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严重至极重度智力障碍个体的精神病理学症状群与共患精神病理学的关系。

The relationship between psychopathology symptom clusters and the presence of comorbid psychopathology in individuals with severe to profound intellectual disability.

机构信息

Department of Psychology, Louisiana State University, Baton Rouge, LA 70803, United States.

出版信息

Res Dev Disabil. 2011 Sep-Oct;32(5):1610-4. doi: 10.1016/j.ridd.2011.02.004. Epub 2011 Mar 4.

Abstract

In the typically developing population, comorbid psychopathology refers to the co-occurrence of two different psychopathologies other than cognitive impairments. With respect to individuals with intellectual disability, comorbidity is often described as cognitive deficits and one additional psychopathology manifesting together. However, just as within the typically developing population, individuals with intellectual disability may also present with symptoms of two or more additional disorders. The presentation of these symptom clusters may similarly correlate. Therefore, the current study used the Diagnostic Assessment for the Severely Handicapped-II in order to examine relationships between psychopathological symptom clusters in adults with severe to profound intellectual disability. Additionally, we assessed comorbid presentation of disorders other than cognitive impairments in these same adults. Several symptom clusters were identified as being related with moderate to strong positive correlations. Furthermore, elevations on the Impulse subscale were noted to be the most prevalent in the current sample, with comorbid elevations most commonly occurring along the Mood, Mania, and Anxiety subscales. The significance of these findings is discussed.

摘要

在一般发育人群中,共病性精神病理学是指除认知障碍外两种不同精神病理学同时出现。对于智力障碍个体,共病通常描述为认知缺陷和一种以上的精神病理学同时出现。然而,就像在一般发育人群中一样,智力障碍个体也可能表现出两种或更多种其他障碍的症状。这些症状群的表现也可能相关。因此,本研究使用了严重残疾诊断评估-II,以检查严重至极重度智力障碍成人的精神病理学症状群之间的关系。此外,我们还评估了这些成人中除认知障碍以外的其他障碍的共病表现。几个症状群被确定为具有中度至强正相关。此外,冲动分量表的升高在当前样本中最为常见,共病升高最常见于情绪、躁狂和焦虑分量表。讨论了这些发现的意义。

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