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1.
Trials ; 20(1): 500, 2019 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-31412913

RESUMO

BACKGROUND: Persons with mild to borderline intellectual disabilities generally show dysfunctions in mentalization and stress regulation, resulting in problematic social relationships and personal distress. Intervention programs may improve mentalizing abilities. The aim of this study is to examine the effectiveness of the serious game 'You & I' in changing mentalizing abilities and stress regulation in adults with mild to borderline intellectual disabilities. METHODS: A two-arm, parallel, superiority randomized controlled trial will be used with 172 adults with mild to borderline intellectual disabilities. Participants will be randomly assigned to either the experimental group to play the serious game 'You & I' or a waitlist control group. Participants will be assessed at baseline, post intervention (5 weeks after baseline), and follow-up (6-8 weeks after post intervention). They also will fill in questionnaires for personal factors, personal development, personal well-being, social validity, autism spectrum quotient (demographic variables), mentalizing abilities (primary outcome measure), and stress regulation (secondary outcome measure). DISCUSSION: The serious game 'You & I' aims to improve mentalizing abilities in adults with mild to borderline intellectual disabilities, which is expected to lead to improved regulation of stress in social relationships. The study's unique feature is the use of a serious game to improve mentalizing abilities. If the intervention is effective, the serious game can be implemented on a broad scale in Dutch care organizations for people with intellectual disabilities as an effective preventive tool to improve mentalizing abilities. TRIAL REGISTRATION: Netherlands Trial Register, NTR7418 . Registered on 2 August 2018.


Assuntos
Deficiência Intelectual/reabilitação , Mentalização , Pessoas com Deficiência Mental/reabilitação , Estresse Psicológico/prevenção & controle , Jogos de Vídeo , Adaptação Psicológica , Estudos de Equivalência como Asunto , Humanos , Deficiência Intelectual/diagnóstico , Deficiência Intelectual/psicologia , Pessoas com Deficiência Mental/psicologia , Países Baixos , Comportamento Social , Estresse Psicológico/diagnóstico , Estresse Psicológico/psicologia , Fatores de Tempo , Resultado do Tratamento
2.
J Appl Res Intellect Disabil ; 32(5): 1203-1215, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31066173

RESUMO

BACKGROUND: This study explored understandings that service-users with intellectual disabilities and challenging behaviour held around their behaviour, what shaped these understandings, and the relationship between how behaviours are managed and well-being. METHODS: Eight participants (three female, five male) partook in individual semi-structured qualitative interviews. Interviews were transcribed and analysed using interpretative phenomenological analysis. RESULTS: Three master themes emerged from this analysis: (a) challenging behaviour can be explained via an internal or external frame of reference, with each framework having different implications for how participants attempted to manage behaviour. (b) Positive relationships provide a long-term buffer to challenging behaviour, with positive relationships with family, staff and peers operating through different mechanisms to achieve this. (c) A greater ability to exert power and control in day-to-day life was perceived to reduce challenging behaviour in the long term. CONCLUSIONS: Implications for practice are discussed.


Assuntos
Deficiência Intelectual/psicologia , Pessoas com Deficiência Mental/psicologia , Comportamento Problema/psicologia , Adulto , Feminino , Humanos , Masculino , Pesquisa Qualitativa , Adulto Jovem
3.
J Appl Res Intellect Disabil ; 32(4): 932-941, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30950144

RESUMO

BACKGROUND: The move to community support for all people with intellectual disabilities is an aspiration with international significance. In this article, we draw on rich accounts from women with intellectual disabilities detained under the Mental Health Act (E&W) 1983 and staff at an National Health Service secure setting in England to explore how "moving on" is defined and perceived. METHODS: The study reports on an ethnographic study using the field-notes and the 26 semi-structured interviews with detained women and staff on three wards. RESULTS: We first explore staff conceptions of moving on, which include behavioural change and utilizing coping strategies. Then, we discuss the areas of analysis that women discussed: taking back responsibility, success in arranged relationships, acceptance of regime and resistance to progression. CONCLUSION: The concepts of moving on were not determined by the women but by the service. We recommend further research which explores women's own rehabilitation requirements.


Assuntos
Institucionalização , Deficiência Intelectual/psicologia , Deficiência Intelectual/reabilitação , Tratamento Psiquiátrico Involuntário , Pessoas com Deficiência Mental/psicologia , Pessoas com Deficiência Mental/reabilitação , Adulto , Inglaterra , Feminino , Humanos , Legislação como Assunto , Programas Nacionais de Saúde , Autonomia Pessoal , Pesquisa Qualitativa
4.
J Appl Res Intellect Disabil ; 32(4): 901-912, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30950169

RESUMO

AIM: Very little attention has been paid to the views and experiences of young people with mild intellectual disabilities on the broad topics of adulthood and adult identity. The following study was undertaken to explore how young adults with mild intellectual disabilities conceptualize, relate to, and experience the process of transition. METHOD: Eight young adults with mild to borderline intellectual disabilities participated in semi-structured interviews. Results were analysed using interpretive thematic analysis. RESULTS: Two umbrella themes were identified: "On a developmental pathway" and "Negotiations in the environment". CONCLUSIONS: The participants concerns were surprisingly similar to those commonly expressed by young adults without disabilities. Self-perceived adult identity appeared to be affected by the participants' personal definitions of adulthood, as well as by social comparisons with both peers and adults. Finally, while concerns were expressed about their capacity to cope with responsibility, most felt optimistic about adopting full adult status in the future.


Assuntos
Adaptação Psicológica , Desenvolvimento do Adolescente , Deficiência Intelectual/psicologia , Pessoas com Deficiência Mental/psicologia , Autoimagem , Adolescente , Feminino , Humanos , Masculino , Autonomia Pessoal , Pesquisa Qualitativa
5.
J Appl Res Intellect Disabil ; 32(4): 890-900, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30861296

RESUMO

BACKGROUND: The subtle communicative behaviour of individuals with visual and severe/profound intellectual disabilities hinders the success of their interaction with professional caregivers. The bioresponse system, a tool to raise caregivers' awareness of the client's communicative behaviour, may improve the client's joint attention behaviour and the dyad's affective mutuality. METHOD: Four client-caregiver dyads participated in a randomized multiple baseline study with repeated baseline, intervention and follow-up observations. The bioresponse system's effect was evaluated with measures of joint attention and affective mutuality. RESULTS: Two clients showed a significant difference on one or two joint attention subscales (including one significant decrease), and for all clients, at least one joint attention subscale revealed a positive trend. Positive trends in affective mutuality scores were observed in two dyads. CONCLUSIONS: The results stress the importance of further research to the effects of using the bioresponse system's in daily care for persons with severe/profound intellectual disabilities.


Assuntos
Cuidadores/psicologia , Deficiência Intelectual/psicologia , Relações Interpessoais , Pessoas com Deficiência Mental/psicologia , Transtornos da Visão/psicologia , Pessoas com Deficiência Visual/psicologia , Adulto , Afeto/fisiologia , Atenção/fisiologia , Feminino , Humanos , Deficiência Intelectual/enfermagem , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Transtornos da Visão/enfermagem
6.
J Appl Res Intellect Disabil ; 32(4): 792-805, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30687987

RESUMO

BACKGROUND: Emerging evidence indicates effectiveness of dialectical behaviour therapy (DBT) for people with intellectual disabilities (PWID) in forensic settings; however, little is known about "what works" facilitating engagement and change. METHODS: Eleven interviews were conducted with nine service users across two secure inpatient services. Grounded theory was used to develop a model of perceived engagement and change. RESULTS: The model provides insights into how change occurs during DBT delivered in forensic settings. DBT constitutes a challenging journey, yet provides the motivation and means to address individual's intra-/interpersonal aggression and progress towards release. Participants experienced engaging with DBT as difficult and coercive, moving from compliance and avoidance to acceptance and change. Key factors included participants' motivation, beliefs about safety and ability to change, and interactions with staff. CONCLUSION: Recommendations are made for increasing intrinsic motivation, reducing perceived coercion and distress, and for future research to address potential aversive elements and enhance effectiveness.


Assuntos
Terapia do Comportamento Dialético , Deficiência Intelectual/reabilitação , Pessoas com Deficiência Mental/reabilitação , Processos Psicoterapêuticos , Adulto , Inglaterra , Feminino , Psiquiatria Legal , Teoria Fundamentada , Humanos , Deficiência Intelectual/psicologia , Masculino , Pessoas com Deficiência Mental/psicologia , Pessoa de Meia-Idade , Pesquisa Qualitativa , Adulto Jovem
7.
J Intellect Disabil ; 23(2): 149-159, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28651501

RESUMO

A natural experiment contrasted the social relationships of people with intellectual disabilities ( n = 110) before and after they moved from congregated settings to either personalized accommodation or group homes. Contrasts could also be drawn with individuals who had enduring mental health problems ( n = 46) and who experienced similar moves. Face-to-face interviews were conducted in each person's residence on two occasions approximately 24 months apart. Multivariate statistical analyses were used to determine significant effects. Greater proportions of people living in personalized settings scored higher on the five chosen indicators of social relationships than did persons living in grouped accommodation. However, multivariate statistical analyses identified that only one in five persons increased their social relationships as a result of changes in their accommodation, particularly persons with an intellectual disability and high support needs. These findings reinforce the extent of social isolation experienced by people with disabilities and mental health problems that changes in their accommodation only partially counter.


Assuntos
Lares para Grupos , Vida Independente , Deficiência Intelectual , Relações Interpessoais , Pessoas com Deficiência Mental , Isolamento Social , Apoio Social , Adulto , Feminino , Humanos , Deficiência Intelectual/psicologia , Deficiência Intelectual/reabilitação , Masculino , Pessoas com Deficiência Mental/psicologia , Pessoas com Deficiência Mental/reabilitação , Pesquisa Qualitativa , Isolamento Social/psicologia
8.
J Intellect Disabil ; 23(1): 57-77, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28693367

RESUMO

Students with intellectual and developmental disabilities (IDD) have joined the ranks of college students in pursuit of personal independence, community integration, and employment. To achieve these aims, there is a need for a strong understanding of the college experience for students with IDD, including identification of the academic, social, and personal challenges they face as well as the supports that are available to address those challenges. This research provides preliminary insights into the college experience for students with IDD by comparing the perceptions, attitudes, and activities of students with IDD to those of students without disabilities and students with mild learning disabilities (MLD). Our data suggest a number of similarities in the college experience for students with and without disabilities such as similar influences from family and teachers with respect to attending college. In addition, some surprising advantages expressed by students with IDD were found, such as reporting greater ease in developing close friendships than students with MLD. Considerations and discussion on the ways in which students with IDD benefit from the additional supports and services provided to them are also discussed.


Assuntos
Deficiências do Desenvolvimento/psicologia , Deficiência Intelectual/psicologia , Pessoas com Deficiência Mental/psicologia , Estudantes/psicologia , Adulto , Feminino , Humanos , Masculino , Universidades , Adulto Jovem
9.
Scand J Public Health ; 47(2): 199-206, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30070167

RESUMO

BACKGROUND: Schools are expected to be an environment where children can reach their fullest potential and develop their talents, personality, as well as their mental and physical abilities. Children with disabilities often have restricted participation and lower achievement in school. The aim is to investigate if there are any differences in participation and achievement in school between adolescents, with and without self-reported neuropsychiatric disabilities, and to explore the relations between achievement and participation. METHODS: A cross-sectional study was carried out based on data collected from 1520 adolescents in the sixth and seventh grade, from the south of Sweden. Multiple logistic regression was conducted to explore the relationship between having a neuropsychiatric disability, with participation and achievement, and how different factors affected this relationship. RESULTS: Having a self-reported neuropsychiatric disability increases the likelihood of having restricted participation (adjusted odds ratio (AOR): 2.89; 95% confidence interval (CI): 1.99-4.23) and lower achievement in school (AOR: 2.94; 95% CI: 2.06-4.24). These adolescents were also more likely to have negative relationships to their teachers, be bullied, have poorer connectedness to their parents, come from families with less money, be trying drugs and be male, in comparison to the adolescents without a neuropsychiatric disability. The odds of having lower achievement increased with lower engagement and absenteeism from class. CONCLUSIONS: Adolescents with self-reported neuropsychiatric disabilities have a disadvantaged situation in school, and are exposed to factors that could have long-term negative effects. More longitudinal research is required to conclude what factors are causing restricted participation and low achievement.


Assuntos
Escolaridade , Pessoas com Deficiência Mental/psicologia , Instituições Acadêmicas , Participação Social , Estudantes/psicologia , Adolescente , Estudos Transversais , Feminino , Humanos , Masculino , Pessoas com Deficiência Mental/estatística & dados numéricos , Autorrelato , Estudantes/estatística & dados numéricos , Suécia
10.
Disabil Rehabil ; 41(10): 1152-1159, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-29343130

RESUMO

PURPOSE: To evaluate the feasibility of a student-mentored community-based exercise program for youth with disability. METHOD: Nineteen youth (nine female; mean age 18 years) with disability (seven cerebral palsy, six Down syndrome, three spina bifida, two autism spectrum disorder, one spinal cord injury) were recruited. Each participant was matched with a student mentor and exercised twice a week for 12 weeks at their local gymnasium. Five domains of feasibility were assessed: demand, implementation, practicality, limited efficacy testing, and acceptability. RESULTS: Demand comprised 55 expressions of interest. Demonstrating evidence of implementation, 91% of scheduled sessions were attended and training fidelity (comparing training load in weeks 1 and 12) showed exercise intensity significantly increased for strength and aerobic exercises. The program was practical with no major and 17 minor adverse events (e.g., muscle soreness). Limited efficacy testing was demonstrated by increased arm (4 kg, 95% CI: 1-7) and leg strength (43 kg, 95% CI: 24-62), walking endurance (80 m, 95% CI: 24-137), and improvement in three dimensions of health-related quality of life (autonomy, physical, and psychological well-being). The program was accepted very positively by participants. CONCLUSIONS: A student-mentored community-based exercise program feasibly engages youth with disability in community-based exercise. Implications for Rehabilitation A 12-week community-based student-mentored exercise program for youth with disability is feasible. Exercising in a real-world setting with a student mentor has a positive effect on physical and psychological well-being of youth with disability.


Assuntos
Assistência à Saúde/métodos , Pessoas com Deficiência , Terapia por Exercício , Pessoas com Deficiência Mental , Qualidade de Vida , Adolescente , Pessoas com Deficiência/psicologia , Pessoas com Deficiência/reabilitação , Terapia por Exercício/métodos , Terapia por Exercício/psicologia , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoas com Deficiência Mental/psicologia , Pessoas com Deficiência Mental/reabilitação , Participação do Paciente/psicologia , Participação do Paciente/estatística & dados numéricos , Avaliação de Programas e Projetos de Saúde , Adulto Jovem
11.
Scand J Public Health ; 47(2): 215-220, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28784028

RESUMO

AIM: This study explored patterns of service use and associated socioeconomic factors among Chinese elders with mental disabilities. METHODS: Data from the second China National Sample Survey on Disability (CNSSD) were used in this study. Univariate and multivariate logistic regression models were used to calculate the odds ratios and 95% confidence intervals for factors associated with utilization of mental health services among Chinese elderly people with a mental disability. RESULTS: Among elderly people with a mental disability in the CNSSD, 46.35% had used mental health services. Urban residence, higher education level, being married, medical insurance coverage, and higher annual family income per capita were associated with more utilization of mental health services. CONCLUSIONS: This study revealed a low level of mental health service utilization among the Chinese population with mental disorders or a mental disability. Strategies to improve the insurance coverage of mental healthcare, to increase public awareness of mental disorders, and to reduce regional inequality of mental health resources are warranted.


Assuntos
Serviços de Saúde Mental/estatística & dados numéricos , Pessoas com Deficiência Mental/psicologia , Idoso , Idoso de 80 Anos ou mais , China , Feminino , Pesquisas sobre Serviços de Saúde , Humanos , Cobertura do Seguro/estatística & dados numéricos , Masculino , Pessoas com Deficiência Mental/estatística & dados numéricos , Pessoa de Meia-Idade , Fatores Socioeconômicos
12.
J Intellect Disabil ; 23(1): 78-96, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28812949

RESUMO

Patient and public involvement is considered integral to health research in the United Kingdom; however, studies documenting the involvement of adults with intellectual disabilities and parent carers in health research studies are scarce. Through group interviews, this study explored the perspectives and experiences of a group of adults with intellectual disabilities and a group of parent carers about their collaborative/participatory involvement in a 3-year study which explored the effectiveness of annual health checks for adults with intellectual disabilities. Thematic analysis identified five key themes consistent across both groups; authenticity of participation, working together, generating new outcome measures, dissemination of findings and involvement in future research. Although reported anecdotally rather than originating from the analysis, increased self-confidence is also discussed. The groups' unique perspectives led to insights not previously considered by the research team which led to important recommendations to inform healthcare practice.


Assuntos
Pesquisa Participativa Baseada na Comunidade , Pesquisa sobre Serviços de Saúde , Deficiência Intelectual/psicologia , Pessoas com Deficiência Mental/psicologia , Pais/psicologia , Participação do Paciente/psicologia , Adulto , Cuidadores/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
15.
J Intellect Disabil ; 22(3): 294-310, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30134783

RESUMO

The impact of sexual abuse among those with an intellectual disability is an area in need of further research. The current article provides an in-depth narrative review of the sexual abuse literature relevant to individuals with an intellectual disability. The 29 articles included in this study focused on (a) the prevalence of sexual abuse, (b) the risk factors associated with this population, and (c) the psychological impact of abuse. The findings confirmed that children and adults with an intellectual disability are at a higher risk of sexual abuse than nondisabled peers. Research regarding risk factors is equivocal, with a range of possible factors indicated. Similarly, evidence suggests that there is no single diagnostic trajectory when dealing with the sequelae of sexual abuse among those with an intellectual disability. The article concludes by discussing recommendations for future research and development of policy around this area.


Assuntos
Pessoas com Deficiência Mental , Delitos Sexuais , Adolescente , Adulto , Criança , Humanos , Pessoas com Deficiência Mental/psicologia , Pessoas com Deficiência Mental/estatística & dados numéricos , Delitos Sexuais/psicologia , Delitos Sexuais/estatística & dados numéricos
16.
Kurume Med J ; 65(1): 11-16, 2018 Dec 21.
Artigo em Inglês | MEDLINE | ID: mdl-30158356

RESUMO

Sudden death in patients with severe motor and intellectual disabilities (SMID) is sometimes caused in part by pulmonary thromboembolism (PTE), and deep venous thrombosis (DVT) has drawn attention as a possible embolic source. Warfarin, which is a conventional therapeutic agent, is not easy to control appropriately, and daily management can be especially difficult in SMID patients. On the other hand, edoxaban tosilate hydrate, which has been newly approved for insurance coverage for the treatment of DVT, is not listed in the Guidelines for the Diagnosis, Treatment and Prevention of Pulmonary Thromboembolism and Deep Vein Thrombosis (DVT-PTE guidelines). The aim of this study is to evaluate the efficacy and safety of anticoagulation therapy (warfarin vs. edoxaban) in DVT treatment in SMID patients by means of an open-label, randomized controlled trial. The primary endpoint is the incidence of hemorrhagic events during 12 months of follow up.


Assuntos
Anticoagulantes/uso terapêutico , Inibidores do Fator Xa/uso terapêutico , Deficiência Intelectual/complicações , Inteligência , Pessoas com Deficiência Mental/psicologia , Atividade Motora , Transtornos Motores/complicações , Piridinas/uso terapêutico , Tiazóis/uso terapêutico , Trombose Venosa/tratamento farmacológico , Varfarina/uso terapêutico , Anticoagulantes/efeitos adversos , Inibidores do Fator Xa/efeitos adversos , Hemorragia/induzido quimicamente , Humanos , Deficiência Intelectual/diagnóstico , Deficiência Intelectual/fisiopatologia , Deficiência Intelectual/psicologia , Japão , Transtornos Motores/diagnóstico , Transtornos Motores/fisiopatologia , Transtornos Motores/psicologia , Estudos Multicêntricos como Assunto , Piridinas/efeitos adversos , Ensaios Clínicos Controlados Aleatórios como Assunto , Tiazóis/efeitos adversos , Fatores de Tempo , Resultado do Tratamento , Trombose Venosa/complicações , Trombose Venosa/diagnóstico , Varfarina/efeitos adversos
18.
Trials ; 19(1): 400, 2018 Jul 27.
Artigo em Inglês | MEDLINE | ID: mdl-30053893

RESUMO

BACKGROUND: A secure attachment with one or more caregivers is one of the most important predictors of cognitive development and emotional wellbeing. Persons with intellectual disabilities (ID) have extra need for secure relationships with primary caregivers but can find making connections difficult. This study aims to explore the effect of a non-invasive m-learning intervention on the empathy and self-efficacy of caregivers, in view of improving attachment relationships with persons with ID. METHODS: A randomized controlled trial (RCT) will be conducted to assess the efficacy of the HiSense APP-ID. The study will include 100 parents/relatives and 100 professional caregivers of adults with mild or moderate ID (18 years and older). Of both groups of participants, half will complete the m-learning intervention. Data will be collected before the intervention starts, immediately after completion of the m-learning, and 1 month after the intervention. Participants will complete questionnaires concerning knowledge about attachment theory, empathy and self-efficacy (primary outcome measures) and social validity (secondary measures). DISCUSSION: The intervention aims to increase caregiver understanding of attachment theory and to improve empathy and self-efficacy, which may lead to better care and less stress in social interactions. The HiSense APP-ID is an m-learning intervention that can be done independently on any digital device. The course is therefore easily accessible for caregivers of persons with ID. The current study will provide insight into the effectiveness of the intervention for parents/family members and professional caregivers of persons with mild or moderate ID. TRIAL REGISTRATION: Nederlands Trial Register, NTR 6944 . Registered on 16 December 2017.


Assuntos
Cuidadores/psicologia , Instrução por Computador/métodos , Empatia , Deficiência Intelectual/terapia , Aprendizagem , Pessoas com Deficiência Mental/psicologia , Apego ao Objeto , Autoeficácia , Adolescente , Adulto , Idoso , Compreensão , Feminino , Humanos , Deficiência Intelectual/diagnóstico , Deficiência Intelectual/psicologia , Masculino , Pessoa de Meia-Idade , Estudos Multicêntricos como Assunto , Países Baixos , Ensaios Clínicos Controlados Aleatórios como Assunto , Método Simples-Cego , Valores Sociais , Fatores de Tempo , Adulto Jovem
19.
J Clin Psychol ; 74(12): 2082-2093, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-29876938

RESUMO

OBJECTIVES: This study examined relations between comprehensive domains of psychosocial disability and mental disorders to determine (1) whether differential patterns of associations exist between psychosocial disability dimensions and commonly diagnosed mental disorders and (2) whether these relations differ between self-reported and interviewer-rated psychosocial disability domains. METHOD: Self-reported and interviewer-rated psychosocial functioning measures and an interviewer-rated diagnostic assessment tool were administered to 181 psychiatric outpatients. RESULTS: Internalizing disorders showed the strongest and most pervasive associations with psychosocial impairment across both self-reported and interviewer-rated measures, followed by thought disorder; externalizing showed the weakest associations. More specifically, logistic regression analyses indicated that lower well-being factor score significantly increased the odds of distress-disorder diagnoses, and poor basic functioning increased the odds of PTSD. CONCLUSIONS: Results clearly showed differences in the magnitude of associations between three dimensions of psychosocial-disability and commonly diagnosed disorders, and that these differences were similar regardless of rater type.


Assuntos
Atividades Cotidianas/psicologia , Relações Interpessoais , Transtornos Mentais/psicologia , Pessoas com Deficiência Mental/psicologia , Satisfação Pessoal , Comportamento Social , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pacientes Ambulatoriais , Adulto Jovem
20.
J Appl Res Intellect Disabil ; 31(6): 1186-1196, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29947459

RESUMO

BACKGROUND: The literature emphasizes that friendships are essential to youths' successful transition to and adjustment in adulthood. Few studies have explored the friendships of transition-aged youths with intellectual and developmental disabilities (IDD), and even fewer include youths' own perspectives. This qualitative study explored the perspectives of transition-aged youths with IDD regarding their own experiences of friendship. METHOD: A subset of video-recorded data of 21 interviews with seven participants (20-24 years) was extracted from a larger study for secondary analysis. Data were analysed using thematic analysis, informed by constructivist grounded theory methods. RESULTS: Three themes were revealed: meanings of friends and friendship, deepening self-knowledge and negotiating in(ter)dependence. CONCLUSIONS: The findings expand existing knowledge about friendships of transition-aged youths with IDD. Findings can potentially inform development of new services or enhancement of existing services aimed at facilitating transition to adulthood for youths with IDD and point to key areas for future research.


Assuntos
Deficiências do Desenvolvimento/psicologia , Amigos/psicologia , Deficiência Intelectual/psicologia , Pessoas com Deficiência Mental/psicologia , Adolescente , Adulto , Feminino , Humanos , Masculino , Pesquisa Qualitativa , Adulto Jovem
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