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评估发育障碍个体的精神病理学。

Assessing psychopathology in individuals with developmental disabilities.

作者信息

Rush Karena S, Bowman Lynn G, Eidman Shannon L, Toole Lisa M, Mortenson Bruce P

机构信息

Neurobehavioral Unit, Kennedy Krieger Institute, John Hopkins University School of Medicine, Baltimore, Maryland, USA.

出版信息

Behav Modif. 2004 Sep;28(5):621-37. doi: 10.1177/0145445503259830.

Abstract

Individuals with developmental disabilities are at high risk for developing mental health problems. The prevalence of psychopathology is approximately 4 times higher than that found in the general population. Yet there is a tendency to underdiagnose psychiatric disorders in the developmentally delayed population because of diagnostic overshadowing, the lack of appropriate diagnostic criteria, and the paucity of appropriate assessment measures. Over the past decade, there has been an emergence of scales developed specifically to screen for psychopathology in individuals with developmental disabilities. In addition, advancements have been made in observation techniques, thus facilitating the ability to objectively observe behaviors often described as internal events. A description of a multimethod approach to assessing psychopathology in individuals with developmental disabilities is provided incorporating the recent advancements in the field, as well as suggestions for future research.

摘要

发育障碍患者患心理健康问题的风险很高。精神病理学的患病率大约是普通人群的4倍。然而,由于诊断遮蔽、缺乏适当的诊断标准以及缺乏适当的评估措施,发育迟缓人群中精神障碍的诊断往往不足。在过去十年中,出现了专门用于筛查发育障碍患者精神病理学的量表。此外,观察技术也有了进步,从而有助于客观地观察通常被描述为内在事件的行为。本文介绍了一种多方法评估发育障碍患者精神病理学的方法,结合了该领域的最新进展,并提出了未来研究的建议。

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