成人智力残疾和自闭症影响心理健康合并症的心理治疗

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Rachel Mills, R. Nathan, Paul Soper, Felix Michelet, A. Stewart, S. Jaydeokar
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引用次数: 0

摘要

目的:本研究的目的是检查在提供非药物干预方面是否存在基于智力残疾水平和是否存在自闭症的差异。在智力残疾的成年人中,心理健康状况往往没有得到充分的诊断,而且并不总是按照国家卫生和保健研究所优秀指南的建议接受心理干预。为了实现英国国家计划的目标,即阻止智障人士过度使用药物,重要的是让这些人能够获得适当的非药物干预。作者研究了个体智力残疾水平与自闭症存在与否之间的关系,并从专业的社区智力残疾服务中获得相关的非药物干预。设计/方法/方法对2019年英格兰西北部四家专业智障服务机构的成年人进行的横断面研究。研究发现精神疾病的发病率很高,自闭症成年人的患病率更高。然而,研究人群中接受心理干预的比例相对较小。最常见的非药物干预是积极的行为支持计划,无论是否伴有精神疾病。研究局限/影响无法获得治疗精神疾病的心理干预措施可能导致健康结果不佳,并加剧健康不平等。这项研究强调了发展心理干预的必要性,特别是对那些有中度到重度智力残疾的人以及那些有相关自闭症的人。原创性/价值本大样本研究通过获取心理干预来检验智力残疾水平与自闭症存在之间的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intellectual disability and autism in adults influence psychological treatments for mental health comorbidities
Purpose The purpose of the study was to examine whether there were differences in the provision of non-pharmacological interventions based on the level of intellectual disability and the presence or absence of autism. Mental health conditions are often underdiagnosed in adults with intellectual disability and do not always receive psychological interventions as recommended by the National Institute for Health and Care Excellent guidelines. To realise the national UK programme’s aim of stopping the overuse of medications in people with intellectual disability, it is important that these individuals have access to appropriate non-pharmacological interventions. The authors examined the relationship between an individual’s level of intellectual disability and the presence or absence of autism with access to relevant non-pharmacological interventions from specialist community intellectual disability services. Design/methodology/approach A cross-sectional study of adults accessing four specialist intellectual disability services in North West England in 2019. Findings There was a high prevalence of mental health comorbidity, even higher for autistic adults. However, a relatively small percentage of the study population was receiving psychological interventions. The most frequent non-pharmacological intervention was a positive behaviour support plan, irrespective of comorbid mental illnesses. Research limitations/implications Not having access to psychological interventions for the treatment of mental illness could result in poor health outcomes and increasing health inequalities. The study highlights the need for developing psychological interventions, particularly for those with moderate to severe intellectual disability and for those with associated autism. Originality/value This large sample study examined the relationship between intellectual disability level and the presence of autism with accessing psychological interventions.
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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