Department of Psychiatry, Istanbul Medeniyet University, Istanbul, Turkey.
Department of Psychiatry, Bezmialem Vakif University, Istanbul, Turkey.
J Appl Res Intellect Disabil. 2020 Sep;33(5):1038-1048. doi: 10.1111/jar.12726. Epub 2020 Mar 24.
The aim of this study was to investigate the prevalence of and the factors associated with psychiatric symptoms (PS) and challenging behaviour (CB) in adults with intellectual disabilities, and the utilization of psychiatric services in Turkey.
Psychiatric Assessment Schedule for Adults with Developmental Disorders Checklist-Revised was used for PS and a structured form for other variables in 771 participants.
Of the participants, 50.1% had PS and 36.4% presented with CB. Multivariate analysis revealed that a higher level of needs, better verbal ability, residential living, incontinence and CB, and lifetime suicidal ideation/attempt were independently associated with PS. For CB, it emerged as male carer, PS, lifetime suicidal attempt/ideation, lower level of verbal ability and autism spectrum disorder. Barriers were experienced by 64.7% of participants within the previous year.
Psychiatric symptoms and CB seem to be problems for a significant proportion of adults with intellectual disabilities in Turkey, and there are certain barriers to psychiatric services.
本研究旨在调查土耳其成年智障人士的精神症状（PS）和挑战性行为（CB）的流行率及相关因素，以及精神科服务的利用情况。
使用《成人发育障碍精神评估量表修订版清单》评估 PS，并用结构化表格评估其他变量，共涉及 771 名参与者。
研究对象中，50.1%存在 PS，36.4%存在 CB。多变量分析显示，较高的需求水平、较好的语言能力、居住生活、尿失禁和 CB，以及终生自杀意念/企图，与 PS 独立相关。对于 CB，其独立相关因素包括男性照顾者、PS、终生自杀企图/意念、较低的语言能力和自闭症谱系障碍。64.7%的参与者在过去一年中经历过障碍。
精神症状和 CB 似乎是土耳其相当一部分智障成年人存在的问题，且他们在利用精神科服务方面存在一定障碍。
