Posttraumatic Stress Disorder in Children with Severe or Moderate Intellectual Disability: A Study Using the Diagnostic Interview Trauma, Stressors – Severe/Moderate ID

IF 1.5 4区医学 Q2 EDUCATION, SPECIAL

Journal of Developmental and Physical Disabilities Pub Date : 2023-09-05 DOI:10.1007/s10882-023-09928-2

Annemieke Hoogstad, Liesbeth Mevissen, Robert Didden

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引用次数: 0

Abstract

Abstract No research has been conducted on PTSD manifestation in children with severe or moderate intellectual disability (SID; IQ 20 – 49) and no PTSD measurement instrument was available. This pilot explores the psychometric properties of a new diagnostic instrument to investigate trauma and to classify PTSD in children with SID. The Diagnostic Interview Trauma and Stressors-Severe Intellectual Disabilities (DITS-SID), Aberrant Behavior Checklist and Child and Adolescent Trauma Screener 3-6 were administered to parents and residential caregivers of fifteen children with SID. The inter-rater reliability of the DITS-SID is good to excellent. There are indications of a good convergent validity. PTSD prevalence seems high at 27%-33%. Self-injurious behavior was one of the most commonly reported PTSD symptoms. There is evidence that the PTSD manifestation of children with SID does not differ from that of children without SID. PTSD is probably underdiagnosed in this target group. In understanding challenging behavior, it is important to consider an underlying PTSD in order to provide appropriate treatment. The DITS-SID is potentially suitable for diagnosing PTSD. Follow-up research in a larger sample is needed.

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重度或中度智障儿童创伤后应激障碍:基于创伤、应激源-重度/中度认知障碍诊断访谈的研究

重型或中度智力残疾(SID;IQ 20 - 49)，无PTSD测量仪器。本试验探索了一种新的诊断工具的心理测量特性，以调查创伤和分类SID儿童的创伤后应激障碍。对15名患有严重智力障碍的儿童的父母和住家照顾者进行创伤和压力源诊断性访谈(dts -SID)、异常行为检查表和儿童与青少年创伤筛查表3-6。dts - sid的码间可靠性从良好到优异。有迹象表明它具有很好的收敛效度。PTSD患病率似乎高达27%-33%。自残行为是最常见的PTSD症状之一。有证据表明SID患儿的PTSD表现与非SID患儿并无差异。在这个目标群体中，PTSD可能未被充分诊断。在理解挑战性行为时，重要的是要考虑潜在的创伤后应激障碍，以便提供适当的治疗。dts - sid可能适用于诊断PTSD。需要在更大的样本中进行后续研究。

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来源期刊

Journal of Developmental and Physical Disabilities Multiple-

CiteScore

3.40

自引率

5.60%

发文量

期刊介绍： The Journal of Developmental and Physical Disabilities is an interdisciplinary forum for the publication of original research and clinical reports from a variety of fields serving persons with developmental and physical disabilities. Submissions from researchers, clinicians, and related professionals in the fields of psychology, rehabilitation, special education, kinesiology, counseling, social work, psychiatry, nursing, and rehabilitation medicine are considered. Investigations utilizing group comparisons as well as single-case experimental designs are of primary interest. In addition, case studies that are of particular clinical relevance or that describe innovative evaluation and intervention techniques are welcome. All research and clinical reports should contain sufficient procedural detail so that readers can clearly understand what was done, how it was done, and why the strategy was selected. Rigorously conducted replication studies utilizing group and single-case designs are welcome irrespective of results obtained. In addition, systematic reviews, meta-analyses, and theoretical discussions that contribute substantially to understanding the problems and strengths of persons with developmental and physical disabilities are considered for publication. Authors are encouraged to preregister empirical studies, replications, systematic reviews, and meta-analyses in a relevant public database and to include such information with their submission to the journal. Authors are also encouraged, where possible and applicable, to deposit data that support the findings of their research in a public repository (see detailed “Research Data Policy” module in the journal’s Instructions for Authors). In response to the need for increased clinical and research endeavors with persons with developmental and physical disabilities, the journal is cross-categorical and unbiased methodologically.