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DSM-IV disorders in children with borderline to moderate intellectual disability. I: prevalence and impact.边缘至中度智力残疾儿童的《精神疾病诊断与统计手册》第四版障碍。I：患病率及影响
J Am Acad Child Adolesc Psychiatry. 2003 Aug;42(8):915-22. doi: 10.1097/01.CHI.0000046892.27264.1A.
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Prevalence and assessment of attention-deficit/hyperactivity disorder in primary care settings.基层医疗环境中注意力缺陷/多动障碍的患病率及评估
Pediatrics. 2001 Mar;107(3):E43. doi: 10.1542/peds.107.3.e43.
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Oppositional defiant and conduct disorder: a review of the past 10 years, part I.对立违抗障碍与品行障碍：过去十年回顾，第一部分
J Am Acad Child Adolesc Psychiatry. 2000 Dec;39(12):1468-84. doi: 10.1097/00004583-200012000-00007.
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Mental health services for people with intellectual disability: a conceptual framework.为智障人士提供的心理健康服务：一个概念框架。
J Intellect Disabil Res. 2000 Apr;44 ( Pt 2):97-107. doi: 10.1046/j.1365-2788.2000.00283.x.
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Psychopathology and behavioral problems in mental retardation.智力迟钝中的精神病理学与行为问题。
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Reliability of the Child Behavior Checklist for the assessment of behavioral problems of children and youth with mild mental retardation.用于评估轻度智力障碍儿童及青少年行为问题的儿童行为量表的信度
Res Dev Disabil. 2000 Jan-Feb;21(1):31-41. doi: 10.1016/s0891-4222(99)00028-1.
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The medical review article revisited: has the science improved?医学综述文章再探讨：科学水平有所提高吗？
Ann Intern Med. 1999 Dec 21;131(12):947-51. doi: 10.7326/0003-4819-131-12-199912210-00007.
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Intellectual disabilities and the next millennium: the role of the International Association for the Scientific Study of Intellectual Disabilities (IASSID).智力残疾与下一个千年：国际智力残疾科学研究协会（IASSID）的作用。
J Intellect Disabil Res. 1999 Jun;43 ( Pt 3):145-8. doi: 10.1046/j.1365-2788.1999.00205.x.
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Reliability and validity of the Mini PAS-ADD for assessing psychiatric disorders in adults with intellectual disability.用于评估成年智力残疾者精神障碍的简易PAS-ADD的信度和效度
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智力障碍者中的心理健康障碍：准确患病率估计面临的挑战。

Mental health disorders among individuals with mental retardation: challenges to accurate prevalence estimates.

作者信息

Kerker Bonnie D, Owens Pamela L, Zigler Edward, Horwitz Sarah M

机构信息

Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT, USA.

出版信息

Public Health Rep. 2004 Jul-Aug;119(4):409-17. doi: 10.1016/j.phr.2004.05.005.

DOI:10.1016/j.phr.2004.05.005
PMID:15219798
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1497647/
Abstract

OBJECTIVES

The objectives of this literature review were to assess current challenges to estimating the prevalence of mental health disorders among individuals with mental retardation (MR) and to develop recommendations to improve such estimates for this population.

METHODS

The authors identified 200 peer-reviewed articles, book chapters, government documents, or reports from national and international organizations on the mental health status of people with MR. Based on the study's inclusion criteria, 52 articles were included in the review.

RESULTS

Available data reveal inconsistent estimates of the prevalence of mental health disorders among those with MR, but suggest that some mental health conditions are more common among these individuals than in the general population. Two main challenges to identifying accurate prevalence estimates were found: (1) health care providers have difficulty diagnosing mental health conditions among individuals with MR; and (2) methodological limitations of previous research inhibit confidence in study results.

CONCLUSIONS

Accurate prevalence estimates are necessary to ensure the availability of appropriate treatment services. To this end, health care providers should receive more training regarding the mental health treatment of individuals with MR. Further, government officials should discuss mechanisms of collecting nationally representative data, and the research community should utilize consistent methods with representative samples when studying mental health conditions in this population.

摘要

目的

本文献综述的目的是评估在估算智力障碍（MR）个体中精神健康障碍患病率方面当前存在的挑战，并提出改进该人群此类估算的建议。

方法

作者检索了200篇同行评议的文章、书籍章节、政府文件或来自国家和国际组织的关于MR人群精神健康状况的报告。根据该研究的纳入标准，52篇文章被纳入综述。

结果

现有数据显示，对MR个体中精神健康障碍患病率的估算不一致，但表明某些精神健康状况在这些个体中比在一般人群中更为常见。发现了确定准确患病率估算的两个主要挑战：（1）医疗保健提供者在诊断MR个体的精神健康状况方面存在困难；（2）先前研究的方法学局限性降低了对研究结果的信心。

结论

准确的患病率估算对于确保提供适当的治疗服务至关重要。为此，医疗保健提供者应接受更多关于MR个体精神健康治疗的培训。此外，政府官员应讨论收集具有全国代表性数据的机制，并且研究界在研究该人群的精神健康状况时应使用具有代表性样本的一致方法。