Classification of intellectual disability according to domains of adaptive functioning and between‐domains discrepancy in adults with epilepsy.
Background: In the Diagnostic and Statistical Manual of Mental Disorders–Fifth edition (DSM‐5), the diagnostic criteria of intellectual disability (ID) include three domains of adaptive deficits: the conceptual, social and practical. Substantial intra‐individual differences between domains can be co...
| Publicado en: | Journal of Intellectual Disability Research Vol. 63; no. 1; pp. 40 - 49 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=133559408&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 133559408 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09642633 EUL jtl: Journal of Intellectual Disability Research issn: 09642633 maglogo: Y pubinfo: dt: Jan2019 vid: 63 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 133559408 133559408 133559408 10.1111/jir.12556 133559408 ppf: 40 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Classification of intellectual disability according to domains of adaptive functioning and between‐domains discrepancy in adults with epilepsy. aug: au: Ool, J. S. Snoeijen‐Schouwenaars, F. M. Tan, I. Y. Schelhaas, H. J. Aldenkamp, A. P. Hendriksen, J. G. M. affil: Department of Residential Care, Kempenhaeghe Epilepsy Centre, Heeze The Netherlands sug: subj: Persons with Disabilities Psychosocial Factors Intellectual Disability Classification Adaptation, Psychological Evaluation Epilepsy Diagnosis Human Middle Age Adult DSM Intelligence Tests Odds Ratio Severity of Illness Age of Onset Conceptual Framework Social Behavior Health Personnel Intellectual Disability Diagnosis Scales Health Knowledge Special Populations Epilepsy, Partial, Focal Diagnosis Epilepsy, Generalized Diagnosis Seizures Diagnosis Middle Aged: 45-64 years Adult: 19-44 years ab: Background: In the Diagnostic and Statistical Manual of Mental Disorders–Fifth edition (DSM‐5), the diagnostic criteria of intellectual disability (ID) include three domains of adaptive deficits: the conceptual, social and practical. Substantial intra‐individual differences between domains can be considered an ID domain discrepancy. Method: We explored the associations between ID domains, discrepancies and epilepsy in 189 adults (mean age = 47.9; SD = 15.6). Each DSM‐5 ID domain was assessed separately, using subscales of the Vineland II for the social and practical domains, and psychological instruments, including intelligence tests, for the conceptual domain. A set of standardised criteria is proposed to identify an ID domain discrepancy. Results: An ID domain discrepancy seemed to be present in about one‐third of subjects and was particularly present in subjects with moderate ID (53.4%). Impairment in the social domain was most often the reason for the discrepancy. The presence of a discrepancy was significantly related to a focal (localised) epilepsy type (OR = 2.3, P = .028) and a mixed seizure type (OR = 1.4, P = .009). Epilepsy characteristics that are indicative of a more severe and refractory epilepsy, including various seizure types, a high seizure frequency, a combined epilepsy type (both focal and generalised epilepsy) and an early age at onset, were significantly related to more severe impairments in conceptual, social and practical adaptive behaviour (all P values <.01). Conclusions: With a substantial proportion of the subjects who had both ID and epilepsy with an ID discrepancy, professionals should be aware of this and take all domains of ID into account when studying or working with this vulnerable population. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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