Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Mental health of children and adolescents with intellectual disabilities in Britain
AU - Emerson, Eric
AU - Hatton, Chris
PY - 2007/12
Y1 - 2007/12
N2 - Background Few studies have employed formal diagnostic criteria to determine the prevalence of psychiatric disorders in contemporaneous samples of children with and without intellectual disabilities. Aims To establish the prevalence of psychiatric disorders against ICD-10 criteria among children with and without intellectual disabilities, the association with social/environmental risk factors, and risk attributable to intellectual disability Method Secondary analysis of the 1999 and 2004 Off ice for National Statistics surveys of the mental health of British children and adolescents with (n=641) and without (n=17774) intellectual disability Results Prevalence of psychiatric disorders was 36% among children with intellectual disability and 8% among children without (OR=6.5). Children with intellectual disabilities accounted for 14% of all British children with a diagnosable psychiatric disorder. Increased prevalence was particularly marked for autistic-spectrum disorder (OR=33.4), hyperkinesis (OR=8.4) and conduct disorders (OR=5.7). Cumulative risk of exposure to social disadvantage was associated with increased prevalence. Conclusions A significant proportion of the elevated risk for psychopathology among children with intellectual disability may be due to their increased rate of exposure to psychosocial disadvantage.
AB - Background Few studies have employed formal diagnostic criteria to determine the prevalence of psychiatric disorders in contemporaneous samples of children with and without intellectual disabilities. Aims To establish the prevalence of psychiatric disorders against ICD-10 criteria among children with and without intellectual disabilities, the association with social/environmental risk factors, and risk attributable to intellectual disability Method Secondary analysis of the 1999 and 2004 Off ice for National Statistics surveys of the mental health of British children and adolescents with (n=641) and without (n=17774) intellectual disability Results Prevalence of psychiatric disorders was 36% among children with intellectual disability and 8% among children without (OR=6.5). Children with intellectual disabilities accounted for 14% of all British children with a diagnosable psychiatric disorder. Increased prevalence was particularly marked for autistic-spectrum disorder (OR=33.4), hyperkinesis (OR=8.4) and conduct disorders (OR=5.7). Cumulative risk of exposure to social disadvantage was associated with increased prevalence. Conclusions A significant proportion of the elevated risk for psychopathology among children with intellectual disability may be due to their increased rate of exposure to psychosocial disadvantage.
KW - PSYCHOPATHOLOGY
KW - PREVALENCE
KW - RETARDATION
KW - IMPACT
KW - DIFFICULTIES
KW - STRESS
U2 - 10.1192/bjp.bp.107.038729
DO - 10.1192/bjp.bp.107.038729
M3 - Journal article
VL - 191
SP - 493
EP - 499
JO - British Journal of Psychiatry
JF - British Journal of Psychiatry
SN - 1472-1465
ER -