By Philip Davidson, Vee Prasher, Matthew Janicki
This ebook is the 3rd in a sequence with the foreign organization for the medical learn of highbrow Disabilities (Series Editor: Matthew P. Janicki). those courses are designed to handle the problems of overall healthiness, grownup improvement and getting older between people with highbrow disabilities.For decades it's been famous that a few adults with highbrow disabilities are at increased threat for psychological and behavioral illnesses. frequently the getting older technique can complicate the id, prognosis, remedy and prevention of this kind of twin analysis and current complicated demanding situations to clinicians and carers. This booklet is designed as a pragmatic source for these concerned with the help, care and therapy of folks with highbrow disabilities, and will end up rather priceless as this neighborhood achieves elevated durability. The booklet is split into 3 elements: occurrence and features; prognosis and remedy; and repair process concerns.
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Extra resources for Mental Health, Intellectual Disabilities and the Aging Process (Int. Assoc. for the Scientific Study of Intellectual Disabilities)
Informant-based assessment scales were also developed such as the Dementia Scale for Down Syndrome (DSDS) (Gedye, 1995) and the Dementia Questionnaire for Persons with Mental Retardation (DMR) (Evenhuis, 1992). Burt and Aylward (2000) recommended a battery of tests that could be used in the research-based assessment of people with ID on behalf of the International Association for the Scientific Study of Intellectual Disabilities (IASSID). Dementia in people with ID may not present with the typical memory loss, loss of judgment and loss of discrete cognitive functions, as in the general population; rather it may present as general slowing, personality change, apathy and loss of motivation in the early stages.
Possible diagnoses are depression, hypomania, schizophrenia, other psychoses, phobic disorder, panic and generalized anxiety disorder and non-organic hypersomnia. Diagnoses of dementia, obsessive-compulsive disorder or autism cannot be made on this instrument. The Psychopathology Inventory for Mentally Retarded adults (PIMRA) by Matson (1988) consists of 56 dual-answer items organized over eight separate scales allowing for assessment in the area of psychopathology as well as seven specific disorders defined in accordance with DSM-111.
Haveman and his colleagues (1994) also reported that 34%of those with psychiatric diagnosis showed serious problem behavior compared to 18% of another sample without psychiatric diagnosis. Among 85 people age 50 years and older, 46% were diagnosed with dementia, and many of these were noted to have psychological problems but few behavior problems. 1 Prevalence (as YO)of mental and behavioral disorders among people with intellectual disabilities in six studies. > 65 ~ Overall Schizophrenia Affective psychosis 36 42 25 17 20 26 5 2 13 3 8 Adapted from Day and Janmr (1994) and from the studies cited - - 3 3 2 4 - Autism Neuroses Dementia Behaviorlpersonality disorder 4 2 18 1 - 1 2 10 6 23 14 9 4 5 - 22 - 1 - - Prevalence of Mental and Behavioral Disorders 15 syndrome, but it is not closely related to behavior problems.