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Comparing Rates of Psychiatric and Behavior Disorders in Adolescents and Young Adults with Severe Intellectual Disability with and without Autism

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Abstract

Eight males and four females with an Autism Diagnostic Interview-Revised (ADI-R) diagnosis of autism (mean age of 16.3 years) and severe intellectual disability (IQ < 40) were individually matched to controls on the basis of chronological age, gender, and nonverbal IQ. The dependent measure was the Diagnostic Assessment for the Severely Handicapped-II, which is used to screen for psychiatric and behavior disorders in lower-functioning individuals. Participants with autism showed significantly greater disturbances as measured by the Diagnostic Assessment for the Severely Handicapped-II total score and seven of 13 subscales. They also averaged 5.25 clinically significant disturbances compared with 1.25 disturbances for participants without autism. Specific vulnerabilities to anxiety, mood, sleep, organic syndromes, and stereotypies/tics were found in the participants with comorbid autism.

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Reference

  • American Academy of Child and Adolescent Psychiatry (1999). Practice parameters for the assessment and treatment of children, adolescents, and adults with autism and other pervasive developmental disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 32S-54S.

    Google Scholar 

  • American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders. (4th ed.). Washington, DC: Author.

  • Borthwick-Duffy, S. A. (1994). Epidemiology and prevalence of psychopathology in people with mental retardation. Journal of Consulting and Clinical Psychology, 62, 17-27.

    Google Scholar 

  • Bradley, E. A., Thompson, A., & Bryson, S. E. (2002). Mental retardation in teenagers: Prevalence data from the Niagara Region, Ontario, Canada. Canadian Journal of Psychiatry, 47, 427-434.

    Google Scholar 

  • Bregman, J. D. (1991). Current developments in the understanding of mental retardation. Part II: Psychopathology. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 861-872.

    Google Scholar 

  • Brereton, A. V., & Tonge, B. J. (2001, September). Psychopathology in children and adolescents with autism compared to an epidaemiological sample of young people with intellectual disability and syndrome groups. Paper presented at the Australian National Autism Conference, Adelaide, Australia.

  • Bryson, S. E. (1996). Brief report: Epidemiology of autism. Journal of Autism and Developmental Disorders, 26, 165-167.

    Google Scholar 

  • Bryson, S. E., & Bradley, E. A. (2004). Prevalence of autism among adolescents with intellectual disability. Manuscript in preparation.

  • Cherry, K. E., Matson, J. L., & Paclawskyj, T. R. (1997). Psychopathology in older adults with severe and profound mental retardation. American Journal on Mental Retardation, 101, 445-458.

    Google Scholar 

  • Deb, S., Matthews, T., Holt, G., & Bouras, N. (Eds.) (2001). Practice guidelines for the assessment and diagnosis of mental health problems in adults with intellectual disability. The European Association for Mental Health in Mental Retardation. Brighton: Pavilion Press.

    Google Scholar 

  • Dunn, L. M., & Dunn, L. M. (1981). Manual for the Peabody Picture Vocabulary Test-Revised, Forms L and M. Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • Dykens, E. M., Hodapp, R. M., & Finucane, B. M. (2000). Genetics and Mental Retardation Syndromes. Baltimore, MD: Paul Brookes Publishing.

    Google Scholar 

  • Fombonne, E. (1992). Diagnostic assessment in a sample of autistic and developmentally impaired adolescents. Journal of Autism and Developmental Disorders, 22, 563-581.

    Google Scholar 

  • Ghaziuddin, M., Alessi, N., & Greden, J. F. (1995). Life events and depression in children with autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 25, 495-502.

    Google Scholar 

  • Gillberg, C., & Schaumann, H. (1981). Infantile autism and puberty. Journal of Autism and Developmental Disorders, 11, 365-371.

    Google Scholar 

  • Gillberg, C., & Steffenburg, S. (1987). Outcome and prognostic factors in infantile autism and similar conditions: A populationbased study of 46 cases followed through puberty. Journal of Autism and Developmental Disorders, 17, 273-287.

    Google Scholar 

  • Kim, J. A., Szatmari, P., Bryson, S. E., Streiner, D. L., & Wilson, F. J. (2000). The prevalence of mood problems among children with autism and Asperger syndrome. Autism, 4, 117-132.

    Google Scholar 

  • King, B. H., DeAntonio, C., McCracken, J. T., Forness, S. R., & Ackerland, V. (1994). Psychiatric consultation in severe and profound mental retardation. American Journal of Psychiatry, 151, 1802-1808.

    Google Scholar 

  • Kobayashi, R., Murata, T., & Yashinaga, K. (1992). Afollow-up study of 201 children with autism in Kyushu and Yamaguchi Areas, Japan. Journal of Autism and Developmental Disorders, 22, 395-411.

    Google Scholar 

  • Lainhart, J. E., & Folstein, S. E. (1994). Affective disorders in people with autism: A review of published cases. Journal of Autism and Developmental Disorders, 24, 587-601.

    Google Scholar 

  • Lord, C., Riei, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., Pickles, A., & Rutter, M. (2000). The Autism Diagnostic Observation Schedule-Generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205-223.

    Google Scholar 

  • Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659-685.

    Google Scholar 

  • Matson, J. L. (1995). The Diagnostic Assessment for the Severely Handicapped-Revised (DASH-II). Baton Rouge, LA: Scientific Publishers.

    Google Scholar 

  • Matson, J. L., Baglio, C. S., Smiroldo, B. B., Hamilton, M., & Paclawskyj, T. (1996a). Characteristics of autism as assessed by the Diagnostic Assessment for the Severely Handicapped-II (DASH-II). Research in Developmental Disabilities, 17, 135-143.

    Google Scholar 

  • Matson, J. L., Benavidez, D. A., Compton, L. S., Paclawskyj, T., & Baglio, C. (1996b). Behavioral treatment of autistic persons: A review of research from 1980 to the present. Research in Developmental Disabilities, 17, 433-465.

    Google Scholar 

  • Matson, J. L., Coe, D. A., Gardner, W. I., & Sovner, R. (1991a). A factor analytic study of the Diagnostic Assessment for the Severely Handicapped. Journal of Nervous and Mental Disease, 179, 553-557.

    Google Scholar 

  • Matson, J. L., Gardner, W. I., Coe, D. A., & Sovner, R. (1991b). A scale for evaluating emotional disorders in severely and profoundly mentally retarded persons. British Journal of Psychiatry, 159, 404-409.

    Google Scholar 

  • Matson, J. L., Rush, K. S., Hamilton, M., Anderson, S. J., Bamburg, J. W., Baglio, C. S., Williams, D., & Kirkpatrick-Sanchez, S. (1999). Characteristics of depression as assessed by the Diagnostic Assessment for the Severely Handicapped-II (DASH-II). Research in Developmental Disabilities, 20, 305-313.

    Google Scholar 

  • Matson, J. L., & Smiroldo, B. B. (1997). Validity of the mania subscale of the Diagnostic Assessment for the Severely Handicapped-II (DASH-II). Research in Developmental Disabilities, 18, 221-225.

    Google Scholar 

  • Matson, J. L., Smiroldo, B. B., & Hastings, T. L. (1998). Validity of the autism/pervasive developmental disorders subscale of the Diagnostic Assessment for the Severely Handicapped-II. Journal of Autism and Developmental Disorders, 28, 77-81.

    Google Scholar 

  • Miller, R. G. (1996). Beyond ANOVA: Basics of applied statistics (2nd ed.). London: Chapman and Hall.

    Google Scholar 

  • Nordin, V., & Gillberg, C. (1996). Autism spectrum disorders in children with physical or mental disability or both. II Screening aspects. Developmental Medicine and Child Neurology, 38, 314-324.

    Google Scholar 

  • Palisano, R., Rosenbaum, P., Walter, S., Russell, D., Wood, E., & Galuppi, B. (1997). Gross motor function classification system for cerebral palsy. Developmental Medicine and Child Neurology, 39, 214-223.

    Google Scholar 

  • Reid, A. H. (1980). Diagnosis of psychiatric disorder in the severely and profoundly mentally retarded. Journal of the Royal Society of Medicine, 73, 607-609.

    Google Scholar 

  • Royal College of Psychiatrists (2001). Diagnostic Criteria for Psychiatric Disorders for Use with Adults with Learning Disabilities/ Mental Retardation (DC-LD). London: Gaskell Press.

    Google Scholar 

  • Rutter, M., Greenfield, D., & Lockyer, L. (1967). A five-to-fifteen year follow up study of infantile psychosis: II. Social and behavioural outcomes. British Journal of Psychiatry, 113, 1183-1189.

    Google Scholar 

  • Sevin, J. A., Matson, J. L., Williams, D., & Kirkpatrick-Sanchez, S. (1995). Reliability of emotional problems with the Diagnostic Assessment for the Severely Handicapped (DASH). British Journal of Clinical Psychology, 34, 93-94.

    Google Scholar 

  • Sillanpaa, M. (1999). Definitions and epidemiology. In M. Sillanpaa, L. Gram, S. I. Johannessnen, & T. Tomson (Eds.), Epilepsy and mental retardation (pp. 1-5). Petersfield, Hampshire: Wrightson Biomedical.

    Google Scholar 

  • Sparrow, S. S., Balla, D. A., & Cicchetti, D. V. (1984). Vineland Adaptive Behavior Scales: Survey Form Manual. Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • Statistics Canada, CANSIM (1996). Population by age group. Ottawa: Author.

  • Stromme, P., & Diseth, T. H. (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 

  • Stutsman, R. (1948). Guide for administering the Merrill-Palmer Scale of Mental Tests. New York: Harcourt, Brace, & World.

    Google Scholar 

  • Tsai, L. Y. (1996). Brief report: Cormorbid psychiatric disorders of autistic disorder. Journal of Autism and Developmental Disorders, 26, 159-163.

    Google Scholar 

  • Wechsler, D. (1974). Wechsler Intelligence Scale for Children-Revised. San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Wechsler, D. (1981). Wechsler Adult Intelligence Scale-Revised. San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • World Health Organization (1992). The ICD-10 Classification of Mental and Behavioural Disorders-Clinical Descriptions and Diagnostic Guidelines. Geneva: Author.

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Authors and Affiliations

  1. Surrey Place Centre and the Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada

    Elspeth A. Bradley

  2. Hamilton Health Sciences and McMaster University, Hamilton, Ontario, Canada

    Jane A. Summers

  3. The Hospital for Sick Children, Toronto, Ontario, Canada

    Hayley L. Wood

  4. Department of Pediatrics and Psychology, Dalhousie University, Halifax, Nova Scotia, Canada

    Susan E. Bryson

Authors
  1. Elspeth A. Bradley
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  2. Jane A. Summers
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  3. Hayley L. Wood
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  4. Susan E. Bryson
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Bradley, E.A., Summers, J.A., Wood, H.L. et al. Comparing Rates of Psychiatric and Behavior Disorders in Adolescents and Young Adults with Severe Intellectual Disability with and without Autism. J Autism Dev Disord 34, 151–161 (2004). https://doi.org/10.1023/B:JADD.0000022606.97580.19

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  • DOI: https://doi.org/10.1023/B:JADD.0000022606.97580.19

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