在智力和发育障碍的成年人中,焦虑,抑郁和照顾障碍
Anthony R Osuna1,2, Jae Kennedy3, Chuan Zhou1,2,4
1Department of Pediatrics, University of Washington School of Medicine, Seattle.
JAMA network open
|February 20, 2026
概括
智力和发育障碍 (IDDs) 的成年人患焦虑和抑郁的比例明显更高. 这项研究强调了这种人口在获得心理健康护理和成本相关障碍方面的差异.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 关于残疾人的研究.
背景情况:
- 智力和发育障碍 (IDDs) 的成年人面临不成比例的高精神疾病率.
- 有限的国家数据存在于心理健康差异和成年IDDs的访问障碍.
研究的目的:
- 为了比较IDD和没有IDD的成年人之间的焦虑和抑郁的流行率.
- 检查心理健康治疗利用率的差异和与成本有关的障碍.
- 确定IDD成年人的心理健康护理方面的差异.
主要方法:
- 使用美国国家健康访谈调查数据 (2021-2023) 汇集的横截面研究.
- 包括44478名成年人 (796人患有IDD,43682人没有功能限制).
- 使用华盛顿集团短集标准确定IDD状态;通过后勤回归分析结果.
主要成果:
- 患有IDD的成年人发现诊断的焦虑 (57.2%对10.6%) 和抑郁症 (57.1%对9.9%) 显著增加.
- 患有IDD的成年人报告了较高的日常焦虑 (50.8%vs7.9%) 和抑郁 (25.6%vs1.4%).
- 在患有IDD的成年人中,观察到精神病药物使用和治疗利用率增加,以及与成本相关的障碍更大.
结论:
- 患有IDD的美国成年人经历了更高的心理健康状况.
- 对于患有IDD的成年人来说,在心理健康治疗的获取和成本方面存在显著的差异.
- 调查结果强调了需要可访问,负担得起,并以残疾为基础的心理健康服务和政策改革的需要.
相关概念视频
01:29Intellectual Disability
833
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
833
01:19Autism Spectrum Disorder
1.3K
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
1.3K
01:21Barriers to Effective Communication II
5.1K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
5.1K
01:30Cognitive Development During Adulthood
957
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
957
03:34Theory of Romantic Attachment in Adulthood
50.0K
Attachment is a long-standing connection or bond with others. While Attachment Theory was conceived in developmental psychology to describe infant-caregiver bonding, it's been extended into adulthood to include romantic relationships.
50.0K
01:18Anxiety: Overview
1.2K
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
1.2K