GGnet Geestelijke Gezondheidszorg, Vordenseweg 12, 7531 PA, Warnsveld, the Netherlands.
GGZ Oost Brabant, Violierstraat 11, 5402 LA, Uden, the Netherlands.
Res Dev Disabil. 2021 Aug;115:103988. doi: 10.1016/j.ridd.2021.103988. Epub 2021 Jun 2.
Trauma and intellectual disability are highly prevalent in the serious mental ill (SMI). Little is known of their impact on general functioning and quality of life.
This study investigated the association of trauma and intellectual disability (ID) with general functioning and quality of life in SMI.
Patient characteristics and diagnoses were extracted from electronic patient records. We used the Trauma Screening Questionnaire (TSQ), the Screener for Intelligence and Learning Disabilities (SCIL), the Health of the Nation Outcome Scale (HoNOS) and the Manchester Short Assessment of Quality of Life (MANSA) to asses trauma, intellectual impairment, general functioning and quality of life. Proportions on cut-off scores were analysed with cross-tabulations, questionnaire scores with t-tests. Multivariable associations were determined by logistic regression analysis.
611 patients from an outpatient service were assessed. Trauma and ID were associated with each other (r = -0.207). Trauma was associated with worse general functioning and a lower quality of life. Mild intellectual disability (MID) or borderline intellectual functioning (BIF) were associated with worse general functioning.
For patients with SMI, trauma and ID should be identified early in care to treat the lower general functioning and quality of life it caused.
创伤和智力障碍在严重精神障碍（SMI）患者中非常普遍。人们对它们对一般功能和生活质量的影响知之甚少。
本研究调查了创伤和智力障碍（ID）与 SMI 患者一般功能和生活质量的关系。
从电子患者记录中提取患者特征和诊断。我们使用创伤筛查问卷（TSQ）、智力和学习障碍筛查器（SCIL）、国家健康结果量表（HoNOS）和曼彻斯特短期生活质量评估（MANSA）来评估创伤、智力障碍、一般功能和生活质量。使用交叉表分析截断分数的比例，使用 t 检验分析问卷分数。通过逻辑回归分析确定多变量关联。
对门诊服务中的 611 名患者进行了评估。创伤和 ID 相互关联（r = -0.207）。创伤与一般功能较差和生活质量较低有关。轻度智力障碍（MID）或边缘智力功能障碍（BIF）与一般功能较差有关。
对于患有 SMI 的患者，应在护理早期识别创伤和 ID，以治疗其导致的一般功能和生活质量下降。
