Psychiatry (Abingdon, England)最新文献_第3页

Research in mental health learning disabilities: present challenges and future drivers 心理健康学习障碍研究:当前挑战和未来驱动因素

Psychiatry (Abingdon, England) Pub Date : 2009-11-01 DOI: 10.1016/j.mppsy.2009.07.004

Angela Hassiotis

引用次数: 6

Family carers of people with learning disabilities: common themes across caring 学习障碍者的家庭照顾者:关怀的共同主题

Psychiatry (Abingdon, England) Pub Date : 2009-11-01 DOI: 10.1016/j.mppsy.2009.07.007

Neelima Yannamani, Asif Zia, Nauman Khalil

引用次数: 9

Epilepsy, mental health, adults with learning disability – reviewing the evidence 癫痫、精神健康、成人学习障碍——回顾证据

Psychiatry (Abingdon, England) Pub Date : 2009-11-01 DOI: 10.1016/j.mppsy.2009.07.006

Brian Fitzgerald, Howard Ring

引用次数: 5

Psychiatry of intellectual and developmental disability in the US: time for a new beginning 美国智力和发育障碍的精神病学:是时候重新开始了

Psychiatry (Abingdon, England) Pub Date : 2009-11-01 DOI: 10.1016/j.mppsy.2009.08.003

Kerim M. Munir

引用次数: 7

Positive behavioural support as a service system for people with challenging behaviour 积极行为支持作为一种服务系统，为有挑战性行为的人提供服务

Psychiatry (Abingdon, England) Pub Date : 2009-10-01 DOI: 10.1016/j.mppsy.2009.07.001

David Allen

引用次数: 25

People with learning disability, and ageing 有学习障碍的人，老年人

Psychiatry (Abingdon, England) Pub Date : 2009-10-01 DOI: 10.1016/j.mppsy.2009.06.019

Satheesh Kumar Gangadharan, John Devapriam, Sabyasachi Bhaumik

{"title":"People with learning disability, and ageing","authors":"Satheesh Kumar Gangadharan, John Devapriam, Sabyasachi Bhaumik","doi":"10.1016/j.mppsy.2009.06.019","DOIUrl":"10.1016/j.mppsy.2009.06.019","url":null,"abstract":"<div><p><span>With the increase in lifespan, age-related mental and physical health problems have become evident in people with learning disability. Owing to the heterogeneity of the population, the nature and extent of age-related changes has not been explored fully. This article describes the mental health problems in older adults with learning disabilities with a focus on dementia, and highlights current evidence-based practice. To date, the main focus of research and service initiatives related to ageing has been on dementia in Down syndrome, despite the fact that a substantial proportion of older people with learning disabilities in general suffer from a variety of health problems. Clinical practice varies considerably within UK, and the link between community learning disability teams and mental health services for older people is not well established in many areas. The clinical challenges are related to a lack of standardized assessment processes and difficulties in carrying out the full range of investigations in some cases. The recently published national guideline on dementia in people with learning disabilities has now set the expected service standards and provides an audit tool against which quality of care can be measured. It is to be hoped that this will encourage the development of a dementia </span>care pathway, removing the barriers in access to services for older people with learning disabilities.</p></div>","PeriodicalId":88653,"journal":{"name":"Psychiatry (Abingdon, England)","volume":"8 10","pages":"Pages 382-386"},"PeriodicalIF":0.0,"publicationDate":"2009-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.mppsy.2009.06.019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125613467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Mental ill-health in adults with learning disabilities 有学习障碍的成年人的精神疾病

Psychiatry (Abingdon, England) Pub Date : 2009-10-01 DOI: 10.1016/j.mppsy.2009.06.014

Kiran Azam, Amanda Sinai, Angela Hassiotis

引用次数: 11

The mental health needs of people with autism spectrum disorders 自闭症谱系障碍患者的心理健康需求

Psychiatry (Abingdon, England) Pub Date : 2009-10-01 DOI: 10.1016/j.mppsy.2009.06.016

Muthukumar Kannabiran, Jane McCarthy

{"title":"The mental health needs of people with autism spectrum disorders","authors":"Muthukumar Kannabiran, Jane McCarthy","doi":"10.1016/j.mppsy.2009.06.016","DOIUrl":"10.1016/j.mppsy.2009.06.016","url":null,"abstract":"<div><p><span>Autism spectrum disorders<span> (ASDs) are characterized by restricted, repetitive behaviour and abnormalities in social interaction and communication. A prevalence rate of ASD of up to 116/10,000 has been reported. The prevalence and range of psychiatric disorders are increased in people with ASD, including those with intellectual disability. Risk factors for psychiatric disorders in this group include </span></span>genetic factors<span>, communication problems, loneliness and low self-esteem. Mental health problems<span><span><span> may be difficult to assess, and range from attention deficit hyperactivity disorder (ADHD) and tic disorders to psychotic and mood disorders, and </span>catatonia. Prevalence of ADHD and tic disorders is increased in people with ASD. While the presentation of depressive and </span>bipolar disorders<span> may be similar to that in the general populations, depression may be associated with onset of or increase in maladaptive behaviour. In contrast to checking, cleaning or counting compulsions seen in people with obsessive–compulsive disorder (OCD), people with ASD may engage in repeating, hoarding, touching and tapping behaviour. ASD has been proposed as a non-specific neurodevelopmental marker for childhood-onset schizophrenia and it is recognized that psychotic symptoms may be difficult to establish in the presence of ASD. Interestingly, catatonia has been reported in up to 17% of young people with ASD referred to a national centre. It is important to disseminate available evidence on psychiatric treatment<span> for people with ASD, while recognizing the need for further research on treatment and outcome measures.</span></span></span></span></p></div>","PeriodicalId":88653,"journal":{"name":"Psychiatry (Abingdon, England)","volume":"8 10","pages":"Pages 398-401"},"PeriodicalIF":0.0,"publicationDate":"2009-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.mppsy.2009.06.016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126822557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

Psychotherapeutic interventions in learning disability: focus on cognitive behavioural therapy and mental health 学习障碍的心理治疗干预:重点是认知行为治疗和心理健康

Psychiatry (Abingdon, England) Pub Date : 2009-10-01 DOI: 10.1016/j.mppsy.2009.06.018

Paul Willner

{"title":"Psychotherapeutic interventions in learning disability: focus on cognitive behavioural therapy and mental health","authors":"Paul Willner","doi":"10.1016/j.mppsy.2009.06.018","DOIUrl":"10.1016/j.mppsy.2009.06.018","url":null,"abstract":"<div><p><span><span>Cognitive behavioural therapy (CBT) assumes that psychological disorders are characterized by distorted or dysfunctional thinking, and can be treated by working with the patient to modify thinking in the direction of more realistic or adaptive evaluations of events. CBT has been evaluated extensively and is now the first-line </span>treatment of choice for many psychological disorders. It is increasingly being used with people with learning disabilities, although the evidence base with this population is relatively weak, consisting largely of case studies and case series. There are also controlled trials in anger and depression, for which all published studies report significant clinical improvements that are well maintained over 3–6-month follow-up periods. There are many barriers to engagement with CBT for people with learning disabilities, which reflect limitations of ability and motivation. The limitations of ability reflect the fact that people with learning disabilities have to cope with </span>cognitive deficits in addition to the cognitive distortions that are the target of CBT interventions. If barriers to treatment are recognized, significant steps can be taken to increase accessibility by adapting the therapy. Adaptations include involving carers, simplifications of the delivery of therapy (e.g. by using simple language and a slower pace), and simplifications of the model (e.g. by the therapist adopting a more directive, less collaborative, approach). If the current policy of increasing access to psychological therapies is extended to people with learning disabilities, it is likely that evidence will also accrue to support the use of other psychotherapeutic approaches.</p></div>","PeriodicalId":88653,"journal":{"name":"Psychiatry (Abingdon, England)","volume":"8 10","pages":"Pages 416-419"},"PeriodicalIF":0.0,"publicationDate":"2009-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.mppsy.2009.06.018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116788810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Mental health and behavioural problems in children and adolescents with learning disabilities 有学习障碍的儿童和青少年的心理健康和行为问题

Psychiatry (Abingdon, England) Pub Date : 2009-10-01 DOI: 10.1016/j.mppsy.2009.06.017

Sarah H. Bernard

引用次数: 3