Search results for ‘Subject term:"mental health problems"’ Sort:
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Psychiatric symptoms in adults with learning disability and challenging behaviour
- Authors:
- MOSS Steve, et al
- Journal article citation:
- British Journal of Psychiatry, 177, November 2000, pp.452-456.
- Publisher:
- Cambridge University Press
In people with learning disability one of the most frequent reasons for psychiatric referral is challenging behaviour. This study sought to determine what proportion of people with challenging behaviour actually have psychiatric symptoms. Showed that increasing severity of challenging behaviour was associated with the prevalence of psychiatric symptoms, depression showing the most marked association. Anxiety symptoms were associated with presence of self-injurious behaviour.
Quality of diagnosis and treatment plans after using the ‘diagnostic guideline for anxiety and challenging behaviours’ in people with intellectual disabilities: a comparative multiple case study design
- Authors:
- PRUIJSSERS Addy, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 29(4), 2016, pp.305-316.
- Publisher:
- Wiley
Background: People with intellectual disabilities often have a multitude of concurrent problems due to the combination of cognitive impairments, psychiatric disorders (particularly anxiety) and related challenging behaviours. Diagnoses in people with intellectual disabilities are complicated. This study evaluates the quality of the diagnoses and treatment plans after using a guideline that was developed to support professionals in their diagnostic tasks. Materials and Methods: A comparative multiple case study with an experimental and control condition, applying deductive analyses of diagnoses and treatment plans. Results: The analyses revealed that the number of diagnostic statements and planned treatment actions in the experimental group was significantly larger and more differentiated than in the control condition. In the control group, consequential harm and protective factors were hardly mentioned in diagnoses and treatment plans. Conclusions: Working with the ‘Diagnostic Guideline for Anxiety and CB’ leads to improved diagnoses and treatment plans compared with care as usual. (Publisher abstract)
Behavioral symptoms in mild cognitive impairment as compared with Alzheimer's disease and healthy older adults
- Authors:
- VAN DER MUSSELE Stefan, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 28(3), 2013, pp.265-275.
- Publisher:
- Wiley
Mild cognitive impairment (MCI) is a clinical concept that describes patients who are in an intermediate state between normal aging and dementia. It does not generally affect their activities of daily living but complex instrumental functions may be minimally impaired. Although behavioural symptoms are common in MCI they are not included in the concept. The aim of this study was to characterise behaviour in MCI compared with Alzheimer's disease (AD) and healthy older patients. The data were drawn from the baseline of a longitudinal study of behavioural symptoms of dementia and MCI. The study population, consisting of 270 MCI, 402 AD patients, and 108 healthy controls from Antwerp, underwent a battery of tests and assessments. Moderate-to-severe behavioural symptoms were present in 13% of MCI patients, compared with 39% in AD patients and 3% in controls. The general severity of behavioural symptoms was intermediate between controls and AD patients. The three most common symptoms in MCI patients were aggressiveness (49%), affective disturbance (45%), and anxiety (38%); in AD patients, they were aggressiveness (60%), activity disturbances (54%), and psychosis (40%). Overall the prevalence and severity of frontal lobe symptoms, aggressiveness, activity disturbances, and delusions was intermediate between normal aging and AD and the severity of physically non-aggressive, verbally agitated behaviour and the severity of depressive symptoms were also intermediate.
Mental health aspects of autism and Asperger Syndrome
- Author:
- GHAZIUDDIN Mohammad
- Publisher:
- Jessica Kingsley
- Publication year:
- 2005
- Pagination:
- 252p.bibliog.
- Place of publication:
- London
This book addresses the increasingly urgent need for information about psychiatric problems in people with autism spectrum disorders (ASDs). It systematically explains the emotional and psychological difficulties that are often encountered with ASDs. The author describes each of the conditions that are commonly seen in autistic children and adults, including schizophrenia, depression, anxiety, and tic disorders, and gives guidance on their early detection and treatment.
Psychosis, depression and behavioural disturbances in Sydney nursing home residents: prevalence and predictors
- Authors:
- BRODATY Henry, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 16(5), May 2001, pp.504-512.
- Publisher:
- Wiley
Article aims to investigate: the prevalence of behavioural and psychological symptoms of dementia (BPSD) in nursing home residents; the relationships of BPSD with demographic, dementia, diurnal and nursing home variables; and the inter-relationships between different types of BPSD. Found that over 90% of residents exhibited at least one behavioural disturbance. Specifically, there was evidence of psychosis in 60%, depressed mood in 42% and activity disturbances or aggression in 82% of residents. Younger, more functionally impaired residents with a chart diagnosis of psychosis had higher BPSD rates, as did those residing in larger nursing homes. Individual BPSD were significantly intercorrelated. Concludes that BPSD are ubiquitous in nursing home residents. Behavioural disturbances are frequently associated with psychosis and/or depression. The findings suggest the need for psychogeriatric services to nursing homes and smaller facilities.
Expressed emotion, attributions and coping in staff who have been victims of violent incidents
- Authors:
- COTTLE Mandy, et al
- Journal article citation:
- Mental Handicap Research, 8(3), 1995, pp.168-183.
- Publisher:
- BIMH Publications
In some occupations, there is an increased risk of becoming a victim of a violent incident. Nursing and care work, in settings for people with learning disabilities and challenging behaviour, or who have mental health needs, are occupations which can involve such a risk. This study examined how staff felt, after a violent incident, towards the perpetrator of the incident, and the reasons that the care staff gave as to their belief about the cause of the incident. Coping was investigated by looking at measures of anxiety.