J. Santambrogio, M. O. Bertelli, S. Terrevazzi, L. De Carolis, E. Francia, C. Boldoni, M. Calascibetta, E. Cudazzo, C. Lucca, V. Viganò, M. Danese, G. A. Minazzi, A. Santarone, A. Bianco, A. Hassiotis, M. Clerici
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The aim of the present paper is to investigate the association between specific cognitive dysfunctions and specific psychiatric symptoms and syndromes in people with IDD.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>One hundred and twenty adults with mild to moderate IDD living in residential facilities underwent a clinical and instrumental assessment for specific cognitive and psychopathological features.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Participants with IDD and ASD have significantly lower scores compared to those without respect to who has not the diagnosis on the Processing Speed Index (PSI) and Perceptual Reasoning Index (PRI) on the WAIS-IV and higher time scores on the TMT A. Moreover, there is a significant association between years of hospitalisation and TMT B and TMT B A time scores; the longer a participant with IDD was hospitalised, the worse their performance on the TMT. Although not statistically significant, many psychopathological clusters showed substantial cognitive profiles.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Although further research is needed, neuropsychological and IQ tests scores seem to be differently associated to various psychopathological conditions co-occurring with IDD, and with ASD especially. Cognitive assessment seems to support diagnosis and treatment of psychopathological co-occurrences in persons with IDD, also in consideration of indirect implications including a better knowledge of the patient's characteristics beyond IQ deficit.</p>\n </section>\n </div>","PeriodicalId":16163,"journal":{"name":"Journal of Intellectual Disability Research","volume":null,"pages":null},"PeriodicalIF":2.1000,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jir.13077","citationCount":"0","resultStr":"{\"title\":\"Cognitive dysfunction and psychopathology: a cohort study of adults with intellectual developmental disorder\",\"authors\":\"J. Santambrogio, M. O. Bertelli, S. Terrevazzi, L. De Carolis, E. Francia, C. Boldoni, M. Calascibetta, E. Cudazzo, C. Lucca, V. Viganò, M. Danese, G. A. Minazzi, A. Santarone, A. Bianco, A. Hassiotis, M. 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引用次数: 0
摘要
背景:智力发育障碍(IDD)的认知障碍是由几种不同的特定认知改变组合决定的。IDD患者的心理健康问题发生率是普通人群的4倍。尽管如此,特定的认知功能障碍和同时发生的精神障碍之间的关系还没有得到充分的研究。本文的目的是研究IDD患者的特定认知功能障碍与特定精神症状和综合征之间的关系。方法:120名居住在寄宿设施中的轻度至中度IDD成年人接受了特定认知和精神病理学特征的临床和工具评估。结果:IDD和ASD的参与者在WAIS-IV上的处理速度指数(PSI)和感知推理指数(PRI)上的得分明显低于没有诊断的参与者,在TMT A上的时间得分更高。此外,住院年限与TMT B和TMT B A时间得分之间存在显著关联;IDD患者住院时间越长,他们在TMT上的表现就越差。尽管没有统计学意义,但许多精神病理学集群显示出实质性的认知特征。结论:尽管还需要进一步的研究,但神经心理学和智商测试分数似乎与IDD,尤其是ASD共同发生的各种精神病理学状况有不同的关联。认知评估似乎支持IDD患者精神病理学并发症的诊断和治疗,同时考虑到间接影响,包括更好地了解患者的智商缺陷以外的特征。
Cognitive dysfunction and psychopathology: a cohort study of adults with intellectual developmental disorder
Background
Cognitive impairment of intellectual developmental disorders (IDD) is determined by several different combinations of specific cognitive alterations. People with IDD present a rate of mental health problems that is up to 4 times higher than that of the general population. Despite this, the relationship between specific cognitive dysfunctions and co-occurring mental disorders has not been adequately studied. The aim of the present paper is to investigate the association between specific cognitive dysfunctions and specific psychiatric symptoms and syndromes in people with IDD.
Methods
One hundred and twenty adults with mild to moderate IDD living in residential facilities underwent a clinical and instrumental assessment for specific cognitive and psychopathological features.
Results
Participants with IDD and ASD have significantly lower scores compared to those without respect to who has not the diagnosis on the Processing Speed Index (PSI) and Perceptual Reasoning Index (PRI) on the WAIS-IV and higher time scores on the TMT A. Moreover, there is a significant association between years of hospitalisation and TMT B and TMT B A time scores; the longer a participant with IDD was hospitalised, the worse their performance on the TMT. Although not statistically significant, many psychopathological clusters showed substantial cognitive profiles.
Conclusions
Although further research is needed, neuropsychological and IQ tests scores seem to be differently associated to various psychopathological conditions co-occurring with IDD, and with ASD especially. Cognitive assessment seems to support diagnosis and treatment of psychopathological co-occurrences in persons with IDD, also in consideration of indirect implications including a better knowledge of the patient's characteristics beyond IQ deficit.
期刊介绍:
The Journal of Intellectual Disability Research is devoted exclusively to the scientific study of intellectual disability and publishes papers reporting original observations in this field. The subject matter is broad and includes, but is not restricted to, findings from biological, educational, genetic, medical, psychiatric, psychological and sociological studies, and ethical, philosophical, and legal contributions that increase knowledge on the treatment and prevention of intellectual disability and of associated impairments and disabilities, and/or inform public policy and practice. Expert reviews on themes in which recent research has produced notable advances will be included. Such reviews will normally be by invitation.