Cormack K F, Brown A C, Hastings R P
Severe Challenging Behaviour Service, NHS Trust, Southampton, UK.
J Intellect Disabil Res. 2000 Apr;44 ( Pt 2):124-9. doi: 10.1046/j.1365-2788.2000.00251.x.
For several decades, researchers and clinicians have been aware of an increased prevalence of psychiatric disorder in children with intellectual disability. However, there are few research studies exploring this issue.
The parents of 123 children attending schools for children with 'severe learning difficulties' completed the Developmental Behaviour Checklist (DBC) in order to identify those children with clinically significant behavioural and emotional problems. Comparisons were made with norms for the DBC and a range of child variables were investigated as possible correlates of disorder.
Some 50.4% of the children scored above the cut-off on the DBC for psychiatric disorder. The child's severity of physical disability was related most strongly to parental ratings of behavioural and emotional problems. There were also effects for the child's age and the absence of Down's syndrome.
The present study confirms previous research findings of a high prevalence of behavioural and emotional difficulties amongst children with intellectual disability, and identifies a number of correlates of disorder which require further investigation.
几十年来,研究人员和临床医生已经意识到智障儿童中精神疾病的患病率有所上升。然而,很少有研究探讨这个问题。
123名就读于“严重学习困难”儿童学校的儿童的家长填写了发育行为检查表(DBC),以识别那些有临床显著行为和情绪问题的儿童。将结果与DBC的常模进行比较,并调查一系列儿童变量作为可能的疾病相关因素。
约50.4%的儿童在DBC上的得分高于精神疾病的临界值。儿童身体残疾的严重程度与父母对行为和情绪问题的评分最密切相关。儿童的年龄和没有唐氏综合征也有影响。
本研究证实了先前的研究结果,即智障儿童中行为和情绪困难的患病率很高,并确定了一些需要进一步调查的疾病相关因素。