Journal of Intellectual Disability - Diagnosis and Treatment

1-5

Authors: Michael G. King

Attention is drawn to a putative WISC anomaly, specific to the case of Intellectual Disability (ID) IQ assessment. With ID, at best the WISC-IV Picture Concepts (PCn) is not a consistent part of the underlying “ability” represented by Perceptual Reasoning Index (PRI) factor, while at worst the PCn score may be “wrong”. This worst case situation is marked by a “very high PCn score” in an otherwise low profile and this outcome awaits a better interpretation which would be meaningful to the target child with Intellectual Disability. The literature relating to PCn scores in cases of “intellectually different” cohorts shows conflicting published evidence that the sub-test may be either generally lower than the cohort average, or generally above that average, for example in cases of Autism. The present paper proposes that the broad explanation for the PCn anomaly is explained by deriving an answer to each item from a focus on single-feature solution rather than an integrative approach. Future research may clarify the frequency and the meaning of this issue, while the present paper raises a caution in the “standard” interpretation of intellectual disability IQ profiles

15-21

Authors: Saric Edina, Mehmedinovic Senad, Bratovcic Vesna, Ahmetovic Sadik

The aim of the research was to identify psychosocial factors and functional characteristics of the elderly. The survey covered a stratified sample of 60 patients with advanced age, both sexes, living in a family environment. In order to assess functional and psychosocial characteristics of older persons were used: Barthel index test, self-assessment scale for depression, self-esteem Rosenberg scale, PD Questionnaire / Form A scale for assessing the degree of social support, as well as Structured questionnaire of personal data which we collected data on gender, age, marital status, number of children, diagnosis, and self-economic situation. Data analysis was performed using parametric and nonparametric statistics. To determine the latent space of applied variables factor analysis was used. Based on the results of the study there are four (4) factors: Factor of somatopsychic dimensions of existential anxiety, Factor of socioeconomic status, Factor of social status and Health status factor.

28-43

Authors: Durga Roy, Pamela Hoffman, Melissa Dudas, Alan Mendelowitz

Introduction: Aggression is a common behavioral problem seen in patients with intellectual disabilities (ID). The safety and efficacy of second generation antipsychotics (SGAs), mood stabilizers and antidepressants in the management of aggression in these individuals have minimally been studied. This review aims to 1) summarize the studies conducted using second generation antipsychotics, mood stabilizers and antidepressants in treating aggressive behaviors in patient with ID and 2) determine based on the existing literature, which medications have been examined in the most rigorous study design that might suggest the most efficacy for use in clinical practice. Methods: Literature searches using PUBMED Central, CINAHL Plus, PsychINFO, and Embase databases were conducted using the following terms: intellectual disability/disabilities, mental retardation, developmental disability/disabilities, aggression, agitation, behavior disorder, adult, treatment, management. Studies predominantly including children with ID, and autism/pervasive developmental disabilities spectrum disorders were excluded. Analyses were done by class of medication: SGAs, mood stabilizers and antidepressants. The primary outcome measure was reduction in aggressive or self injurious behaviors as measured by each individual study. Results: The most rigorous study designs found using these agents were randomized controlled trials (RCT). A total of 10 RCTs were found, the majority being with risperidone (3) and lithium (2). Treatment with risperidone showed reduction in aggression when compared to placebo in most RCTs with the exception of one study in which risperidone was not better than placebo. Both lithium studies showed reduction in aggression when compared to placebo. The most abundant literature exists in retrospective chart reviews. The most commonly studied agent was risperidone which showed reduction in aggression in majority of the studies. Conclusions: Limited data exists for treatment of aggression in adults with ID. There are very few studies examining pharmacologic agents using RCTs. Given that risperidone and lithium were the most commonly studied agents in the most rigorous experimental design, it is suggested that these two agents prove efficacious for treatment of aggression in patients with ID. Limitations to most of these studies included concomitant psychotropic administration with variations in types and dosing, severity of ID, and the idea that a wide variety of aggression scales were used to assess outcome. Further research with more scientific rigor is required in this field.

55-66

Authors: Carl Chr. Bachke

The background of this research is that few studies on inclusive education internationally, use parents as informants. Even fewer emphasize their positive experiences only. From the Norwegian support organisation for people with intellectual disability 14 parent-members were selected and qualitatively interviewed about their positive experiences with inclusive education for their offspring. By means of a discourse analytic approach their statements about constructive factors were benchmarked with twelve formerly identified literature-based factors in order to investigate which of twelve factors were validated by parental experiences, and to detect possible new factors. The general research question illuminated is which factors do parents of offspring with intellectual disability experience as promoting inclusive education for their children? The results are linked to the following four sub-questions: (1) which of the factors, disclosed in current literature, is frequently mentioned by the informants; (2) which new factors are disclosed; (3) which factor is so frequently mentioned that it is considered substantial; and (4) which factors might be combined, and possibly renamed? The results show that the informants contributed all in all with 18 factors. In the discussions it was argued that five factors were interpreted as new, four factors proved to be substantial, that a fifth factor almost gained equal status, while three more factors were considered vital. These eight factors represented the main answer to the research question, and were summarised in metaphoric model, baptized "the school-house of inclusive education."

74-84

Authors: Jane Squires, Misti Waddell, Kristin Funk, Marisa Macy

Partnering with families to administer and interpret assessments for preschool children with disabilities is a cornerstone of effective early childhood practice. Parent-professional partnership in the assessment process encourages effective intervention practices, including targeting of appropriate goals and using strategies based on family cultural and daily practices. An assessment approach that focuses on collaborative practices between professionals and parents of young children with cognitive and other developmental delays is presented. Two strategies shown to provide a common language for parent and professional communication and facilitate cooperation between professionals and parents are described. Parent-completed developmental screening tests and parent assistance with completion of curriculum-based assessments are also discussed in the context of a tiered approach to intervention. A case study is presented to illustrate these strategies in practice.