Lindblad Ida, Billstedt Eva, Gillberg Christopher, Fernell Elisabeth
Gillberg Neuropsychiatry Centre, Sweden
Gillberg Neuropsychiatry Centre, Sweden.
J Intellect Disabil. 2014 Dec;18(4):351-63. doi: 10.1177/1744629514552150. Epub 2014 Sep 23.
Young adults, born to population-representative mothers with intellectual disability (ID), were targeted for psychosocial/life event follow-up.
The whole group originally comprised 42 individuals but 3 had died and 1 had moved abroad. The remaining 38 were approached and 10 consented to participate in an interview study. However, of the remaining 28, it was not possible to establish contact with 21 who were instead searched for in various official registers.
Most (n = 18) individuals in the study group had been in contact with different authorities and clinics. Of the 21 individuals, 10 had contact with social services since childhood and 4 of these had been taken into care (foster family) and 6 had had contact families during childhood. One individual had been taken into a treatment centre and one grew up mainly with the father. Altogether 12 (57%) of 21 individuals did not grow up full-time with their biological mother. Twelve (57%) had major neurodevelopmental/neuropsychiatric conditions, including five with ID and seven with attention-deficit hyperactivity disorder (ADHD). Four individuals were registered within the Prison and Probation Service due to various types of crimes.
Individuals born to mothers with ID in our study group were at high risk of adverse experiences and negative outcomes, such as increased childhood mortality, a relatively large proportion of children taken into care, high rates of ID and ADHD in the children and of criminality in young adulthood. Taken together with the results obtained in an in-depth interview study of those in the originally targeted sample with whom it was possible to obtain contact, the present findings suggest that it will be important to provide early support and longitudinal developmental follow-up in groups of children growing up with a mother with ID. Children in this situation appear to be at a number of risks, probably related both to hereditary factors and to social disadvantage.
以出生于具有代表性的智障母亲群体的年轻人为对象,进行社会心理/生活事件随访。
最初的研究对象共有42人,但3人已去世,1人移居国外。研究人员联系了其余38人,其中10人同意参与访谈研究。然而,在其余28人中,无法与21人取得联系,于是在各种官方登记册中对他们进行查找。
研究组中的大多数人(n = 18)曾与不同的机构和诊所接触。在这21人中,10人自童年起就与社会服务机构有接触,其中4人曾被安置在寄养家庭,6人在童年时有联系家庭。1人曾被送进治疗中心,1人主要与父亲一起长大。在21人中,共有12人(57%)并非一直与亲生母亲生活在一起。12人(57%)患有严重的神经发育/神经精神疾病,其中5人患有智障,7人患有注意力缺陷多动障碍(ADHD)。4人因各类犯罪被监狱和缓刑服务机构登记在案。
我们研究组中智障母亲所生的个体面临着不良经历和负面后果的高风险,如儿童期死亡率增加、相当大比例的儿童被安置收养、儿童中智障和ADHD的高发病率以及青年期的高犯罪率。结合对最初目标样本中能够取得联系的个体进行深入访谈研究所得的结果,目前的研究结果表明,为与智障母亲一起成长的儿童群体提供早期支持和长期发育随访非常重要。处于这种情况的儿童似乎面临多种风险,这可能既与遗传因素有关,也与社会劣势有关。