Search results for ‘Subject term:"learning disabilities"’ Sort:
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Risk factors for falls among adults with intellectual disabilities: a narrative review
- Authors:
- POPE John, TRUESDALE Maria, BROWN Michael
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 34(1), 2021, pp.274-285.
- Publisher:
- Wiley
Background: The prevalence of falls involving people with intellectual disabilities (ID) is high in comparison with the general population. There has been little evidence to date on the contributing risk factors. The objective of this review was to identify risk factors for people with intellectual disabilities. Method: Literature searches were conducted using electronic databases to explore evidence on the subject, and narrative synthesis was employed to analyse the results. Results: Seven risk factors were identified: decreasing physical ability, epilepsy, paretic conditions, impulsiveness, previous falls, incontinence and non‐use of assistive equipment. Thematic analysis identified factors across the four concepts: the person, the situation, ongoing and protective factors. Conclusion: Factors for falls involving people with intellectual disabilities are dynamic and multifactorial. Some are specific to the population; however, further research is required to develop the understanding of the possible reasons. The findings have implications across policy, education, practice and research. (Edited publisher abstract)
Online risk for people with intellectual disabilities
- Author:
- CHADWICK Darren David
- Journal article citation:
- Tizard Learning Disability Review, 24(4), 2019, pp.180-187.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to summarise the current state of empirical knowledge pertaining to online risk and cybercrime relating to people with intellectual disabilities (ID). Design/methodology/approach: This narrative review summarises, synthesises and critically evaluates the current literature and state of knowledge and offers suggestions for extending current knowledge and practice. Findings: Evidence regarding risk for people with ID is limited but growing. Existing findings highlight that: risk may increase contingent upon higher levels of sociability, loneliness, anxiety and depression, poorer insight, judgement, discrimination and ability to detect deception online and reduced experience and life opportunities; people without ID perceive high online risk for people with ID, which may lead to gatekeeping restrictions and controlling digital access; restriction may potentially impede online self-determination, participation and development by people with ID; and experience of risk may enhance awareness, independence and resilience in managing future online risk amongst people with ID. Further research work is needed in this area to enhance understanding of risk experience and effective support strategies. Originality/value: This review of current knowledge has highlighted the necessity for more research to better understand the propensity for engagement in different risky online behaviours and to better inform support practices to help people with ID to manage risk whilst maintaining digital inclusion. (Publisher abstract)
Challenging behaviour and associated risk factors: an overview (part I)
- Authors:
- KORITSAS Stella, IACONO Teresa
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 6(4), 2012, pp.199-214.
- Publisher:
- Emerald
This review, the first in a two-part series, explores challenging behaviour in adults, its prevalence, risk factors and causes. It aims to provide an overview of prevalence studies and explore the various risk factors that have been associated with challenging behaviour. The authors also seek to explore methodological differences across studies that may contribute to the prevalence variations reported in the literature. The article summarises the findings from frequently cited prevalence studies as well as more recent studies. The prevalence of challenging behaviour reported in the literature has varied due to methodological differences across studies. Despite this, the best estimate is believed to be from 15 to 17.5 per cent. A range of factors have been associated with challenging behaviour and include gender, age, severity of disability and residential setting.
Vulnerability to depression in adolescents with intellectual disabilities
- Authors:
- KIDDLE Hannah, DAGNAN Dave
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 5(1), January 2011, pp.3-8.
- Publisher:
- Emerald
This paper provides a selective review of developmental risk factors relating to depression in typically developing adolescents and considers how the life experiences and the social context of adolescents with intellectual disability may increase their sensitivity to identified risk factors for depression. A number of factors are highlighted as important in the development of mental health problems including attachment, child temperament and parenting behaviour, and a number of risk factors specific to depression, including genetic vulnerability, parental depression, negative life events and peer relations. Many of these experiences are particularly prevalent in the lives of young people with intellectual disabilities. These include experience of the social stigma attached to intellectual disability, increased exposure to negative life-events, social and emotion recognition deficits, and increased rates of parental stress and associated depression. These life experiences and consequent increased susceptibility to risk factors may help explain the higher rate of depression in adolescents with intellectual disability. The authors suggest that a consideration of developmental factors and their interaction with the person’s social environment may offer a possible framework for prevention and early intervention with adolescents with intellectual disabilities.
Life events as a risk factor for psychological problems in individuals with intellectual disabilities: a critical review
- Authors:
- HULBERT-WILLIAMS L., HASTINGS R.P.
- Journal article citation:
- Journal of Intellectual Disability Research, 52(11), November 2008, pp.883-895.
- Publisher:
- Wiley
Stressful life events such as bereavement, moving house and changing jobs have repeatedly been implicated as risk factors for mental and physical ill health. Since the 1940s, researchers have demonstrated the negative effects of stressful life events, refined methods of recording such events and investigated the relative impact of different types of event. These investigations have generally not extended to include people with intellectual disabilities. A narrative review of research on life events as they occur to people with intellectual disabilities was conducted and the evidence that life events function as a risk factor for psychological problems critically assessed. Evidence was reviewed for an association between life events and a range of outcome variables, including affective disorders, challenging behaviour, psychosis and psychological problems more generally. The methodology behind the current evidence base was critiqued and a number of methodological advances that would help to strengthen it discussed. There is reasonable evidence that life events are associated with psychological problems, and that there is some tentative evidence that life events play a causal role, although to date, no relationship with psychosis in people with intellectual disabilities has been demonstrated. Life events are likely to be pertinent in clinical work with people with intellectual disabilities.
Cognitive impairment and homelessness: a scoping review
- Authors:
- STONE Beth, DOWLING Sandra, CAMERON Ailsa
- Journal article citation:
- Health and Social Care in the Community, 27(4), 2019, pp.e125-e142.
- Publisher:
- Wiley
This paper reports the findings of a scoping review designed to identify research which has explored the relationship between cognitive impairment, such as brain injuries or learning disabilities and homelessness. A systematic search of databases for articles published between 2007 and 2017 was conducted using keywords relating to cognitive impairments and homelessness. Sources were expanded using manual searches of citations and grey literature. Forty studies represented in 45 papers were selected for review using predefined inclusion criteria. Sources were subject to quality appraisal and data were extracted in line with review questions. Prevalence studies were over‐represented in the review, while qualitative data were lacking. Aetiology of impairments was delineated by acquired and developmental causes. A variety of measures were employed by studies which were not validated in homeless populations. Studies did not give sufficient consideration to co‐occurring disorders and overlapping symptoms between aetiologies. Because of these factors, it was difficult to conclude that all studies had accurately measured what they set out to; however, the evidence suggested that cognitive impairment was disproportionately over‐represented in homeless populations. Cognitive impairment was found to be both a risk factor to and perpetuator of homelessness. Risk factors for homelessness were similar to those of the general population, though exaggerated by sequelae of certain cognitive impairments. The results of this review suggest that more attention needs to be paid to the underlying socioeconomic disadvantages, persons with cognitive impairments face which may lead to homelessness. Further research should prioritise the voice of homeless persons with cognitive impairments, to better understand both causes of homelessness and effective methods of rehabilitation. (Publisher abstract)
Cybervictimization of young people with an intellectual or developmental disability: risks specific to sexual solicitation
- Authors:
- NORMAND Claude L., SALLAFRANQUE-St LOUIS François
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 29(2), 2016, pp.99-110.
- Publisher:
- Wiley
Background: Studies demonstrate that youth are vulnerable to online sexual solicitation. However, no study has estimated this risk for youth diagnosed with an intellectual or developmental disability (IDD). Methods: A literature review of the risk factors associated with online sexual solicitation in youths was done using electronic databases, such as PsychInFO, ERIC, MEDLINE and Scopus. Results: Fifty-seven published papers were found relevant. However, only two pertained to the population with IDD. Sexual and physical abuse, social isolation, loneliness, depression, and chatting were found to increase the risk of being prey to sexual solicitation on the Internet. Many of these risk factors are even more prevalent in youth with IDD than in the general population. Conclusion: Recommendations are made for future research to help understand and prevent sexual cybersolicitation. (Publisher abstract)
It can still happen here: systemic risk factors that may contribute to the continued abuse of people with intellectual disabilities
- Authors:
- MARSLAND David, OAKES Peter, BRIGHT Naomi
- Journal article citation:
- Tizard Learning Disability Review, 20(3), 2015, pp.134-146.
- Publisher:
- Emerald
Purpose: This paper reflects on the response to the scandal of abuse in services for people with intellectual disabilities in the light of research evidence and analysis. Design/methodology/approach: Critical reflection and review of literature. In particular, recent research into possible indicators that a service is at risk of becoming abusive is used to test the hypotheses and implied solutions that are currently being adopted. Findings: The review finds that some of the responses to recent scandals are necessary but not sufficient to prevent future harm. Furthermore, some of the proposed solutions may actually increase the likelihood of further abuse. The paper calls for a broader and more evidence-based response to prevent abuse. (Edited publisher abstract)
Early intervention for children with learning disabilities: making use of what we know
- Authors:
- GORE Nick, HASTING Richard, BRADY Serena
- Journal article citation:
- Tizard Learning Disability Review, 19(4), 2014, pp.181-189.
- Publisher:
- Emerald
Drawing on existing literature regarding rates of emotional and behavioural difficulties together with risk factors, the authors present a rationale for increasing initiatives for early intervention of emotional and behaviour difficulties. The study finds rates of emotional and behavioural difficulties amongst children with learning and developmental difficulties are high. A combination of factors relating to the child, the family system, and wider social contexts is likely to account for this. Increased attempts to provide early intervention to children with learning and developmental disabilities together with their families are warranted. Recommendations are made regarding how the development of such supports might best be taken forward. (Edited publisher abstract)
A review of risk factors associated with suicide in adults with intellectual disability
- Authors:
- MOLLISON Emma, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 8(5), 2014, pp.302-308.
- Publisher:
- Emerald
Purpose: As recently as the 1980's it was still a widely held belief that individuals with intellectual disability (ID) did not have the cognitive capacity to experience mental health problems and this acted as a “buffer” against suicidal behaviour. The literature review examines the evidence relating to risk factors for individuals with intellectual disabilities. Design/methodology/approach: The literature review covered the time period 1993-2013 and returned 117 studies, 77 of which related to individuals with ID, 37 of which related to adults. Following screening titles and abstracts 28 articles were removed. A total of nine studies were found to be eligible for inclusion in the review. A further two studies examining suicide in adolescents (up to adulthood) with ID were also considered. From the eligible studies the following information was considered: study design, sample size, strengths, limitations and the risk factors associated with an increased risk of suicide. Findings: The suicide risk factors identified during the review were found to be in keeping with the general population and included a diagnosis of clinical depression, history of self-harm, unemployment, loneliness, unemployment, an increased need for support from others, early onset mental illness and being treatment resistive. (Edited publisher abstract)