ABSTRACT

Introduction: Individuals with Down syndrome (DS) and IDD have lower psychiatric disorders rates than other individuals with IDD, and more information is needed about possible unique mental health needs of this group.

Method: De-identified intake data for individuals with IDD, 101 with DS (mean age 27) and 4,366 without DS (mean age 25) served in START, a tertiary care mental health crisis response program, were reviewed. Behavioral health, and medical factors were investigated using Chi-squared or t-tests at p < .05, and logistic/linear regression models.

Results: People with DS referred for behavioral health conditions were less likely than counterparts with IDD without DS, to be diagnosed with ADHD (OR = 0.47), ASD (OR = 0.31), and to be taking psychotropics (OR = 0.23), and to have significantly lower irritability/agitation, hyperactivity/noncompliance, and inappropriate speech ABC subscale scores while having more endocrine conditions (OR = 2.61).

Discussion: In this study, individuals with IDD with and without DS referred for mental health challenges showed varied physical and mental health conditions.

摘要

简介：唐氏综合症（DS）和IDD患儿的精神病患病率低于其他IDD患儿，因此需要更多有关该人群可能独特的心理健康需求的信息。

方法：对三级护理精神卫生危机应对计划START中提供的IDD，101名DS（平均年龄为27岁）和4,366名没有DS（平均年龄为25岁）的个体的去身份摄入数据进行了回顾。使用卡方检验或t检验（p <.05）和逻辑/线性回归模型对行为健康和医学因素进行了调查。

结果：被推荐为行为健康状况的DS患者比没有DS的IDD患者更容易被诊断为ADHD（OR = 0.47），ASD（OR = 0.31）和服用精神药物（OR = 0.23），并且具有更多的内分泌条件（OR = 2.61），从而显着降低了烦躁/躁动，活动过度/不依从以及不适当的语音ABC量表分数。

讨论：在这项研究中，患有IDD和患有DS的IDD患者因精神健康挑战而表现出不同的身心健康状况。