Diagnosis and Treatment of Mood Disorders in Adults with Developmental Disabilities

Diagnosis and Treatment of Mood Disorders in Adults with Developmental Disabilities While the idea that individuals with developmental disabilities (DD) can suffer from mental illness has been largely accepted since the late 1980’s, this is still an underserved and poorly studied population. In particular, mood disorders have traditionally been misdiagnosed, under-recognized and poorly treated. Through the years, reported rates of mood disorders in adults with DD have varied widely. Recent epidemiological studies have focused on community samples and find rates of mood disorders from 3 to 8.1%. Mood disorders are found to be more prevalent than psychotic disorders or anxiety disorders. The empirical literature on assessment of mood symptoms in adults with DD is limited, particularly in individuals with severe and profound DD. Several tools have been developed to assist in identification and diagnosis. However, the work on their psychometric properties and validity studies is still quite limited. The treatment literature is sparse and focused primarily on pharmacotherapy. This review considers the epidemiology and diagnosis of mood disorders in individuals with DD. Recent developments in assessment are reviewed. The literature regarding pharmacological treatment with antidepressants, mood stabilizers, electroconvulsive therapy and antipsychotics is summarized and the current state of psychological treatments for mood disorders in persons with DD is presented. Implications for clinical care and future research are considered. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Psychiatric Quarterly Springer Journals

Diagnosis and Treatment of Mood Disorders in Adults with Developmental Disabilities

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Publisher
Springer Journals
Copyright
Copyright © 2008 by Springer Science+Business Media, LLC
Subject
Medicine & Public Health; Psychiatry; Public Health; Sociology, general
ISSN
0033-2720
eISSN
1573-6709
D.O.I.
10.1007/s11126-008-9079-x
Publisher site
See Article on Publisher Site

Abstract

While the idea that individuals with developmental disabilities (DD) can suffer from mental illness has been largely accepted since the late 1980’s, this is still an underserved and poorly studied population. In particular, mood disorders have traditionally been misdiagnosed, under-recognized and poorly treated. Through the years, reported rates of mood disorders in adults with DD have varied widely. Recent epidemiological studies have focused on community samples and find rates of mood disorders from 3 to 8.1%. Mood disorders are found to be more prevalent than psychotic disorders or anxiety disorders. The empirical literature on assessment of mood symptoms in adults with DD is limited, particularly in individuals with severe and profound DD. Several tools have been developed to assist in identification and diagnosis. However, the work on their psychometric properties and validity studies is still quite limited. The treatment literature is sparse and focused primarily on pharmacotherapy. This review considers the epidemiology and diagnosis of mood disorders in individuals with DD. Recent developments in assessment are reviewed. The literature regarding pharmacological treatment with antidepressants, mood stabilizers, electroconvulsive therapy and antipsychotics is summarized and the current state of psychological treatments for mood disorders in persons with DD is presented. Implications for clinical care and future research are considered.

Journal

Psychiatric QuarterlySpringer Journals

Published: Aug 23, 2008

References

  • Referral trends of people with intellectual disabilities and psychiatric disorders
    Bouras, N; Cowley, A; Holt, G
  • Patients with and without intellectual disability seeking outpatient psychiatric services: diagnoses and prescribing pattern
    Hurley, AD; Folstein, M; Lam, N
  • Observations on the use of the ICD-10 guide for mental retardation
    Einfeld, SL; Tonge, BJ
  • Utility of the brief symptom inventory in the assessment of psychological distress
    Kellett, S; Beail, N; Newman, DW
  • Depression, anxiety and relevant cognitions in persons with mental retardation
    Glenn, E; Bihm, EM; Lammers, WJ

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