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Emotional and behavioural problems in adolescents with intellectual disability with and without chronic diseases
- Authors:
- OESEBURG B., et al
- Journal article citation:
- Journal of Intellectual Disability Research, 54(1), January 2010, pp.81-89.
- Publisher:
- Wiley
Adolescents with intellectual disability (ID-adolescents) and those with chronic diseases are both more likely to have emotional and behavioural problems. This study assessed the prevalence of emotional and behavioural problems in ID- adolescents with and without chronic diseases and the impact of chronic diseases in ID-adolescents on the likelihood of emotional and behavioural problems. The study involved a secondary school sample of 1044 ID-adolescents (12-18 years) in the Netherlands. Parents completed the Strengths and Difficulties Questionnaire, questions about chronic diseases and about the background of their child. Prevalence rates of emotional and behavioural problems were generally high in ID-adolescents with chronic diseases (45%), compared to ID-adolescents without chronic diseases (17%). The likelihood of emotional and behavioural problems was high in ID-adolescents with two [odds ratios (OR) 4.47] or more than two chronic diseases (OR 8.01) and for ID-adolescents with mental chronic diseases (OR 4.56). ID-adolescents with somatic chronic diseases had a high likelihood of emotional and behavioural problems (OR 1.99), in particular in the combination of somatic and mental diseases (OR 5.16). The authors conclude that chronic diseases in ID-adolescents, in particular mental diseases, tend to increase the likelihood of emotional and behavioural problems. They suggest this should be taken into account in the provision and planning of care for ID-adolescents.
Factors associated with depression and anxiety in older adults with intellectual disabilities: results of the healthy ageing and intellectual disabilities study
- Authors:
- HERMANS Heidi, EVENHUIS Heleen M.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 28(7), 2013, pp.691-699.
- Publisher:
- Wiley
The objective of this article is to study which factors are associated with depression and anxiety in older adults with intellectual disabilities (ID). Depressive and anxiety symptoms were studied in 990 participants with borderline to profound ID, aged ≥ 50 years, using self-report and informant-report screening questionnaires. Participants were drawn from three large Intellectual Disability services in the Netherlands. In 290 participants, major depression and anxiety disorders were assessed with a standardised psychiatric interview. Associations with personal, medical and psychosocial factors, which were collected through questionnaires and participants' medical and psychological records, were studied using multiple logistic regression analysis. Increased depressive symptoms were positively associated with increased anxiety symptoms, number of life events during the past year and chronic diseases (heart failure, stroke, chronic obstructive pulmonary disease, coronary artery disease, diabetes mellitus and malignity in the previous 5 years) and negatively with instrumental activities of daily living (IADL) abilities. Major depression was positively associated with chronic diseases and negatively with IADL abilities. Increased anxiety symptoms were positively associated with borderline or mild ID and increased depressive symptoms and negatively associated with Down syndrome, epilepsy and social contacts. Anxiety disorders showed no significant associations. To develop effective prevention and treatment policies, factors associated with depression and anxiety in older adults with ID should be further examined in longitudinal research. (Publisher abstract)
The association between regulatory focus and distress in patients with a chronic disease: the moderating role of partner support
- Authors:
- SCHOKKER Marike C., et al
- Journal article citation:
- British Journal of Health Psychology, 15(1), February 2010, pp.63-78.
- Publisher:
- Wiley
This article details distress in four hundred and seventy seven patients in the Netherlands, with chronic illnesses such, as diabetes, asthma and heart disease which require self-management. It explores whether the presence or absence of partner support, and the type of support, ranging from little active engagement to high levels of protective buffering and overprotection, affects patients’ distress levels. Particularly looking at regulatory focus, consisting of two types of regulatory systems, self-regulation with either a promotion (obtaining positive outcomes) or prevention focus (avoiding negative outcomes), which can be determined in individuals as far back as interactions with caregivers in childhood, the patients were sent several questionnaires - a Regulatory Focus Questionnaire, questionnaires measuring active engagement (supportive behaviour), protective buffering and overprotection (unsupportive behaviour) by their partners - as perceived by the patients, and a General Health Questionnaire-12 to measure their distress levels. Results showed a promotion focus was negatively associated with distress, but only when patients reported partner support with relatively low levels of active engagement or relatively high levels of protective buffering/overprotection. In addition, the positive association between prevention focus and distress was not consistently found to be moderated by partner support. The authors conclude that active engagement buffers against distress in patients with low promotion focus, while protective buffering/overprotection aggravate distress in these patients.