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Mood disorders in intellectual disability.

Anne D Hurley1

  • 1Tufts University School of Medicine, Harvard Vanguard Medical Associates, Wellesley, Massachusetts 02481, USA. hurleyannd@aol.com

Current Opinion in Psychiatry
|July 29, 2006
PubMed
Summary

Diagnosing mood disorders in individuals with intellectual disability (ID) is challenging due to communication barriers. However, behavioral symptoms and specialized scales aid diagnosis, with pharmacotherapy and electroconvulsive therapy proving effective treatments.

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Area of Science:

  • Psychiatry
  • Intellectual Disability Research

Background:

  • Intellectual disability (ID) often presents communication challenges impacting mental health assessment.
  • Atypical clinical presentations of mood disorders are common in individuals with ID.

Purpose of the Study:

  • To review research on diagnosing and treating mood disorders in people with intellectual disability.
  • To identify effective diagnostic methods and therapeutic interventions for this population.

Main Methods:

  • Systematic review of literature published from September 2004 to December 2005.
  • Analysis of informant-rating scales and self-report instruments for mood disorder assessment.

Main Results:

  • Behavioral symptoms, such as aggression, are frequently linked to mood disorders in ID.

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  • Pharmacotherapy and electroconvulsive therapy (ECT) demonstrated efficacy in treating mood disorders.
  • Mood disorders are prevalent in individuals with ID, though completed suicide is rare.
  • Conclusions:

    • Self-report measures are viable for milder ID; diagnosis for severe ID requires adapted criteria.
    • Behavioral equivalents of standard diagnostic criteria are supported for atypical presentations.
    • Standard pharmacological treatments are effective for depression, and ECT for treatment-resistant bipolar disorder in ID.