Abertawe Bro Morgannwg University Health Board & Cardiff University, Wales, UK.
J Appl Res Intellect Disabil. 2012 Jul;25(4):342-9. doi: 10.1111/j.1468-3148.2011.00670.x. Epub 2012 Jan 2.
Previous research has suggested a variety of possible relationships between the presence of symptoms of psychiatric disorder and challenging behaviours in people with intellectual disability. This study explores this relationship in a total population sample of adults with challenging behaviour.
Over 800 service settings in a defined geographical area were screened to identify individuals with challenging behaviour. Detailed behavioural data, Psychiatric Assessment Schedule for Adults with a Developmental Disability (PAS-ADD) checklist and Adaptive Behaviour Scale (Part 1) scores were collected on 76% of the 930 adults identified.
Just under 17% of participants reached threshold scores on one on more subscales of the PAS-ADD checklist. There was some evidence of increasing behavioural severity being associated with increasing psychiatric symptoms. There were no associations between specific forms of challenging behaviour and individual symptoms.
The data would appear supportive of previous suggestions that it is unlikely that the majority of challenging behaviours in adults with intellectual disability are underpinned by psychiatric disorder.
先前的研究表明，精神障碍症状的存在与智障人士的挑战性行为之间可能存在多种关系。本研究在具有挑战性行为的成人总体人群样本中探讨了这种关系。
在一个确定的地理区域内，对 800 多个服务场所进行了筛查，以确定具有挑战性行为的个体。对 930 名成年人中的 76%收集了详细的行为数据、成人发育障碍精神病学评估表（PAS-ADD）检查表和适应行为量表（第一部分）得分。
略低于 17%的参与者在 PAS-ADD 检查表的一个或多个子量表上达到了阈值分数。有证据表明，行为严重程度的增加与精神症状的增加有关。特定形式的挑战性行为与个别症状之间没有关联。
这些数据似乎支持先前的观点，即智力残疾成年人的大多数挑战性行为不太可能是由精神障碍引起的。
