Jacobson J W
Planning Unit, New York State Office of Mental Retardation and Developmental Disabilities, Albany 12229-1000.
Res Dev Disabil. 1988;9(1):23-38. doi: 10.1016/0891-4222(88)90017-0.
This report is the third in a series on problem behavior and psychiatric impairment in a population of 35,000 individuals receiving developmental disabilities services. Young and middle-aged adults were found to receive psychotropic medication at higher rates than children, adolescents, or elderly persons. Psychotropic receipt rates were found to increase with increasing severity of mental retardation, but most evidently with increasing restrictiveness of residential setting, increasing rated severity of problem behaviors, and presence of a psychiatric impairment. Rates of medication receipt also varied as a function of psychiatric diagnostic category. Discussion remarks emphasize the need to include information relative to clinical and social aspects of program settings and the roles and decision-making performance of physicians and psychologists in research on settings serving persons with developmental disabilities.
本报告是关于35000名接受发育障碍服务人群的问题行为与精神障碍系列报告中的第三篇。研究发现，青年和中年成年人接受精神药物治疗的比例高于儿童、青少年或老年人。精神药物治疗的接受率随着智力障碍严重程度的增加而上升，但最明显的是随着居住环境限制的增加、问题行为严重程度评分的增加以及精神障碍的存在而上升。药物治疗的接受率也因精神诊断类别而异。讨论内容强调，在针对为发育障碍患者提供服务的机构进行的研究中，需要纳入与机构临床和社会方面相关的信息，以及医生和心理学家的角色与决策表现。
