Lidher J, Martin D M, Jayaprakash M S, Roy A
Sandwell Mental Health (NHS) and Social Care Trust, The Lodge, Heath Lane Hospital, Heath Lane, West Bromwich, West Midlands, UK.
J Intellect Disabil Res. 2005 Nov;49(Pt 11):845-51. doi: 10.1111/j.1365-2788.2005.00762.x.
A sample of community-based service users with intellectual disability (ID) was re-examined after 5 years to determine the impact of a diagnosis of personality disorder (PD).
Seventy-five of the original 101 participants were followed up. Of these, 21 people had a PD identified during the original study.
Compared with controls, people with a PD were significantly more likely to receive central nervous system (CNS) drugs, have more contact with psychiatric services, show increased offending behaviour, score higher on the Aberrant Behaviour Checklist and score above the threshold on the Psychiatric Assessment Schedule for Adults with Developmental Disability (PAS-ADD). Participants with PD recorded were more likely to have a recorded psychiatric disorder, have contact with specialist teams, and have more hospital admissions.
People with ID and PD are able to live in the community with specialist support but improved assessment, diagnosis and support services need to be targeted more effectively to them.
对一组社区智障服务使用者样本进行了5年的重新检查，以确定人格障碍（PD）诊断的影响。
对最初101名参与者中的75人进行了随访。其中，21人在最初研究期间被确诊患有PD。
与对照组相比，患有PD的人更有可能接受中枢神经系统（CNS）药物治疗，与精神科服务机构有更多接触，表现出更多的犯罪行为，在异常行为清单上得分更高，并且在发育障碍成人精神病评估量表（PAS-ADD）上得分高于阈值。记录患有PD的参与者更有可能患有记录在案的精神障碍，与专科团队有接触，并且有更多的住院治疗。
患有ID和PD的人在专业支持下能够在社区生活，但需要更有效地针对他们提供改进的评估、诊断和支持服务。
