QUALITY OF LIFE IN CHILDREN WITHINTELLECTUAL DISABILITIES ANDCOMORBID MENTAL HEALTH PROBLEMS
Reem Mohamed Refaat El Fiky;
Abstract
Background: There has been a growing interest in the quality of life in the field of intellectual/developmental disabilities. Having co-morbid mental disorders, psychological and behavioral problems on top of intellectual disabilities headed more negative impacts on wellbeing of these individuals and their care-givers.
Objectives: are to assess the differential coexistence of Mental Health Problems and Intellectual Disabilities, evaluate their effect and relative correlates on the Quality of Life of Intellectual Disabilities studied subjects.
Methodology: Thirty mild to moderate (IQ:56.7+/-6.4) ID children aged 5-10 years , with co-morbid MHPs were compared to a similar number of matched ID children (IQ : 60.9 +/- 2.7) without MHPs, both were recruited from outpatients clinics of Ain Shams University, during the period from December 2015 to August 2016. All consenting participants’ IQs were estimated, their present mental status was screened adopting DSM-5 criteria, and use of CBCL, SDQ, and equipped with PedsQL for their current quality of life.
Results: co-morbid mental disorders were seen in 86.7% of ID study individuals, most commonly as ADHD, mood disorders, ASD, anxiety disorders, and impulse control/conduct disorders in 23.3%, 16.7%,13.3%, 13.3%, and 10% respectively. Co-morbid mental problemswere recorded in 93.3%, described as being aggressive (26.7%), disruptive (23.3%), and socially-relating (20%). Aggressive behavior was commoner in boys, moderate degrees of ID, presence of co-morbid mental disorders and seizures. Such MHPs were mediators of poor QoL of ID children. CBCL confirmed the clinical evaluation sensitively in all areas except somatic complaints and thought problems. SDQs total difficulties rationalized the sub-grouping of the study sample and rated prosocial and peer relations as being affected by MHPs, less obviously on conduct behaviors. Clinical judgment on QoL found no differences in physical well-being, rights, self-determination, and personal development, but rated significantly inadequate emotional well-being, social inclusion and interpersonal relations. PedsQL displayed lower QoL in the study group, capturing domains of psycho-social health, but not studies and physical health.
Conclusions: Dual diagnosis of Mental Health Problems with Intellectual Disabilities is a direct risk for a more negative impact on QoL of such subjects. Implications of the findings for intervention, research, and policy are explored, with the goal of promoting optimal well-being for ID children.
Keywords: Quality of life, Children, Intellectual disabilities and Mental health problems.
Objectives: are to assess the differential coexistence of Mental Health Problems and Intellectual Disabilities, evaluate their effect and relative correlates on the Quality of Life of Intellectual Disabilities studied subjects.
Methodology: Thirty mild to moderate (IQ:56.7+/-6.4) ID children aged 5-10 years , with co-morbid MHPs were compared to a similar number of matched ID children (IQ : 60.9 +/- 2.7) without MHPs, both were recruited from outpatients clinics of Ain Shams University, during the period from December 2015 to August 2016. All consenting participants’ IQs were estimated, their present mental status was screened adopting DSM-5 criteria, and use of CBCL, SDQ, and equipped with PedsQL for their current quality of life.
Results: co-morbid mental disorders were seen in 86.7% of ID study individuals, most commonly as ADHD, mood disorders, ASD, anxiety disorders, and impulse control/conduct disorders in 23.3%, 16.7%,13.3%, 13.3%, and 10% respectively. Co-morbid mental problemswere recorded in 93.3%, described as being aggressive (26.7%), disruptive (23.3%), and socially-relating (20%). Aggressive behavior was commoner in boys, moderate degrees of ID, presence of co-morbid mental disorders and seizures. Such MHPs were mediators of poor QoL of ID children. CBCL confirmed the clinical evaluation sensitively in all areas except somatic complaints and thought problems. SDQs total difficulties rationalized the sub-grouping of the study sample and rated prosocial and peer relations as being affected by MHPs, less obviously on conduct behaviors. Clinical judgment on QoL found no differences in physical well-being, rights, self-determination, and personal development, but rated significantly inadequate emotional well-being, social inclusion and interpersonal relations. PedsQL displayed lower QoL in the study group, capturing domains of psycho-social health, but not studies and physical health.
Conclusions: Dual diagnosis of Mental Health Problems with Intellectual Disabilities is a direct risk for a more negative impact on QoL of such subjects. Implications of the findings for intervention, research, and policy are explored, with the goal of promoting optimal well-being for ID children.
Keywords: Quality of life, Children, Intellectual disabilities and Mental health problems.
Other data
| Title | QUALITY OF LIFE IN CHILDREN WITHINTELLECTUAL DISABILITIES ANDCOMORBID MENTAL HEALTH PROBLEMS | Other Titles | جودة نوعية الحياة في الأطفال المصابين بإعاقات ذهنية والمشكلات الصحية المصاحبة | Authors | Reem Mohamed Refaat El Fiky | Issue Date | 2016 |
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