Interventions for mental health problems in children and adults with severe intellectual disabilities: a systematic review

Vereenooghe L, Flynn S, Hastings RP, Adams D, Chauhan U, Cooper S-A, Gore N, Hatton C, Hood K, Jahoda A, Langdon PE, et al. (2018)
BMJ Open 8(6): e021911.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Vereenooghe, LeenUniBi ; Flynn, Samantha; Hastings, Richard P.; Adams, Dawn; Chauhan, Umesh; Cooper, Sally-Ann; Gore, Nick; Hatton, Chris; Hood, Kerry; Jahoda, Andrew; Langdon, Peter E.; McNamara, Rachel
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Abstract / Bemerkung
Objective Mental health problems are more prevalent in people with than without intellectual disabilities, yet treatment options have received little attention. The aim of this study was to identify and evaluate the effectiveness of pharmacological and psychological interventions in the treatment of mental health problems in children and adults with severe and profound intellectual disabilities, given their difficulties in accessing standard mental health interventions, particularly talking therapies, and difficulties reporting drug side effects. Design A systematic review using electronic searches of PsycINFO, PsycTESTS, EMBASE, MEDLINE, CINAHL, ERIC, ASSIA, Science Citation Index, Social Science Citation Index and CENTRAL was conducted to identify eligible intervention studies. Study selection, data extraction and quality appraisal were performed by two independent reviewers. Participants Study samples included at least 70% children and/or adults with severe or profound intellectual disabilities or reported the outcomes of this subpopulation separate from participants with other levels of intellectual disabilities. Interventions Eligible intervention studies evaluated a psychological or pharmacological intervention using a control condition or pre-post design. Outcomes Symptom severity, frequency or other quantitative dimension (e.g., impact), as assessed with standardised measures of mental health problems. Results We retrieved 41 232 records, reviewed 573 full-text articles and identified five studies eligible for inclusion: three studies evaluating pharmacological interventions, and two studies evaluating psychological interventions. Study designs ranged from double-blind placebo controlled crossover trials to single-case experimental reversal designs. Quality appraisals of this very limited literature base revealed good experimental control, poor reporting standards and a lack of follow-up data. Conclusions Mental ill health requires vigorous treatment, yet the current evidence base is too limited to identify with precision effective treatments specifically for children or adults with severe and profound intellectual disabilities. Clinicians therefore must work on the basis of general population evidence, while researchers work to generate more precise evidence for people with severe and profound intellectual disabilities.
Erscheinungsjahr
2018
Zeitschriftentitel
BMJ Open
Band
8
Ausgabe
6
Art.-Nr.
e021911
ISSN
2044-6055
eISSN
2044-6055
Finanzierungs-Informationen
Open-Access-Publikationskosten wurden durch die Deutsche Forschungsgemeinschaft und die Universität Bielefeld gefördert.
Page URI
https://pub.uni-bielefeld.de/record/2920756

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Vereenooghe L, Flynn S, Hastings RP, et al. Interventions for mental health problems in children and adults with severe intellectual disabilities: a systematic review. BMJ Open. 2018;8(6): e021911.
Vereenooghe, L., Flynn, S., Hastings, R. P., Adams, D., Chauhan, U., Cooper, S. - A., Gore, N., et al. (2018). Interventions for mental health problems in children and adults with severe intellectual disabilities: a systematic review. BMJ Open, 8(6), e021911. doi:10.1136/bmjopen-2018-021911
Vereenooghe, Leen, Flynn, Samantha, Hastings, Richard P., Adams, Dawn, Chauhan, Umesh, Cooper, Sally-Ann, Gore, Nick, et al. 2018. “Interventions for mental health problems in children and adults with severe intellectual disabilities: a systematic review”. BMJ Open 8 (6): e021911.
Vereenooghe, L., Flynn, S., Hastings, R. P., Adams, D., Chauhan, U., Cooper, S. - A., Gore, N., Hatton, C., Hood, K., Jahoda, A., et al. (2018). Interventions for mental health problems in children and adults with severe intellectual disabilities: a systematic review. BMJ Open 8:e021911.
Vereenooghe, L., et al., 2018. Interventions for mental health problems in children and adults with severe intellectual disabilities: a systematic review. BMJ Open, 8(6): e021911.
L. Vereenooghe, et al., “Interventions for mental health problems in children and adults with severe intellectual disabilities: a systematic review”, BMJ Open, vol. 8, 2018, : e021911.
Vereenooghe, L., Flynn, S., Hastings, R.P., Adams, D., Chauhan, U., Cooper, S.-A., Gore, N., Hatton, C., Hood, K., Jahoda, A., Langdon, P.E., McNamara, R., Oliver, C., Roy, A., Totsika, V., Waite, J.: Interventions for mental health problems in children and adults with severe intellectual disabilities: a systematic review. BMJ Open. 8, : e021911 (2018).
Vereenooghe, Leen, Flynn, Samantha, Hastings, Richard P., Adams, Dawn, Chauhan, Umesh, Cooper, Sally-Ann, Gore, Nick, Hatton, Chris, Hood, Kerry, Jahoda, Andrew, Langdon, Peter E., McNamara, Rachel, Oliver, Chris, Roy, Ashok, Totsika, Vasiliki, and Waite, Jane. “Interventions for mental health problems in children and adults with severe intellectual disabilities: a systematic review”. BMJ Open 8.6 (2018): e021911.
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41 References

Daten bereitgestellt von Europe PubMed Central.


Emerson E, Hatton C, Felce D., 2001
Clinical assessment of DSM-IV anxiety disorders in fragile X syndrome: prevalence and characterization.
Cordeiro L, Ballinger E, Hagerman R, Hessl D., J Neurodev Disord 3(1), 2010
PMID: 21475730
Social anxiety in Cornelia de Lange syndrome.
Richards C, Moss J, O'Farrell L, Kaur G, Oliver C., J Autism Dev Disord 39(8), 2009
PMID: 19330433
Anxiety, fears, and phobias in persons with Williams syndrome.
Dykens EM., Dev Neuropsychol 23(1-2), 2003
PMID: 12730029
From Prader-Willi syndrome to psychosis: translating parent-of-origin effects into schizophrenia research.
Krefft M, Frydecka D, Adamowski T, Misiak B., Epigenomics 6(6), 2014
PMID: 25531260
Mental ill-health in adults with intellectual disabilities: prevalence and associated factors.
Cooper SA, Smiley E, Morrison J, Williamson A, Allan L., Br J Psychiatry 190(), 2007
PMID: 17197653
Incidence and predictors of mental ill-health in adults with intellectual disabilities: prospective study.
Smiley E, Cooper SA, Finlayson J, Jackson A, Allan L, Mantry D, McGrother C, McConnachie A, Morrison J., Br J Psychiatry 191(), 2007
PMID: 17906241
The effectiveness of antipsychotic medication in the management of behaviour problems in adults with intellectual disabilities.
Deb S, Sohanpal SK, Soni R, Lenotre L, Unwin G., J Intellect Disabil Res 51(Pt 10), 2007
PMID: 17803495
Problem behaviours and symptom dimensions of psychiatric disorders in adults with intellectual disabilities: An exploratory and confirmatory factor analysis.
Melville CA, Johnson PC, Smiley E, Simpson N, Purves D, McConnachie A, Cooper SA., Res Dev Disabil 55(), 2016
PMID: 27018744
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.
Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group, Altman D, Antes G, Atkins D, Barbour V, Barrowman N, Berlin JA, Clark J, Clarke M, Cook D, D'Amico R, Deeks J, Devereaux PJ, Dickersin K, Egger M, Ernst E, Gotzsche PC, Grimshaw J, Guyatt G, Higgins J, Ioannidis JP, Kleijnen J, Lang T, Liberati A, Magrini N, McNamee D, Moja L, Moher D, Mulrow C, Napoli M, Oxman A, Pham B, Rennie D, Sampson M, Schulz KF, Shekelle PG, Tetzlaff J, Tovey D, Tugwell P., PLoS Med. 6(7), 2009
PMID: 19621072

AUTHOR UNKNOWN, 1994

AUTHOR UNKNOWN, 1980

Petticrew M, Roberts H., 2006
Grading quality of evidence and strength of recommendations.
Atkins D, Best D, Briss PA, Eccles M, Falck-Ytter Y, Flottorp S, Guyatt GH, Harbour RT, Haugh MC, Henry D, Hill S, Jaeschke R, Leng G, Liberati A, Magrini N, Mason J, Middleton P, Mrukowicz J, O'Connell D, Oxman AD, Phillips B, Schunemann HJ, Edejer T, Varonen H, Vist GE, Williams JW Jr, Zaza S; GRADE Working Group., BMJ 328(7454), 2004
PMID: 15205295
GRADE guidelines: 3. Rating the quality of evidence.
Balshem H, Helfand M, Schunemann HJ, Oxman AD, Kunz R, Brozek J, Vist GE, Falck-Ytter Y, Meerpohl J, Norris S, Guyatt GH., J Clin Epidemiol 64(4), 2011
PMID: 21208779
GRADE guidelines: 4. Rating the quality of evidence--study limitations (risk of bias).
Guyatt GH, Oxman AD, Vist G, Kunz R, Brozek J, Alonso-Coello P, Montori V, Akl EA, Djulbegovic B, Falck-Ytter Y, Norris SL, Williams JW Jr, Atkins D, Meerpohl J, Schunemann HJ., J Clin Epidemiol 64(4), 2011
PMID: 21247734
Critical appraisal skills programme
Singh J., 2013

AUTHOR UNKNOWN, 2014
The use of single-subject research to identify evidence-based practice in special education
Horner RH, Carr EG, Halle J., 2005
Preliminary study of imipramine in profoundly retarded residents.
Aman MG, White AJ, Vaithianathan C, Teehan CJ., J Autism Dev Disord 16(3), 1986
PMID: 3549681
Tourette syndrome associated with mental retardation: a single-subject treatment study with haloperidol.
Rosenquist PB, Bodfish JW, Thompson R., Am J Ment Retard 101(5), 1997
PMID: 9083606
Pimozide treatment in disruptive severely retarded patients.
White TJ, Aman MG., Aust N Z J Psychiatry 19(1), 1985
PMID: 3890825
A behavioural intervention for Gilles de la Tourette syndrome in a severely mentally handicapped girl
Zarkowska EC., 1981
The aberrant behavior checklist: a behavior rating scale for the assessment of treatment effects.
Aman MG, Singh NN, Stewart AW, Field CJ., Am J Ment Defic 89(5), 1985
PMID: 3993694
Mental health problems in people with learning disabilities: prevention, assessment and management (NG54). NICE Guideline 54
AUTHOR UNKNOWN, 2016
Measurement tools for mental health problems and mental well-being in people with severe or profound intellectual disabilities: A systematic review.
Flynn S, Vereenooghe L, Hastings RP, Adams D, Cooper SA, Gore N, Hatton C, Hood K, Jahoda A, Langdon PE, McNamara R, Oliver C, Roy A, Totsika V, Waite J., Clin Psychol Rev 57(), 2017
PMID: 28821007

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