van den Brink A, van Turnhout T, Aldenkamp E
Tijdschr Psychiatr. 2019;61(11):804-808.
Patients with borderline intellectual functioning (BIF) or intellectual disability (ID) are more likely to develop post-traumatic stress disorder (PTSD). However, co-occurrence of BIF/ID and PTSD symptoms often leads to exclusion for treatment in regular mental health care centers.
AIM: To determine whether standard treatment programs for PTSD can be used in the treatment of patients with BIF/ID.
METHOD: Qualitative review of good practices, scientific literature and recent reports about BIF, ID and PTSD.
RESULTS: Literature on evidence-based treatment programs for PTSD suggests that there is no need to be reluctant in starting treatment in patients with BIF/ID. Adjustment of communication and tempo is recommended.
CONCLUSION: There is reason to believe that standard treatment can be used in treating patients with a low IQ. More research to confirm this assumption is necessary, taken into account the size of this patient group.
边缘智力功能（BIF）或智力残疾（ID）患者更易患创伤后应激障碍（PTSD）。然而，BIF/ID与PTSD症状同时出现往往导致患者被排除在常规精神卫生保健中心接受治疗。
确定PTSD的标准治疗方案是否可用于治疗BIF/ID患者。
对关于BIF、ID和PTSD的良好实践、科学文献及近期报告进行定性综述。
关于PTSD循证治疗方案的文献表明，在BIF/ID患者中开始治疗无需顾虑。建议调整沟通方式和节奏。
有理由相信标准治疗可用于治疗低智商患者。考虑到该患者群体的规模，有必要进行更多研究以证实这一假设。
