Co-morbidity of psychiatric disorder and medical illness in people with intellectual disabilities

Purpose of review To examine the most recently published studies on the co-morbidity of medical and mental-health problems in people with intellectual disabilities. Recent findings Studies that have been published in the review period have advanced our understanding and strengthened the evidence base on how to meet the complex healthcare needs of people with intellectual disabilities more effectively and reduce their health inequalities, as compared with the general population. In particular, there is much emphasis on epidemiology, epilepsy, dementia, use of psychotropic medications and health-screening intervention. Summary In view of the common interface of medical and mental-health problems in people with intellectual disabilities, and the disparity in health they often face, initiatives should be taken to enhance their healthcare. Family carers, social-care providers, primary-care practitioners and specialist psychiatric teams can all play an important role in recognizing ill health and navigating access to the appropriate health services that people with intellectual disabilities need.

[1]  T. Heller,et al.  Carer reports of health status among adults with intellectual/developmental disabilities in Taiwan living at home and in institutions. , 2007, Journal of intellectual disability research : JIDR.

[2]  G. Dinant,et al.  Health problems of people with intellectual disabilities: the impact for general practice. , 2007, The British journal of general practice : the journal of the Royal College of General Practitioners.

[3]  C. Loh,et al.  A cross-sectional study of the characteristics and determinants of emergency care utilization among people with intellectual disabilities in Taiwan. , 2006, Research in developmental disabilities.

[4]  E. Krishnamoorthy The Evaluation of Behavioral Disturbances in Epilepsy , 2006, Epilepsia.

[5]  B. Schmitz Effects of Antiepileptic Drugs on Mood and Behavior , 2006, Epilepsia.

[6]  M. Kerr,et al.  Epilepsy in people with learning disabilities , 2006 .

[7]  P. Eikelenboom,et al.  Dementia and mortality in persons with Down's syndrome. , 2006, Journal of intellectual disability research : JIDR.

[8]  N. Lennox,et al.  Comprehensive health assessments during de-institutionalization: an observational study. , 2006, Journal of intellectual disability research : JIDR.

[9]  N. Deriaz,et al.  Prevalence of gastrointestinal disorders in adult clients with pervasive developmental disorders. , 2006, Journal of intellectual disability research : JIDR.

[10]  Yee-Jin Shin,et al.  Six-week open-label trial of topiramate to treat disruptive behaviors in children and adolescents with or without mental retardation , 2006 .

[11]  C. Melville,et al.  Improving the health of people with intellectual disabilities: outcomes of a health screening programme after 1 year. , 2006, Journal of intellectual disability research : JIDR.

[12]  H. Evenhuis,et al.  Prevalence of visual impairment in adults with intellectual disabilities in the Netherlands: cross-sectional study , 2006, Eye.

[13]  S. Bhaumik,et al.  Epilepsy in adults with intellectual disabilities: Prevalence, associations and service implications , 2006, Seizure.

[14]  M. Jan Intractable Childhood Epilepsy and Maternal Fatigue , 2006, Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques.

[15]  P. Bezemer,et al.  6220 institutionalised people with intellectual disability referred for visual assessment between 1993 and 2003: overview and trends , 2006, British Journal of Ophthalmology.

[16]  J. Matson,et al.  A functional assessment of handmouthing among persons with severe and profound intellectual disability* , 2006, Journal of intellectual & developmental disability.

[17]  Ho-Won Lee,et al.  Cognitive effects of low-dose topiramate monotherapy in epilepsy patients: A 1-year follow-up , 2006, Epilepsy & Behavior.

[18]  J. Austin,et al.  Stressors of parents of children with epilepsy and intellectual disability. , 2006, The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses.

[19]  C. Janssen,et al.  Visual impairments in people with severe and profound multiple disabilities: an inventory of visual functioning. , 2006, Journal of intellectual disability research : JIDR.

[20]  Josemir W Sander,et al.  The impact of levetiracetam on challenging behavior , 2006, Epilepsy & Behavior.

[21]  A. Hammer,et al.  Adjunctive Lamotrigine for Refractory Epilepsy in Adolescents with Mental Retardation , 2006, Journal of child neurology.

[22]  A. Hammer,et al.  Efficacy and tolerability of adjunctive lamotrigine for refractory epilepsy in institutional or community residents with mental retardation* , 2006, Current medical research and opinion.

[23]  C. Espie,et al.  Development of a measure to assess the impact of epilepsy on people with an intellectual disability: the Glasgow Epilepsy Outcome Scale - Client version (GEOS-C). , 2006, Journal of intellectual disability research : JIDR.

[24]  D. Felce,et al.  Previously unidentified morbidity in patients with intellectual disability. , 2006, The British journal of general practice : the journal of the Royal College of General Practitioners.

[25]  M. Sabaratnam,et al.  Aripiprazole use in individuals with intellectual disability and psychotic or behavioural disorders: a case series , 2006, Journal of psychopharmacology.

[26]  J. Lindsay,et al.  Provision of Appropriate Eye Care Services for Adults with Learning Disabilities: the Experience of a Specialist Multi-Professional Visual Assessment Clinic in Northern Ireland , 2006 .

[27]  C. Melville,et al.  The outcomes of an intervention study to reduce the barriers experienced by people with intellectual disabilities accessing primary health care services. , 2006, Journal of intellectual disability research : JIDR.

[28]  E. Zigler,et al.  Vision and oral health needs of individuals with intellectual disability. , 2006, Mental retardation and developmental disabilities research reviews.

[29]  S. Deb,et al.  Using medication to manage behaviour problems among adults with a learning disability , 2006 .

[30]  A. Huxley,et al.  A comparison of challenging behaviour in an adult group with Down's syndrome and dementia compared with an adult Down's syndrome group without dementia , 2005 .

[31]  J. Matson,et al.  The reliability of the Scale for the Evaluation and Identification of Seizures, Epilepsy, and Anticonvulsant Side Effects-B (SEIZES B). , 2005, Research in developmental disabilities.

[32]  J. Bodfish,et al.  Metabolic effects associated with atypical antipsychotic treatment in the developmentally disabled. , 2005, The Journal of clinical psychiatry.

[33]  P. McCallion,et al.  Health co-morbidities in ageing persons with Down syndrome and Alzheimer's dementia. , 2005, Journal of intellectual disability research : JIDR.

[34]  M. Flory,et al.  Life Events in Older Adults with Intellectual Disabilities: Differences Between Adults with and Without Down Syndrome , 2005 .

[35]  M. McCarron,et al.  A measure of subjective burden for dementia care: the Caregiving Difficulty Scale--Intellectual Disability. , 2005, Journal of intellectual disability research : JIDR.

[36]  Y. Merrick National survey 1998 on medical services for persons with intellectual disability in residential care in Israel , 2005 .

[37]  M. Kerr Improving the general health of people with learning disabilities , 2004 .

[38]  O. Linaker,et al.  Psychotropic drug use among people with intellectual disability before and after deinstitutionalization. , 2003, Journal of intellectual disability research : JIDR.

[39]  P. McCallion,et al.  Health characteristics and health services utilization in older adults with intellectual disability living in community residences. , 2002, Journal of intellectual disability research : JIDR.

[40]  G. O'Brien Defining learning disability: what place does intelligence testing have now? , 2001, Developmental medicine and child neurology.

[41]  N. Bailey,et al.  Psychiatric disorders amongst adults with learning disabilities - prevalence and relationship to ability level , 2001, Irish Journal of Psychological Medicine.

[42]  F. Huppert,et al.  Incidence and course of dementia in people with Down's syndrome: findings from a population-based study. , 2001, Journal of intellectual disability research : JIDR.

[43]  C. Hatton,et al.  Treatment and Management of Challenging Behaviours in Residential Settings , 2000 .

[44]  E. Aylward,et al.  Test battery for the diagnosis of dementia in individuals with intellectual disability. Working Group for the Establishment of Criteria for the Diagnosis of Dementia in Individuals with Intellectual Disability. , 2000, Journal of intellectual disability research : JIDR.

[45]  S. Spreat,et al.  Use of psychotropic medication in Oklahoma: a statewide survey. , 1997, American journal of mental retardation : AJMR.

[46]  E. Aylward,et al.  Diagnosis of dementia in individuals with intellectual disability. , 1997, Journal of intellectual disability research : JIDR.

[47]  V. Prasher End‐stae dementia in adults with down syndrome , 1995 .

[48]  D. Reeves,et al.  The use of anti-psychotic drugs with adults with learning disabilities and challenging behaviour. , 1995, Journal of intellectual disability research : JIDR.

[49]  A. McElduff,et al.  Medical disorders of adults with mental retardation: a population study. , 1995, American journal of mental retardation : AJMR.

[50]  J. Bernal Epilepsy in people with learning disabilities. , 1995, Seizure.

[51]  J. Rimmer,et al.  Cardiovascular risk factor levels in adults with mental retardation. , 1994, American journal of mental retardation : AJMR.

[52]  K. Pitetti,et al.  Mentally retarded individuals--a population at risk? , 1991, Medicine and science in sports and exercise.

[53]  D. Easty,et al.  Eye abnormalities in the mentally handicapped. , 2008, Journal of mental deficiency research.