Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-09T05:50:49.576Z Has data issue: false hasContentIssue false
  • English
  • Français

Hyperkinetic disorder in a community service for people with intellectual disability

Published online by Cambridge University Press:  03 October 2018

Sonn Patel  and
Evan Yacoub
Sonn Patel*
Affiliation:
Brothers of Charity, Woodlands Centre, Renmore, Galway, Ireland
Evan Yacoub
Affiliation:
Galway/Mayo/Roscommon Mental Health Service, Galway, Ireland
*
*Address for correspondence: Dr Sonn Patel, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland. (Email: [email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

There appears to be a higher rate of prevalence of hyperkinetic disorder in the intellectual disability (ID) population, although there is a large variability in rates in previous studies. Hyperkinetic disorder can be a challenge to diagnose in a population with ID and can present a barrier to the development of the activities of daily living in an already vulnerable population.

Objectives

Our objective was to examine the point prevalence of hyperkinetic disorder in the ID population in a community ID service and also to determine the prevalence of hyperkinetic disorder based on the level of ID.

Methods

A cross-sectional review of the Online Information Service ‘OLIS’ database was undertaken to establish the total number of patients with ID and those with comorbid hyperkinetic disorder. The overall point prevalence and prevalence based on the level of ID was calculated from the collected data.

Results

The point prevalence of hyperkinetic disorder in the population with ID was similar to that found in studies in the general population at 3.1% in adults and 32.6% in children. When divided by the level of disability, the calculated point prevalence in both adults and children was highest in the population with mild ID and decreased as the level of disability increased.

Conclusion

This report contributes to previous research establishing the rates of hyperkinetic disorder in an ID population and establishes the point prevalence of hyperkinetic disorder in individuals diagnosed with ID in a clinical sample.

Keywords

Attention deficit hyperactivity disorderepidemiologyID, intellectual disabilityprevalencehyperkinetic disorder
Type
Short Report
Information
Irish Journal of Psychological Medicine , Volume 38 , Issue 3 , September 2021 , pp. 177 - 181
Copyright
© College of Psychiatrists of Ireland 2018

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ahuja, A, Martin, J, Langley, K, Thapar, A (2013). Intellectual disability in children with attention deficit hyperactivity disorder. Journal of Pediatrics 163, 890–895.CrossRefGoogle ScholarPubMed
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th edn. American Psychiatric Publishing: Arlington, VA.Google Scholar
Antshel, MK, Philips, MH, Gordon, M, Barkley, R, Farone, SV (2006). Is ADHD a valid disorder in children with intellectual delays? Clinical Psychology Review 26, 555–572.CrossRefGoogle ScholarPubMed
Buckley, S, Dodd, P, Burke, A, Guerin, S, McEvoy, J, Hillery, J (2006). Diagnosis and management of attention‐deficit hyperactivity disorder in children and adults with and without learning disability. Psychiatric Bulletin 30, 251–253.10.1192/pb.30.7.251CrossRefGoogle Scholar
Chan, E, Folger, JM, Hammerness, PG (2016). Treatment of attention-deficit/hyperactivity disorder in adolescents: a systematic review. JAMA 315, 1997–2008.CrossRefGoogle ScholarPubMed
Cooper, SA, Smiley, E, Morrison, J, Williamson, A, Allan, L (2007). Mental ill health in adults with intellectual disabilities: prevalence and associated factors. British Journal of Psychiatry 190, 27–35.CrossRefGoogle ScholarPubMed
Dekker, MC, Koot, HM (2003). DSM-IV disorders in children with borderline to moderate intellectual disability. I: prevalence and impact. Journal of the American Academy of Child and Adolescent Psychiatry 42, 915–922.CrossRefGoogle ScholarPubMed
Emerson, E, Hatton, C (2007). Mental health of children and adolescents with intellectual disabilities in Britain. British Journal of Psychiatry 191, 493–499.10.1017/CBO9781107588714.013CrossRefGoogle Scholar
Evans, E, Trollor, J (2016). ADHD. In Psychiatric and Behavioural Disorders in Intellectual and Developmental Disabilities (ed. C. Hemmings and N. Bouras), pp. 129–138. Cambridge University Press.3.0.CO;2-X>CrossRefGoogle ScholarPubMed
Fuller, CG, Sabatino, DA (1998). Diagnosis and treatment considerations with comorbid developmentally disabled populations. Journal of Clinical Psychology 54, 1–10.CrossRefGoogle ScholarPubMed
Hardan, A, Sahl, R (1997). Psychopathology in children and adolescents with developmental disorders. Research in Developmental Disabilities 18, 369–382.CrossRefGoogle ScholarPubMed
Hastings, RP, Beck, A, Daley, D, Hill, C (2005). Symptoms of ADHD and their correlates in children with intellectual disabilities. Research in Developmental Disabilities 26, 456–468.Google Scholar
Health Service Executive (HSE) (2014). Fifth annual child & adolescent mental health service report 2012–2013. Naas, HSE.CrossRefGoogle Scholar
Hendriksen, JGM, Peijnenborgh, JCAW, Aldenkamp, AP, Vles, JSH (2015). Diagnostic overshadowing in a population of children with neurological disabilities: A cross sectional descriptive study on acquired ADHD. European Journal of Paediatric Neurology 19, 521–524.CrossRefGoogle ScholarPubMed
Johnson, CR, Lubetsky, MJ, Sacco, K (1995). Psychiatric and behavioral disorders in hospitalised preschoolers with developmental disabilities. Journal of Autism and Developmental Disorders 25, 169–182.10.1097/WCO.0000000000000299CrossRefGoogle ScholarPubMed
King, B (2016). Psychiatric comorbidities in neurodevelopmental disorders. Current Opinion in Neurology 29, 113–117.10.1016/j.ridd.2007.02.002CrossRefGoogle Scholar
La Malfa, G, Lassi, S, Bertelli, M, Pallanti, S, Albertini, G (2008). Detecting attention-deficit/hyperactivity disorder (ADHD) in adults with intellectual disability. The use of Conners’ Adult ADHD Rating Scales (CAARS). Research in Developmental Disabilities 29, 158–164.Google ScholarPubMed
Memišević, H, Sinanović, O (2015). Attention Deficit Hyperactivity Disorder in Children with Intellectual Disability in Bosnia and Herzegovina. Collegium Antropologicum 39, 27–31.Google Scholar
National Institute for Health and Clinical Excellence (NICE) (2008). Attention Deficit and Hyperactivity Disorder: diagnosis and management of ADHD in children, young people and adults. NICE guideline (CG72). https://www.nice.org.uk/guidance/CG72.10.1111/j.1365-2788.2011.01416.xCrossRefGoogle ScholarPubMed
Neece, CL, Baker, BL, Blacher, J, Crnic, KA (2011). Attention-deficit/hyperactivity disorder among children with and without intellectual disability: an examination across time. Journal of Intellectual Disability Research 55, 623–635.CrossRefGoogle ScholarPubMed
Neece, CL, Baker, BL, Crnic, K, Blacher, J (2013). Examining the validity of ADHD as a diagnosis for adolescents with intellectual disabilities: clinical presentation. Journal of Abnormal Child Psychology 41, 597–612.10.1016/j.ridd.2013.02.025CrossRefGoogle ScholarPubMed
Neece, C, Baker, BL, Lee, SS (2013). ADHD among adolescents with intellectual disabilities: pre-pathway influences. Research in Developmental Disabilities 34, 2268–2279.10.1093/ije/dyt261CrossRefGoogle ScholarPubMed
Polanczyk, GV, Willcutt, EG, Salum, GA, Keiling, C, Rhode, LA (2014). ADHD prevalence estimates across three decades: an updated systematic review and meta-regression analysis. International Journal of Epidemiology 43, 434–442.CrossRefGoogle Scholar
Reilly, C, Holland, N (2011). Symptoms of attention deficit hyperactivity disorder in children and adults with intellectual disability: a review. Journal of Applied Research in Intellectual Disabilities 24, 291–309.CrossRefGoogle ScholarPubMed
Seager, MC, O’Brien, G (2003). Attention deficit hyperactivity disorder: review of ADHD in learning disability: the diagnostic criteria for psychiatric disorders for use with adults with learning disabilities/mental retardation [DC-LD] criteria for diagnosis. Journal of Intellectual Disability Research 47 (1): 26–31.10.1017/S0012162200000451CrossRefGoogle ScholarPubMed
Stromme, P, Diseth, TH (2000). Prevalence of psychiatric diagnoses in children with mental retardation: data from a population based study. Developmental Medicine and Child Neurology 42, 266–270.Google Scholar
Taylor, D, Paton, C, Kapur, S (2015). The Maudsley Prescribing Guidelines in Psychiatry, 12th edn. Wiley-Blackwell: West Sussex, UK.Google Scholar
Thapar, A, Cooper, M (2016). Attention deficit hyperactivity disorder. The Lancet 387, 1240–1250.CrossRefGoogle ScholarPubMed
World Health Organisation (1992). The ICD-10 classification of mental and behavioural disorders: clinical descriptors and diagnostic guidelines. World Health Organisation: Geneva.CrossRefGoogle ScholarPubMed