Skip to main content Accessibility help
×
Hostname: page-component-7479d7b7d-rvbq7 Total loading time: 0 Render date: 2024-07-11T23:18:04.339Z Has data issue: false hasContentIssue false

6 - The psychopathology of children with intellectual disabilities

from Part II - Psychopathology and special topics

Published online by Cambridge University Press:  15 December 2009

Bruce Tonge
Affiliation:
Professor of Psychiatry, Monash University
Nick Bouras
Affiliation:
King's College London
Geraldine Holt
Affiliation:
King's College London
Get access

Summary

Introduction

There is no doubt that emotional and behavioural problems are a significant extra dimension that burdens the lives of many children with intellectual disabilities (ID) and their families and carers. Young people with ID have about three times as much psychiatric disturbance as children of average intelligence. Rutter et al. (1970), in their Isle of Wight population study, found that 50 per cent of children with ID with an IQ below 70 had a psychiatric disorder, compared with 6.8 per cent of children with an IQ above 70. Corbett (1979), in a study of the urban area of south-east London, found a prevalence rate of psychiatric disorder of 47 per cent in children aged up to 15 years of IQ below 50.

An epidemiological study of Australian children with ID aged between 4 and 18 years found that 41 per cent had a clinically significant emotional or behavioural disorder (Einfeld & Tonge, 1996). The study also found that disruptive and antisocial behaviours were more common in young people with mild ID but self-absorbed and social relating problem behaviours were more common in young people with more severe ID. In contrast to general childhood psychopathology, age and sex did not affect prevalence. Of concern was that fewer than 10 per cent of these children with ID had received any specialist mental health services.

Type
Chapter

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Albano, A. M. & Silverman, W. K. (1996). Anxiety Disorders Interview Schedule for DSM4V. Clinicians Manual.San Antonio IX: The Psychological Corporation, Harcourt Brace & Company.
Aman, M. G. (1991). Review and evaluation of instruments for assessing emotional and behavioural disorders. Australian and New Zealand Journal of Developmental Disabilities, 17, 127–45.Google Scholar
Aman, M. G. & Schroeder, S. R. (1990). Specific learning disorders and mental retardation. In Handbook of Studies on Child Psychiatry, ed. Tonge, B. J., Burrows, G. D. & Werry, J., pp. 209–24. Amsterdam: Elsevier.
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th edn. Washington, DC: American Psychiatric Association.
American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders, 4th edn, text revision. Washington, DC: American Psychiatric Association.
Baker, B. L., Blacker, J., Crnic, K. A. & Edelbrock, C. (2002). Behaviour problems and parenting stress in families of three-year-old children with and without developmental delay. American Journal on Mental Retardation, 107, 433–44.Google Scholar
Baker, B. L., McIntyre, L. L., Blacker, J.et al. (2003). Preschool children with and without developmental delay: Behaviour problems and parenting stress over time. Journal of Intellectual Disability Research, 47, 217–30.Google Scholar
Birmaher, B., Quintana, H. & Greenville, L. L. (1988). Methylphenidate treatment of hyperactive autistic children. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 248–51.Google Scholar
Botteron, K. & Geller, B. (1993). Disorders, symptoms and their pharmacotherapy. In Practitioner's Guide to Psychoactive Drugs for Children and Adolescents, ed. Werry, J. & Aman, M., pp. 179–201. New York, NY: Plenum Medical.
Campbell, N., Gonzales, N. M., Bernst N., Silva R. R. & Werry J. S. (1993). Antipsychotics (neuroleptics). In Practitioners' Guide to Psychoactive Drugs for Children and Adolescents, ed. Werry, J. & Aman, M., pp. 269–96. New York, NY: Plenum Medical.
Cherry, K. E., Penny, D., Matson, J. L. & Bamburg, J. W. (2000). Characteristics of schizophrenia among persons with severe or profound mental retardation. Psychiatric Services, 51, 7–17.Google Scholar
Corbett, J. A. (1979). Psychiatric morbidity and mental retardation. In Psychotherapy in the Mentally Retarded, ed. James, F. E. & Snaith, R. P., pp. 28–45. New York, NY: Grune and Stratton.
Costello, A. (1982). Assessment and diagnosis of psychopathology. In Psychopathology in the Mentally Retarded, ed. Matson, J. L. & Barrett, R. P., pp. 37–52. New York, NY: Grune and Stratton.
Cox, A. & Rutter, M. (1985). Diagnostic appraisal and interviewing. In Child and Adolescent Psychiatry: Modern Approaches, 2nd edn, ed. Rutter, M. & Hersov, L., pp. 233–47. Oxford: Blackwell Scientific Publications.
Dulcan, M. K. (1990). Using psycho-stimulants to treat behavioural disorders of children and adolescents. Journal of Child and Adolescent Psychopharmacology, 1, 7–20.Google Scholar
Dykens, E. M. (1998). Maladaptive behaviour and dual diagnosis in persons with genetic syndromes. In Handbook of Mental Retardation and Development, ed. Burak, J. A., Hodapp, R. M. & Zigler, E., pp. 542–62. Cambridge: Cambridge University Press.
Einfeld, S. L., Smith, A., Durvasula, S., Florio, T. & Tonge, B. J. (1998). Behavioural and emotional disturbance in Prader–Willi Syndrome. American Journal of Medical Genetics, 82, 123–7.Google Scholar
Einfeld, S. L. & Tonge, B. J. (1996). Population prevalence of behavioural and emotional disturbance in children and adolescents with mental retardation: II. Epidemiological findings. Journal of Intellectual Disability Research, 40(2), 99–109.Google Scholar
Einfeld, S. L. & Tonge, B. J. (2000). Observations on the use of the ICD-10 guide for mental retardation. Journal of Intellectual Disability Research, 44(3–4), 273.Google Scholar
Einfeld, S. L. & Tonge, B. J. (2002). Manual for the Developmental Behaviour Checklist (2nd edn). Melbourne: Centre for Developmental Psychiatry & Psychology, Monash University.
Einfeld, S. L., Tonge, B. J. & Florio, T. (1994). Behavioural and emotional disturbance in fragile X syndrome. American Journal of Medical Genetics, 51, 386–91.Google Scholar
Einfeld, S. L., Tonge, B. J. & Florio, T. (1997). Behavioural and emotional disturbance in individuals with Williams syndrome. American Journal on Mental Retardation, 102(1), 45–53.Google Scholar
Einfeld, S. L., Tonge, B. J., Turner, G., Parmenter, T. & Smith, A. (2000). Longitudinal course of behavioural and emotional problems of young persons with Prader–Willi, Fragile-X, Williams and Down syndromes. Journal of Intellectual Disability Research, 44(3–4), 273.Google Scholar
Emerson, E. (2003). Prevalence of psychiatric disorders in children and adolescents with and without intellectual disability. Journal of Intellectual Disability Research 47, 51–8.Google Scholar
Hardy-Bayle, M., Sarfati, Y. & Passerieux, C. (2003). The cognitive basis of disorganization in schizophrenia and its clinical correlates: toward a pathogenic approach to disorganization. Schizophrenia Bulletin. 29, 459–71.Google Scholar
Lewis, J. N., Tonge, B. J., Mowat, D. R.et al. (2000). Epilepsy and associated psychopathology in young people with intellectual disability. Journal of Paediatrics and Child Health, 36(2), 172–5.Google Scholar
Lindsay, R. L. & Aman, M. G. (2003) Pharmacologic therapies aid treatment for autism. Paediatric Annals, 32(10): 671–6.Google Scholar
Lord, C., Rutter, M., DiLavore, P. & Risi, S. (1999). Autism Diagnostic Observation Schedule (ADOS) manual. Los Angeles, CA: Western Psychological Services.
Lord, C., Rutter, M. & Couteur, A. (1994). Autism Diagnostic Interview – Revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–85.Google Scholar
Matson, J. & Barrett, R. P. (eds.) (1982). Psychopathology in the Mentally Retarded. New York, NY: Grune and Stratton.
McLean, W. E. Jr (1990). Issues in the assessment of aberrant behaviour among persons with mental retardation. In Assessment of Behavior Problems in Persons with Mental Retardation Living in the Community, ed. Dibble, E. & Gray, D. B., pp. 135–45. Rockville, MD: National Institute for Mental Health.
Prior, M. & Tonge, B. J. (1990). Pervasive developmental disorders. In Handbook of Studies on Child Psychiatry, ed. Tonge, B. J., Burrows, G. D. & Werry, J. S., pp. 193–208. Amsterdam: Elsevier.
Royal College of Psychiatrists (2001). DC-LD (Diagnostic Criteria for Psychiatric Disorders for Use with Adults with Learning Disabilities/Mental Retardation). London: Gaskell.
Rubin, L. I. (1987). Health care needs of adults with mental retardation. Mental Retardation, 25, 201–6.Google Scholar
Rutter, M. (1991). Annotation: child psychiatric disorders in ICD-10. Journal of Child Psychology and Psychiatry, 30, 499–513.Google Scholar
Rutter, M., Tizard, J. & Whitmore, K. (1970). Education Health and Behaviour. London: Longman.
Sovner, R. (1986). Limiting factors in the use of DSM-III criteria with mentally ill/mentally retarded persons. Psychopharmacology Bulletin, 22, 1055–9.Google Scholar
Sovner, R. & Hurley, A. D. (1989). Ten diagnostic principles for recognizing psychiatric disorder in mentally retarded persons. Psychiatric Aspects of Mental Retardation Reviews, 8, 9–13.Google Scholar
Stromme, P. & Diseth, T. H. (2000). Prevalence of psychiatric diagnoses in children with mental retardation: data from a population-based study. Developmental Medicine and Child Neurology, 42, 266–70.Google Scholar
Tonge, B. J. (1982). Draw a dream: an intervention promoting change in families in conflict. In The International Book of Family Therapy, ed. Kaslow, E. W., pp. 212–26. New York, NY: Brunnel/Mazel.
Tonge, B. J. (1988). Anxiety in adolescence. In Handbook of Anxiety Vo1. 2. Classification, Etiological Factors and Associated Disturbances, ed. Noyes, R., Roth, M. & Burrows, G. D., pp. 269–88. Amsterdam: Elsevier.
Tonge, B. J. (1991). Children with physical impairments. In Handbook of Studies on General Hospital Psychiatry, ed. Judd, F. K., Burrows, G. D. & Lipsitt, D. R., pp. 195–206. Amsterdam: Elsevier.
Tonge, B. J. & Einfeld, S. (1991). Intellectual disability and psychopathology in Australian children. Australia and New Zealand Journal of Developmental Disabilities, 17, (2) 155–67.Google Scholar
Tonge, B. J. & Einfeld, S. L. (2003). Psychopathology and intellectual disability: The Australian child to adult longitudinal study. In Glidden, L. M. (ed.), International Review of Research in Mental Retardation, 27, 61–91. San Diego, CA: Academic Press.
Tonge, B. J., Einfeld, S. L., Krupinski, J.et al. (1996). The use of factor analysis for ascertaining patterns of psychopathology in children with intellectual disability. Journal of Intellectual Disability Research, 40(3), 198–207.Google Scholar
World Health Organization (1992). The 1CD-10 Classification of Mental and Behavioural Disorders. Geneva: World Health Organization.
World Health Organization (1996). The ICD-10 Guide for Mental Retardation. Geneva: World Health Organization.

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×