Kishore M T, Nizamie S H, Nizamie A
NIMH Regional Center, BT Road, BonHoogly, Kolkata, India.
J Intellect Disabil Res. 2005 Nov;49(Pt 11):852-7. doi: 10.1111/j.1365-2788.2005.00763.x.
Problems associated with psychiatric diagnoses could be minimized by identifying behavioural clusters of specific psychiatric disorders.
Sixty persons with intellectual disability (ID) and behavioural problems, aged 12-55 years, were assessed with standardized Indian tools for intelligence and adaptive behaviour. Clinical diagnoses were conferred as per International Classification of Diseases - 10th Revision (ICD-10) criteria. Subsequently Reiss Screen for Maladaptive Behaviors (RSMB) and AAMD Adaptive Behavior Scale-Part II were administered independently.
Aggression and rebellious behaviours were more common in affective disorders and personality disorders. Psychotic and paranoid features were significantly more in psychosis group. Those with behavioural problems had significantly low scores on the sub-scales of RSMB.
RSMB and AAMD Adaptive Behavior Scale-Part II will be useful to identify behavioural clusters, which will complement clinical psychiatric diagnoses in individuals with ID.
通过识别特定精神疾病的行为集群，与精神疾病诊断相关的问题可以最小化。
60名年龄在12至55岁之间、有智力障碍（ID）和行为问题的人，使用标准化的印度智力和适应性行为工具进行评估。根据《国际疾病分类第十版》（ICD - 10）标准进行临床诊断。随后独立实施《瑞斯适应不良行为筛查量表》（RSMB）和《美国智力缺陷协会适应性行为量表第二部分》。
攻击和叛逆行为在情感障碍和人格障碍中更为常见。精神病和偏执特征在精神病组中明显更多。有行为问题的人在RSMB子量表上的得分显著较低。
RSMB和《美国智力缺陷协会适应性行为量表第二部分》将有助于识别行为集群，这将补充对有ID个体的临床精神疾病诊断。
