National Defense Medical Center, Graduate Institute of Life Sciences, Taipei City 114, Taiwan.
National Defense Medical Center, Department of Psychiatry, Tri-Service General Hospital, School of Medicine, Taipei City 114, Taiwan.
Int J Environ Res Public Health. 2022 Apr 1;19(7):4196. doi: 10.3390/ijerph19074196.
Caregiving for mental health among people with intellectual disabilities (IDs) in the ID services was reported as insufficient. The purposes of this study were to investigate five types of peer victimization (PV) experiences among adults with ID using ID services, and to gain a deeper understanding of the influence of PV experience on adults with ID's long-term mental health status. A one-year longitudinal follow-up study was conducted from eight long-term care ID services ( = 176). Logistic regression analysis was applied to variables comprising personal characteristics, various types of PV experience and polyvictimization to predict period prevalence of psychiatric symptoms. The data indicated that nearly one-third of individuals with ID experienced at least one psychiatric symptom. The three most common psychiatric symptoms prevalent after one year were adjustment disorder, anxiety disorder, and somatoform disorder. Over the 1-year study period, approximately 40% of adults with ID reported experiencing PV. The most frequently reported types of PV were physical force (26%) and verbal victimization (22%). Polyvictimization was experienced by approximately a quarter of adults with ID. The findings suggest that PV is a common experience among adults in ID services. Thus, for a clearer understanding of mental health risks, caregivers should pay attention to adults with ID who experienced PV.
在智力障碍者(ID)服务中,针对有精神健康问题的照顾者的支持被报告为不足。本研究旨在调查使用 ID 服务的成年 ID 者经历的五种同侪侵害(PV)类型,并深入了解 PV 经历对成年 ID 者长期精神健康状况的影响。本研究进行了为期一年的纵向随访,共纳入 8 家长期护理 ID 服务机构的 176 名成年人。采用逻辑回归分析,将个人特征、各种类型的 PV 经历和多受侵害情况纳入变量,以预测精神症状的时期患病率。数据表明,近三分之一的 ID 者至少经历过一种精神症状。一年后最常见的三种精神症状是适应障碍、焦虑障碍和躯体形式障碍。在为期一年的研究期间,约 40%的 ID 成年人报告经历过 PV。最常报告的 PV 类型是身体暴力(26%)和言语侵害(22%)。约四分之一的 ID 成年人经历过多受侵害。研究结果表明,PV 是 ID 服务中成年人的常见经历。因此,为了更清楚地了解精神健康风险,照顾者应关注经历过 PV 的 ID 成年人。