Exploring the relationship between challenging behaviour and mental health disorder in autistic individuals with intellectual disabilities

Research in autism spectrum disorders, Год журнала: 2023, Номер 104, С. 102147 - 102147

Опубликована: Апрель 15, 2023

Few studies have explored the relationship between challenging behaviour and mental health symptoms in autistic individuals with intellectual disabilities, findings been mixed. While prevalence of disorder this population is high, recognition identification these disorders may be challenging. No previous study has used measures specifically developed for population. Using a standardised tool (Aberrant Behavior Checklist, ABC), differences participants were according to whether they diagnosed disorder, clinical sample 175 co-occurring disabilities (ages 14–68) referred assessment. The severity reported on Psychopathology Autism Checklist (PAC) was also explored. group identified diagnosis, but clear associations PAC ABC scales. These included general/non-specific more specific that remained significant when controlling underlying conditions. Potential interactions found involving different scales age, gender, autism-related characteristics, level disability, communication skills, respectively, varied each scale. appears complex multifaceted. lack specificity indicates cannot reliably identify disorders, even if behaviours constitute atypical expressions symptoms.

Язык: Английский

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Post-traumatic stress disorder and experiences involving violence or sexual abuse in a clinical sample of autistic adults with intellectual disabilities: Prevalence and clinical correlates

Autism, Год журнала: 2023, Номер 28(5), С. 1075 - 1089

Опубликована: Авг. 23, 2023

Autistic people appear to be at increased risk of post-traumatic stress disorder, and experiences involving violence or sexual abuse common in this population. However, knowledge concerning trauma autistic with co-occurring intellectual disabilities is limited. In cross-sectional study, we explored the prevalence as well clinical correlates reported abuse, a sample 88 adults referred for mental health assessment. Only three participants (3.4%) were diagnosed even if (34.1%) (17.0%) common. Anxiety affective disorders diagnoses among these experiences. Controlling autism characteristics, level disability communication skills, violence/sexual found associated measure ‘challenging’ behaviours (Aberrant Behaviour Checklist). These results indicate that potentially traumatic are assessment disorder may under-recognised. The findings highlight importance screening assessment, trauma-informed care, Lay abstract Post-traumatic triggered by experience events perceived terrifying overwhelming. Examples such include being victim abuse. Compared other people, have exposed addition, more vulnerable developing following exposure. limited disabilities. Detection experiences, identification challenging individuals, previous research indicates symptoms overlooked misinterpreted. examined 3.4% behaviours.

Язык: Английский

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Some observations on remote delivery of eye‐movement desensitisation and reprocessing to people with intellectual disabilities

Journal of Policy and Practice in Intellectual Disabilities, Год журнала: 2023, Номер 20(2), С. 205 - 215

Опубликована: Янв. 13, 2023

Abstract It is increasingly recognised that many people with intellectual disabilities suffer from post‐traumatic stress disorder (PTSD). Eye‐movement desensitisation and reprocessing (EMDR) has been proposed as a potentially helpful intervention less reliant on verbal skills than other effective treatments for PTSD therefore could be more interventions disabilities. The Trauma‐AID project randomised clinical trial (RCT) evaluating the effectiveness of bespoke EMDR protocol adults disability PTSD, which incorporates prolonged phase Psycho‐Education Stabilisation (PES) prior to trauma confrontation EMDR. COVID‐19 pandemic struck during feasibility project, necessitating second study evaluate acceptability remote or hybrid delivery PES + protocol. To this end, we conducted two online surveys therapists followed by interviews clients, carers senior therapists. were analysed descriptively. Content analysis was used client carer interviews, framework therapist interviews. All stakeholders reported positive experiences EMDR; however, some challenges identified. majority interviewed intervention, whether alone full PES‐EMDR package, had improved symptoms psychological well‐being, also decreases in challenging behaviour. A account data provided four Supplementary Digital files. therapy appears both feasible acceptable clients therapists, delivered face‐to‐face mode, though working easier intervention.

Язык: Английский

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Mental Health Services for Autistic People with Intellectual Disability: An Exploratory Study on Patient and Treatment Characteristics, and Intervention - Outcome Associations

Journal of Mental Health Research in Intellectual Disabilities, Год журнала: 2024, Номер 17(3), С. 178 - 208

Опубликована: Янв. 31, 2024

Introduction Autistic people with co-occurring intellectual disability have a high risk of mental disorders. This study aimed to investigate specialized health services for this group, emphasizing inpatient/outpatient treatment, patient characteristics, interventions, and outcomes.

Язык: Английский

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Is trauma research neglecting neurodiverse populations? A systematic review and meta-analysis of the prevalence ACEs in adults with autistic traits

Advances in Autism, Год журнала: 2024, Номер 10(3), С. 104 - 119

Опубликована: Апрель 22, 2024

Purpose The prevalence of exposure to adversity is elevated in autistic populations, compared neurotypical peers. Despite this, the frequency and nature early adverse experiences are not well understood adults, with several underlying methodological limitations available literature. purpose this study systematically synthesise analyse childhood marginalised population, accordance (ACEs) framework. Design/methodology/approach Peer-reviewed empirical research articles were searched for from electronic databases screened against established inclusion criteria. Pooled rates individual ACE types calculated. Findings Four papers included ( N = 732), all which used a predominantly or exclusively female sample. Only sexual abuse was reported papers, pooled rate 38%. Physical emotional less frequently explored, two reporting on these ACEs, though obtained comparable higher (39% 49%, respectively). could be calculated neither neglect nor “household” ACEs because insufficient data. limited state evidence, conjunction high levels heterogeneity poor sample representativeness found, positions adults as critical priority. Originality/value To best authors’ knowledge, first adversities, conceptualised framework, traits.

Язык: Английский

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Reliability and Validity of the Diagnostic Interview Trauma and Stressors- Intellectual Disability in Adults with Mild Intellectual Disabilities or Borderline Intellectual Functioning

Journal of Mental Health Research in Intellectual Disabilities, Год журнала: 2024, Номер unknown, С. 1 - 17

Опубликована: Окт. 24, 2024

Objective To assess the reliability and construct validity of Diagnostic Interview Trauma Stressors- Intellectual Disability – Adult version (DITS-ID-adults) in adults with mild intellectual disabilities or borderline functioning (MID-BIF).

Язык: Английский

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Expert consensus regarding indicators of a traumatic reaction in autistic youth: a Delphi survey

Journal of Child Psychology and Psychiatry, Год журнала: 2022, Номер 64(1), С. 50 - 58

Опубликована: Июль 11, 2022

Objective It has been suggested that the sequelae of trauma are under‐recognized in youth on autism spectrum. We aimed to generate expert consensus regarding important indicators, including but not limited traumatic stress symptoms, autistic youth. Methods recruited 72 experts and/or childhood trauma. Via a 2‐round Delphi survey, commented and rated importance 48 potential drawn from PTSD criteria broader literature autism. A revised list 51 18 clinical guidelines developed comments, summaries qualifications ratings Round 1 were submitted second round ( n = 66; 92% retention) review rating. Results Twenty‐two indicators reached (>75% 2 endorsement). Many, all, reflected criteria, intrusions (e.g., re‐enactments perseverative play/speech), avoidance trauma‐reminders, negative alterations mood/cognition diminished interest activities) arousal/reactivity exaggerated startle). Experts also identified increased reliance others, adaptive language regressions, self‐injurious behavior, non‐suicidal self‐injury as indicators. Consensus emphasized need for tailored measures, developmentally informed multiple informants increase diagnostic accuracy. Conclusions Expert emphasizes informs measures more sensitively assess reactions

Язык: Английский

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Schizophrenia in autistic people with intellectual disabilities: Symptom manifestations and identification

Journal of Applied Research in Intellectual Disabilities, Год журнала: 2023, Номер 36(5), С. 1076 - 1091

Опубликована: Июнь 2, 2023

Abstract Background The assessment of schizophrenia in autistic people with intellectual disabilities is challenging. This study aimed to explore the identification this population. Methods Using data from a clinical multi‐centre study, reported symptoms 26 individuals diagnosed co‐occurring were explored. Scores on two checklists (Psychopathology Autism Checklist [PAC], Aberrant Behaviour [ABC]) compared comparison groups: and other mental disorders (94), or no disorder (63). Results Reported population met formal diagnostic criteria. For PAC/ABC scales, only PAC psychosis differed for group. Among participants schizophrenia, additional disorders. Elevated scores anxiety depression common. Conclusions Emphasising core seems necessary when assessing disabilities. may serve as helpful screening tool.

Язык: Английский

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Assessment of Posttraumatic Stress Disorder in Adults with Severe or Moderate Intellectual Disability: A Pilot Study Using the Diagnostic Interview Trauma and Stressors – Severe Intellectual Disability

Journal of Mental Health Research in Intellectual Disabilities, Год журнала: 2023, Номер 17(4), С. 297 - 317

Опубликована: Июнь 12, 2023

Introduction In persons with severe to moderate intellectual disability (SID), no valid and reliable diagnostic instrument is available determine PTSD. this study, a new was evaluated: the Diagnostic Interview Trauma Stressors – Severe Intellectual Disability (DITS-SID).

Язык: Английский

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Trauma in People with Intellectual Disability

Cambridge University Press eBooks, Год журнала: 2024, Номер unknown, С. 61 - 73

Опубликована: Ноя. 7, 2024

Язык: Английский

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