Background: There is no study to date that has examined the association between history of abuse and adaptive functioning deficits in youth with co-occurring and psychotic disorders or mood disorders.

Method: This study used a retrospective chart review of 98 youth under the age of 18 (Mean age = 16.06 years) with co-occurring intellectual impairment (Mean IQ = 63.9) and psychotic disorders, mood disorders, or other psychiatric disorders. Using multi-mediation models in the path analytic framework, this study examined the relationships between psychiatric diagnosis (based on DSM-IV criteria), cognitive functioning (Full Scale IQ Scores), adaptive functioning (Socialization, Communication, Motor Skills, Daily Living Skills), and the presence of the history of physical, sexual, and/or emotional abuse/neglect.

Results: A very high incidence of all three forms of abuse was present in the study sample, with more than three-quarters of the youth having experienced at least one form of abuse and more than half having experienced two or the three forms of abuse. A history of sexual abuse was significantly and directly associated with an increased incidence of mood disorders. Mood disorders were the strongest predictors of adaptive functioning deficits. Youth with schizophrenia spectrum disorder scored significantly lower in communication skills than those with bipolar disorder.

Conclusion: Results are discussed in terms of the need for treatment studies and further investigations of the relationship between childhood maltreatment and adaptive functioning in youth with intellectual impairment and psychiatric disorders.

背景：迄今为止，尚无研究探讨滥用史与同时发生的精神病或情绪障碍的年轻人的适应性功能障碍之间的关系。

方法：本研究使用回顾性图表回顾法，对98名18岁以下（平均年龄= 16.06岁）的青年患者同时发生智力障碍（平均智商= 63.9）和精神病，情绪障碍或其他精神病进行回顾。本研究使用路径分析框架中的中介模型，研究了精神病诊断（基于DSM-IV标准），认知功能（全面智商得分），适应性功能（社交，沟通，运动技能，日常生活技能）之间的关系。 ），以及是否存在身体，性和/或情感虐待/忽视的历史。

结果：研究样本中所有三种形式的虐待发生率都很高，超过四分之三的青年经历了至少一种形式的虐待，而超过一半的青年经历了两种或三种形式的虐待。性虐待史与情绪障碍发生率显着直接相关。情绪障碍是适应性功能障碍的最强预测因子。精神分裂症谱系障碍的青年人的沟通技巧得分明显低于躁郁症。

结论：就治疗研究的需求以及对儿童期虐待与智力障碍和精神病患者的适应能力之间关系的进一步研究进行了讨论。