alexa Comorbidity of intellectual disability and mental disorder in children and adolescents: a systematic review.
Psychiatry

Psychiatry

Journal of Mental Disorders and Treatment

Author(s): Einfeld SL, Ellis LA, Emerson E

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Abstract BACKGROUND: Mental disorder and intellectual disability each accounts for substantial burden of disease. However, the extent of this co-occurrence varies substantially between reports. We sought to determine whether studies in children and/or adolescents with acceptably rigorous methods can be distinguished from existing reports, and whether key risk factors could be ascertained. METHOD: Published studies investigating the prevalence of mental disorders in children and/or adolescents with intellectual disability were reviewed. RESULTS: Nine studies with acceptable methods were identified, 4 which compared the prevalence of mental disorder in populations of those with and without intellectual disability, and a further 5 studies that estimated the rates of mental disorder in those with intellectual disability were identified. Collectively, these studies demonstrate rates of comorbidity for children and adolescents between 30 and 50\% with a relative risk of mental disorder associated with intellectual disability ranging from 2.8-4.5. The risks for this comorbidity associated with age, gender, severity of intellectual disability, and socioeconomic status remain uncertain. CONCLUSIONS: Appreciation of this comorbidity needs to be a fundamental component of both mental health and intellectual disability services. © 2011 Australasian Society for Intellectual Disability, Inc. This article was published in J Intellect Dev Disabil and referenced in Journal of Mental Disorders and Treatment

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