Nisonger Center & Department of Psychology, The Ohio State University, Columbus, OH, USA.
Department of Philosophy, Social and Human Sciences and Education, University of Perugia, Perugia, Italy.
J Intellect Disabil Res. 2019 May;63(5):386-407. doi: 10.1111/jir.12582. Epub 2019 Jan 9.
We present the work conducted to arrive at deriving behavioural indicators that could be used to guide clinical judgement in determining the presence and severity of deficits in intellectual functioning and adaptive behaviour for the purpose of making a diagnosis of disorders of intellectual development.
An interdisciplinary expert panel provided guidance in developing behavioural indicators for intellectual functioning. A national dataset of adaptive behaviour on a sample of individuals with a diagnosis of intellectual disability was used to develop the behavioural indicators for the adaptive behaviour. The adaptive behaviour data were analysed using a cluster analysis procedure to define the different severity groupings by chronological age groups.
We present a series of tables containing behavioural indicators across the lifespan for intellectual functioning and adaptive behaviour, including conceptual, social and practical skills. These tables of behavioural indicators have been proposed for use in the clinical version of the 11th revision of the International Classification of Diseases and Related Health Problems (ICD-11) to be published by the World Health Organization.
The proposed behavioural indicators for disorders of ID described in the present article and to be included in the ICD-11 Clinical Descriptions and Diagnostic Guidelines are put forth to assist professionals in making an informed clinical decision regarding an individual's level of intellectual functioning and adaptive behaviour for the purpose of making a determination about the presence and severity of disorders of ID.
我们介绍了为确定智力功能和适应行为缺陷的存在和严重程度，以便做出智力发育障碍的诊断而制定行为指标的工作。
一个跨学科的专家小组为智力功能的行为指标的制定提供了指导。利用一个具有智力障碍诊断的个体的适应行为的全国性数据集，开发了适应行为的行为指标。使用聚类分析程序对适应行为数据进行分析，根据年龄组定义不同的严重程度分组。
我们呈现了一系列跨越智力功能和适应行为整个生命周期的行为指标表，包括概念、社会和实践技能。这些行为指标表已被提议用于世界卫生组织出版的《国际疾病分类和相关健康问题第 11 版》的临床版本中。
本文描述的和将被纳入《国际疾病分类》第 11 版临床描述和诊断指南的 ID 障碍的拟议行为指标，旨在帮助专业人员就个体的智力功能和适应行为水平做出明智的临床决策，以便确定 ID 障碍的存在和严重程度。
