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Personality disorder in mental handicap.

A H Reid1, B R Ballinger

  • 1Dundee Psychiatric Service, Strathmartine Hospital.

Psychological Medicine
|November 1, 1987
PubMed
Summary

Personality disorders are common in adults with intellectual disabilities. Over half of individuals studied showed abnormal personality features, with 22% exhibiting marked traits suggesting a disorder. These findings highlight the importance of personality assessment in community integration.

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Area of Science:

  • Psychiatry
  • Psychology
  • Developmental Disabilities

Background:

  • Intellectual disability (ID) is often associated with co-occurring mental health conditions.
  • The prevalence and impact of personality disorders in adults with mild to moderate ID require further investigation.
  • Community placement and social integration for individuals with ID can be influenced by behavioral and personality factors.

Purpose of the Study:

  • To assess the prevalence of personality disorder features in a sample of adults with mild or moderate intellectual disability.
  • To explore the significance of personality problems in the community acceptability of individuals with intellectual disabilities.

Main Methods:

  • A cohort of 100 randomly selected adults with mild or moderate intellectual disability participated.
  • The Standardized Assessment of Personality (SAP) by Mann et al. (1981) was utilized for assessment.
  • Data analysis focused on identifying and quantifying features of abnormal personality.

Main Results:

  • 56% of the participants exhibited features of abnormal personality.
  • A marked abnormality, suggestive of personality disorder, was identified in 22% of the sample.
  • The study indicates a substantial presence of personality-related issues within this population.

Conclusions:

  • Personality disorders appear to be a significant, often overlooked, comorbidity in adults with intellectual disabilities.
  • Addressing personality problems may be crucial for enhancing the successful community integration and social acceptance of individuals with ID.
  • Future research should focus on the clinical implications and management strategies for personality disorders in the ID population.

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