HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS Psychiatric Bulletin Advances in Psychiatric Treatment All RCPsych Journals		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Data supplement Submit an eLetter Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Related articles in BJP Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by SMILEY, E. Articles by MORRISON, J. Search for Related Content PubMed PubMed Citation Articles by SMILEY, E. Articles by MORRISON, J.

Incidence and predictors of mental ill-health in adults with intellectual disabilities

Prospective study

Section of Psychological Medicine, Division of Community Based Sciences, University of Glasgow

DIPALI MANTRY, MRCPsych

National Health Service Greater Glasgow and Clyde, Glasgow

CATHERINE McGROTHER, FFPH

Department of Health Sciences, University of Leicester, Leicester

ALEX McCONNACHIE, PhD

Robertson Centre for Biostatistics, University of Glasgow

JILLIAN MORRISON, PhD, FRCGP

Section of General Practice, Division of Community Based Sciences, University of Glasgow, Glasgow, UK

Correspondence: Professor Sally-Ann Cooper, Section of Psychological Medicine, Division of Community Based Sciences, University of Glasgow, Academic Centre, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow G12 0XH, UK. Tel: +44(0)141 211 0690; fax +44(0)141 357 4899; email: SACooper{at}clinmed.gla.ac.uk

Declaration of interest None. Funding detailed in Acknowledgements.

Background The point prevalence of mental ill-health among adults with intellectual disabilities is 40.9%, but its incidence is unknown.

Aims To determine the incidence and possible predictors of mental ill-health.

Method Prospective cohort study to measure mental ill-health in adults with mild to profound intellectual disabilities.

Results Cohort retention was 70% (n=651). The 2-year incidence of mental ill-health was 16.3% (12.6% excluding problem behaviours, and 4.6% for problem behaviours) and the standardised incidence ratio was 1.87 (95% CI1.51–2.28). Factors related to incident mental ill-health have some similarities with those in the general population, but also important differences. Type of accommodation and support, previous mental ill-health, urinary incontinence, not having impaired mobility, more severe intellectual disabilities, adult abuse, parental divorce in childhood and preceding life events predicted incident ill-health; however, deprivation, other childhood abuse or adversity, daytime occupation, and marital and smoking status did not.

Conclusions This is a first step towards intervention trials, and identifying subpopulations for more proactive measures. Public health strategy and policy that is appropriate for this population should be developed.

Related articles in BJP:

Highlights of this issue

KIMBERLIE DEAN
BJP 2007 191: 27913-279. [Full Text]