Porcelan Jessica A, Caujolle-Alls Katherine E, Gentile Julie P
Drs. Porcelan, Caujolle-Alls, and Gentile are with the Department of Psychiatry at Wright State University in Dayton, Ohio.
Innov Clin Neurosci. 2019 Nov 1;16(11-12):14-18.
Individuals with intellectual disability (ID) and traumatic brain injury experience mental health issues at a higher rate than the general population. They are typically more vulnerable to stress, have fewer coping skills, and possess a smaller system of natural supports. It is clear that level of intelligence is not the sole indicator of the appropriateness of psychotherapy and that the full range of mental health services are able to help improve the quality of life for patients with intellectual disability. Special issues related to motivational interviewing, cognitive behavioral therapy (CBT), and supportive psychotherapy are described with specific attention to special issues for the intellectual disability population and effective adaptations addressed.
与普通人群相比，智力残疾（ID）和创伤性脑损伤患者出现心理健康问题的几率更高。他们通常更容易受到压力影响，应对技能较少，且自然支持系统较小。显然，智力水平并非心理治疗适用性的唯一指标，全方位的心理健康服务能够帮助提高智力残疾患者的生活质量。本文描述了与动机访谈、认知行为疗法（CBT）和支持性心理治疗相关的特殊问题，并特别关注了智力残疾人群的特殊问题以及有效的调整措施。
