Cooper |
| المصدر: | Journal of Intellectual Disability Research. :070816132318002 |
| بيانات النشر: | Wiley, 2007. |
| سنة النشر: | 2007 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Down syndrome, Adolescent, Substance-Related Disorders, Cross-sectional study, Population, Prevalence, Comorbidity, Personality Assessment, Cohort Studies, Prevalence of mental disorders, Arts and Humanities (miscellaneous), Intellectual Disability, medicine, Humans, Dementia, Longitudinal Studies, Psychiatry, education, Aged, Psychiatric Status Rating Scales, Depressive Disorder, education.field_of_study, business.industry, Incidence, Mental Disorders, Rehabilitation, Delirium, Middle Aged, medicine.disease, Mental health, Alcoholism, Psychiatry and Mental health, Cross-Sectional Studies, Scotland, Neurology, Female, Neurology (clinical), Down Syndrome, business |
| الوصف: | BACKGROUND While there is considerable literature on adults with Down syndrome who have dementia, there is little published on the epidemiology of other types of mental ill-health in this population. METHOD Longitudinal cohort study of adults with Down syndrome who received detailed psychiatric assessment (n = 186 at the first time point; n = 134 at the second time point, 2 years later). RESULTS The prevalence of Down syndrome for the 16 years and over population was 5.9 per 10 000 general population. Point prevalence of mental ill-health of any type, excluding specific phobias, was 23.7% by clinical, 19.9% by Diagnostic Criteria for Psychiatric Disorders for use with Adults with Learning Disabilities/Mental Retardation (DC-LD), 11.3% by ICD-10 Classification of Mental and Behavioural Disorders: Diagnostic Criteria for Research (DCR-ICD-10) and 10.8% by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Revised (DSM-IV-TR) criteria. Two-year incidence of mental ill-health of any type was 14.9% by clinical and DC-LD, 9.0% by DCR-ICD-10 and 3.7% by DSM-IV-TR criteria. The highest incidence was for depressive episode (5.2%) and dementia/delirium (5.2%). Compared with persons with intellectual disabilities (ID) of all causes, the standardized rate for prevalence of mental ill-health was 0.6 (0.4-0.8), or 0.4 (0.3-0.6) if organic disorders are excluded, and the standardized incidence ratio for mental ill-health was 0.9 (0.6-1.4), or 0.7 (0.4-1.2) if organic disorders are excluded. Urinary incontinence was independently associated with mental ill-health, whereas other personal factors, lifestyle and supports, and other types of health needs and disabilities were not. CONCLUSIONS Mental ill-health is less prevalent in adults with Down syndrome than for other adults with ID. The pattern of associated factors differs from that is found for other adults with ID, with few associations found. This suggests that the protection against mental ill-health is biologically determined in this population, or that there are other factors protective for mental ill-health yet to be identified for the population with Down syndrome. |
| تدمد: | 1365-2788 0964-2633 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c651ede92d8d19d0ed6d4edfefc41919Test https://doi.org/10.1111/j.1365-2788.2007.00985.xTest |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....c651ede92d8d19d0ed6d4edfefc41919 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13652788 09642633 |
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