ABSTRACT
A 24-item short form of the 96-item Developmental Behaviour Checklist was developed to provide a brief measure of Total Behaviour Problem Score for research purposes. The short form Developmental Behaviour Checklist (DBC-P24) was chosen for low bias and high precision from among 100 randomly selected item sets. The DBC-P24 was developed from epidemiological data in the first three waves of the Australian Child to Adult Development study, and cross validated for groups with autism, fragile X, Prader-Willi, and Williams in this longitudinal study and in cross sectional Dutch, English, and Finnish samples of young people with intellectual disability. The DBC-P24 has low bias and high precision in cross-validation samples and achieves high sensitivity and specificity to full DBC-P based caseness decisions.
Subject(s)
Child Behavior Disorders/diagnosis , Intellectual Disability/diagnosis , Personality Assessment/statistics & numerical data , Adolescent , Adult , Autistic Disorder/diagnosis , Autistic Disorder/psychology , Child , Child Behavior Disorders/psychology , Cross-Cultural Comparison , Female , Finland , Fragile X Syndrome/diagnosis , Fragile X Syndrome/psychology , Humans , Intellectual Disability/psychology , Longitudinal Studies , Male , Netherlands , New South Wales , Prader-Willi Syndrome/diagnosis , Prader-Willi Syndrome/psychology , Psychometrics/statistics & numerical data , Reproducibility of Results , Williams Syndrome/diagnosis , Williams Syndrome/psychologySubject(s)
Brain Neoplasms/complications , Brain Neoplasms/diagnosis , Psychotic Disorders/diagnosis , Psychotic Disorders/etiology , Brain Neoplasms/therapy , Chemotherapy, Adjuvant , Combined Modality Therapy , Female , Follow-Up Studies , Humans , Middle Aged , Neurosurgical Procedures/methods , Radiotherapy, Adjuvant , Risk Assessment , Severity of Illness Index , Treatment OutcomeABSTRACT
Structured checklists have been used to supplement psychiatric assessment of children with normal intelligence, but for children with intellectual disability, only a few checklists exist. We evaluated the Child Behavior Checklist (CBCL) in the assessment of psychopathology in Finnish children with intellectual disability. The CBCL was completed by parents or other carers of 90 children aged 6-13 years. Of the 118 CBCL problem items, the lowest scores were for 'Suicidal talks' and 'Alcohol, drugs', and the highest score for 'Acts too young'. Total Problem, Internalizing, and Externalizing scores were highest among children with moderate intellectual disability and lowest among those with profound intellectual disability. Externalizing scores were significantly higher among children with mild or moderate intellectual disability than among those with severe or profound intellectual disability. Compared with the original normative samples, Total Problem scores were higher in the present study. With a T-score cut-off point of 60, the rated frequency of psychiatric disorders was 43%. We conclude that, despite certain limitations, the CBCL can be used in the assessment of psychopathology among children with mild intellectual disability but is less reliable for those with moderate, severe, or profound intellectual disability.
Subject(s)
Child Behavior Disorders/diagnosis , Intellectual Disability/diagnosis , Mental Disorders/diagnosis , Surveys and Questionnaires , Adolescent , Catchment Area, Health , Child , Child Behavior Disorders/epidemiology , Female , Finland/epidemiology , Humans , Intellectual Disability/epidemiology , Male , Mental Disorders/epidemiology , Reproducibility of Results , Severity of Illness IndexABSTRACT
We investigated psychiatric disorders in intellectually disabled children; the prevalence rate and types of psychiatric disorders, and the association of psychiatric disorders with sex, residence type, level of disability, and epilepsy were examined. The population comprised 155 intellectually disabled children. Medical information was obtained from case files, which indicated that a psychiatric disorder had previously been diagnosed for 11% of patients. A careful re-examination of the case files revealed a psychiatric disorder for 33%. The criteria of a psychiatric ICD-10 diagnosis were fulfilled by 23%, and a further 10% had an unspecified mental disorder. The most common diagnoses were pervasive developmental disorders and hyperkinetic disorders. The former were less common among children with mild intellectual disability. In conclusion, about one-third of children with intellectual disability have a psychiatric disorder which needs to be taken into account in treatment.
