Instruments in Spanish to Assess the Mental Health of Adults With Intellectual Disabilities. A Systematic Review

IF 1.9 3区医学 Q2 PSYCHOLOGY, EDUCATIONAL

Journal of Applied Research in Intellectual Disabilities Pub Date : 2025-09-10 DOI:10.1111/jar.70115

Clara González-Sanguino, Alba Ayuso-Lanchares, Sara Castrillo-San Mamés, Jairo Rodríguez-Medina

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Abstract

Background

Mental health (MH) problems are more common in people with intellectual disabilities (ID), yet under-diagnosis persists, which may be partly due to a lack of appropriate assessment tools. This study presents a systematic review of instruments used to assess MH problems in Spanish-speaking adults with ID.

Method

Following PRISMA guidelines, a search was conducted in Web of Science, PsycINFO, and Scopus using terms related to ID, MH and assessment. From 3929 records, 12 studies met the inclusion criteria, identifying 13 instruments in Spanish.

Results

The overall quality of the instruments was medium to low, with main limitations in sampling and data analysis. Most tools assessed adaptive skills, disruptive behaviour, anxiety, depression, or cognitive impairment using hetero-reported scales, mostly adapted from Anglo-Saxon instruments.

Conclusion

Further research is needed to develop culturally adapted, psychometrically robust tools that allow people with ID to express their own MH needs, moving from hetero-reported approaches.

Abstract Image

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评估智力残疾成人心理健康的西班牙语工具。系统回顾

背景：精神健康问题在智力残疾者中更为常见，但诊断不足仍然存在，部分原因可能是缺乏适当的评估工具。本研究提出了一个系统的回顾工具，用于评估MH问题的西班牙语成人身份证。方法按照PRISMA指南，在Web of Science、PsycINFO和Scopus中检索ID、MH和assessment相关术语。从3929份记录中，12项研究符合纳入标准，确定了13种西班牙语乐器。结果仪器整体质量处于中低水平，主要存在采样和数据分析方面的局限性。大多数工具评估适应性技能、破坏性行为、焦虑、抑郁或认知障碍，使用的是异性报告的量表，大多改编自盎格鲁-撒克逊工具。结论：需要进一步的研究来开发适应文化的、心理测量学上强大的工具，使ID患者能够表达自己的MH需求，而不是采用异性恋报告的方法。

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来源期刊

Journal of Applied Research in Intellectual Disabilities Multiple-

CiteScore

4.70

自引率

12.50%

发文量

期刊介绍： JARID is an international, peer-reviewed journal which draws together findings derived from original applied research in intellectual disabilities. The journal is an important forum for the dissemination of ideas to promote valued lifestyles for people with intellectual disabilities. It reports on research from the UK and overseas by authors from all relevant professional disciplines. It is aimed at an international, multi-disciplinary readership. Topics covered include community living, quality of life, challenging behaviour, communication, sexuality, medication, ageing, supported employment, family issues, mental health, physical health, autism, economic issues, social networks, staff stress, staff training, epidemiology and service provision.