Trauma experiences of people with an intellectual disability and their implications: A scoping review

Journal of Applied Research in Intellectual Disabilities, Год журнала: 2021, Номер 34(4), С. 927 - 949

Опубликована: Март 26, 2021

Abstract Background People with an intellectual disability are more vulnerable to psychological trauma compared the general population. The aim of this scoping review was identify current status literature on that is specific experiences adults disability, living in community settings. Methods A conducted using Arksey and O'Malley ( International Journal Social Research Methodology , 2005, 8, 19) framework. Forty‐one international papers were reviewed spanning 2000–2020, their quality assessed MMAT. Findings (1) Aggressive behaviours can be symptoms trauma, (2) there appropriate assessment tools for impact (3) evidence‐based interventions may effective, (4) factors associated experienced as traumatic. Conclusion There a growing body highlighting needs potential people who have trauma. Further research needed develop trauma‐informed pathways.

Язык: Английский

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Why Do Employers (Fail to) Hire People with Disabilities? A Systematic Review of Capabilities, Opportunities and Motivations

Journal of Occupational Rehabilitation, Год журнала: 2023, Номер 33(2), С. 329 - 340

Опубликована: Янв. 23, 2023

To increase the number of people with disabilities in employment, we need to understand what influences employers' hiring decisions. In this systematic review, map out factors affecting decisions about disabilities.

Язык: Английский

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“If we do not look for it, we do not see it”: Clinicians' experiences and understanding of identifying post‐traumatic stress disorder in adults with autism and intellectual disability

Journal of Applied Research in Intellectual Disabilities, Год журнала: 2020, Номер 33(5), С. 1119 - 1132

Опубликована: Апрель 14, 2020

Abstract Background Individuals with autism spectrum disorder (ASD) and intellectual disability (ID) are at increased risk of potentially traumatic events may be post‐traumatic stress (PTSD). However, knowledge regarding identification PTSD in this population is limited. The aim study was to investigate clinical experience trauma assessment individuals co‐occurring ASD ID. Method Interpretative phenomenological analysis used explore experiences identifying among 18 mental health clinicians working Results Informants viewed ID as equivalent the general population, but causes expressions differing. Several factors were described contribute challenges identification. Conclusions Trauma have severe impact Multidimensional, individualized strategies seem necessary recognize or trauma‐related symptoms population.

Язык: Английский

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Identification of Post-Traumatic Stress Disorder in Individuals with Autism Spectrum Disorder and Intellectual Disability: A Systematic Review

Journal of Mental Health Research in Intellectual Disabilities, Год журнала: 2019, Номер 12(1-2), С. 1 - 25

Опубликована: Апрель 3, 2019

Introduction: autism spectrum disorder (ASD) and intellectual disability (ID) seem to influence the risk of vulnerability exposure trauma adverse events. While assessment a psychiatric in ASD ID generally is challenging, identification post-traumatic stress (PTSD) seems particularly so, knowledge does not easily accessible. Methods: This article provides systematic review studies describing reactions individuals with both ID, including involving any single case combination ASD, PTSD. To systematically explore PTSD symptom presentation group, all reported symptoms from were assigned by DSM-5 criteria. Results: Eighteen met inclusion criteria, eight group 10 studies. Assessment methodology varied, as did format report. criteria provided useful framework for integrating findings across studies, indicating that may be identified ID. However, alterations arousal negative thought behavior more than reexperiencing avoidance. Conclusions: There an urgent need identify behavioral equivalents this making it possible warning signs abuse even if such incidents are known family or professional carers.

Язык: Английский

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The association between challenging behaviour and symptoms of post‐traumatic stress disorder in people with intellectual disabilities: a Bayesian mediation analysis approach

Journal of Intellectual Disability Research, Год журнала: 2020, Номер 64(7), С. 538 - 550

Опубликована: Май 7, 2020

Abstract Background A preponderance of behavioural symptoms is assumed to be the main difference in manifestation post‐traumatic stress disorder (PTSD) people with intellectual disability (ID). However, no study so far has assessed relationship between challenging behaviour (CB) and PTSD. The present aims explore this by exploring whether CB directly related trauma exposure or mediated through core Methods Trauma current PTSD were 43 adults mild moderate ID. Parallel versions administered caregivers, including Aberrant Behaviour Checklist measure CB. Bayesian mediation analyses conducted using self‐rated informant‐rated data. Results self‐report data showed associations symptoms. association irritability was severity frequency informant‐reported subscales hyperactivity inappropriate speech symptom severity. Conclusions should considered as underlying causes CB, highlighting necessity biography improvement assessment ID an important task for future studies.

Язык: Английский

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Art therapists' experiences of countertransference with clients with intellectual disabilities

The Arts in Psychotherapy, Год журнала: 2025, Номер unknown, С. 102294 - 102294

Опубликована: Апрель 1, 2025

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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“Driven and Tense, Stressed Out and Anxious”: Clinicians’ Perceptions of Post-Traumatic Stress Disorder Symptom Expressions in Adults with Autism and Intellectual Disability

Journal of Mental Health Research in Intellectual Disabilities, Год журнала: 2020, Номер 13(3), С. 201 - 230

Опубликована: Май 14, 2020

Introduction Individuals with autism spectrum disorder (ASD) and intellectual disability (ID) seem to be at increased risk for post-traumatic stress (PTSD), but knowledge is sparse regarding its identification in this population. Previous research indicates that certain symptoms of PTSD may more easily recognized, identifying reexperiencing avoidance particularly challenging.Methods Interpretative phenomenological analysis was used explore 18 experienced clinicians' perceptions symptom expression ASD ID through individual, qualitative interviews.Results Informants provided examples from all groups, these differed how frequently they were described. Recognition rely on about individuals' trauma experience. Avoidance present a wider range ways.Conclusion Development follow different trajectories population, contributing challenges recognition. Reexperiencing severe ASD/ID. Implications are discussed light current diagnostic criteria.

Язык: Английский

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Troubled beginnings: the adverse childhood experiences and placement histories of a detained adolescent population with developmental disorders

Advances in Mental Health and Intellectual Disabilities, Год журнала: 2020, Номер 14(6), С. 181 - 197

Опубликована: Авг. 28, 2020

Purpose People with developmental disorders are significantly more likely to experience adverse childhood experiences (ACEs), although the impact of ACEs on this population is not well understood. Furthermore, considerably less known about exposure to, and of, in detained adolescents complex disorder needs. This paper aims explore an adolescent a secure specialist service. Design/methodology/approach A retrospective file review was used placement histories within inpatient Data collated for convenience sample 36 adolescents, 9 whom were female, aged 13–20 years (M = 17.28 years). Findings total 33 participants (91.7%) had experienced at least 1 ACE, 58% experiencing 4 or 36% 6 ACEs. The most common reported physical abuse (61.6%), parental separation (58.3%) emotional (55.6%). majority also high levels disruption prior admission, average four breakdowns (range 1–13, standard deviation 3.1). held significant positive association number mental health diagnoses. Practical implications Adolescents care had, point adversities been exposed observed abuse. level adversity ongoing disruptions suggests that Child Adolescent Mental Health Services’ services should consider adopting dual treatment frameworks trauma-informed care. Originality/value study explored early-life marginalised understudied population.

Язык: Английский

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Potentially traumatic experiences and behavioural symptoms in adults with autism and intellectual disability referred for psychiatric assessment

Research in Developmental Disabilities, Год журнала: 2020, Номер 107, С. 103788 - 103788

Опубликована: Окт. 19, 2020

Individuals with autism spectrum disorder (ASD) and intellectual disability (ID) more frequently experience potentially traumatic events (PTEs), may be vulnerable to trauma-related symptoms. However, it is unclear how such symptoms are captured on tools used for behavioural psychiatric assessment in this population. To explore whether PTEs associated symptom reports adults ASD ID. Associations group differences death of a close relative serious disease/injury relative/caregiver/friend were explored clinical sample 171 ID referred assessment. Symptoms measured using Aberrant Behavior Checklist (ABC) Psychopathology Autism (PAC). Disease/injury was higher scores ABC irritability, hyperactivity self-injurious behaviour. Death lower lethargy stereotypic Some associations reached significance only when controlling ASD, ID, or verbal language skills, but the identified not robust. No found PAC. There risk under-appreciating impact population unless skills taken into account.

Язык: Английский

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